Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical, minimally invasive weight loss procedure that has been gaining popularity worldwide. In Singapore, it offers a promising alternative for those looking to lose weight without undergoing traditional surgery. This guide explores what ESG is, how it works, endoscopic sleeve gastroplasty, its benefits, risks, and who is a suitable candidate for this procedure.
What is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty (ESG) is a weight loss treatment that uses a flexible tube with a camera (endoscope) to reshape the stomach. Unlike gastric bypass or other invasive procedures, ESG does not require any incisions or cuts. Instead, the procedure is performed through the mouth, making it a less invasive option for individuals seeking weight loss solutions.
How ESG Works
During the ESG procedure, a doctor uses an endoscope inserted through the mouth to access the stomach. The doctor then uses sutures to reduce the size of the stomach, which limits the amount of food it can hold. This creates a sleeve-like structure that reduces hunger and promotes earlier satiety, leading to weight loss.
Duration of the Procedure
ESG is typically performed under sedation and takes about 60 to 90 minutes. It does not require a hospital stay, and most patients can go home on the same day of the procedure.
Benefits of Endoscopic Sleeve Gastroplasty
ESG offers several advantages over traditional bariatric surgeries, making it a popular choice for many people in Singapore.
Minimally Invasive
One of the biggest advantages of ESG is that it is minimally invasive. Unlike traditional surgeries that require large incisions, ESG is performed through the mouth using an endoscope. This means less trauma to the body, shorter recovery times, and minimal scarring.
No Need for Long Hospital Stays
Because ESG does not require major surgery, patients typically do not need to stay in the hospital. Most people can return to their normal activities within a few days, which is a significant benefit for those with busy schedules or those who do not want to deal with the lengthy recovery times associated with traditional surgeries.
Effective Weight Loss
Many patients experience significant weight loss after undergoing ESG. Studies show that individuals can lose between 15% and 20% of their total body weight within the first six months. The procedure reduces hunger and increases feelings of fullness, making it easier to stick to a healthier diet and lifestyle.
Risks and Considerations of ESG
While ESG is a promising weight loss solution, it is important to understand the risks and limitations.
Potential Complications
Like any medical procedure, ESG comes with risks. Some potential complications include nausea, vomiting, infection, or leakage at the suture sites. However, these risks are relatively rare, especially when performed by an experienced gastroenterologist.
Not a Quick Fix
ESG is not a quick fix for weight loss. It requires a commitment to long-term lifestyle changes, including adopting healthier eating habits and regular physical activity. Without these changes, weight loss results may not be as significant or sustainable.
Limited Long-Term Data
Although ESG has been proven to be effective in the short term, there is limited data on the long-term success of the procedure. More research is needed to understand how well ESG helps patients maintain weight loss in the years following the procedure.
Who is a Suitable Candidate for ESG in Singapore?
Not everyone is a good candidate for Endoscopic Sleeve Gastroplasty. Understanding who can benefit from this procedure is essential for making an informed decision.
Candidates for ESG
ESG is generally recommended for individuals who are moderately obese (BMI 30 to 40) and have struggled with weight loss through traditional methods such as diet and exercise. Additionally, it is suitable for those who are not eligible for or prefer to avoid more invasive bariatric surgeries.
Health Considerations
It is essential that candidates for ESG do not have any significant underlying health conditions, such as severe gastrointestinal issues, that could complicate the procedure. A thorough medical evaluation will be necessary before moving forward with ESG to ensure the patient is in good health and a suitable candidate.
Aftercare and Recovery
Recovery after Endoscopic Sleeve Gastroplasty is relatively quick compared to traditional bariatric surgeries. However, there are still some steps to follow to ensure optimal results.
Post-Procedure Diet
After ESG, patients are typically advised to follow a liquid diet for the first few days. This gradually transitions to soft foods and then regular foods over the next few weeks. It is important to avoid overeating during the recovery period to allow the stomach to heal properly.
Regular Follow-ups
Patients will need to attend follow-up appointments with their gastroenterologist to monitor weight loss progress and ensure there are no complications. This will also be an opportunity to receive additional guidance on nutrition, exercise, and lifestyle changes that will help maintain long-term weight loss.
Conclusion
Endoscopic Sleeve Gastroplasty is an effective, minimally invasive weight loss procedure available to residents of Singapore. While it is not a quick fix, it offers a promising alternative to traditional bariatric surgeries. Those who are committed to adopting healthier habits and maintaining regular follow-ups can experience significant weight loss and improved quality of life after undergoing ESG.