Endoscopic Weight Loss
You don’t have to make any cuts to lose weight with endoscopic weight loss treatments. An endoscope is inserted through the mouth and into the stomach, and it helps the doctor see inside. Permanent stitches are used to make the stomach smaller after the procedure. For the procedure to be done, it takes about an hour. Most people can go home the same day, without having to make any cuts.
A lot of research has shown that weight loss is big and lasts for a long time. A procedure called endoscopic sleeve gastroplasty is less invasive than a traditional one.
Endoscopic Weight Loss Methods
Weight loss is caused by the restriction caused by narrowing the stomach, and it has also been shown to have an effect on hormones that make us feel full and hungry. This is because the procedure is less invasive than the laparoscopic sleeve gastrectomy, but it also doesn’t lose as much weight as the laparoscopic sleeve gastrectomy does.
The endoscopic sleeve gastroplasty has been done thousands of times around the world with the same weight loss results, and it has worked every time. The procedure is best for people who don’t qualify for weight loss surgery, like those with a body mass index (BMI) in the 30-35 range and other health problems, like diabetes, hypertension, sleep apnea, or high cholesterol. If the patient has had a lot of abdominal surgery, for example, the procedure may not work for them.
Getting an endoscopic sleeve gastroplasty, like any other weight loss surgery, does require that you follow a strict diet and exercise plan before and after the surgery. It may not be right for everyone, so a doctor who is trained in bariatrics must do a screening to make sure they are a good candidate.
More than 20% of people who lose a lot of weight will gain a lot of weight back, which can cause diseases like hypertension, diabetes, and joint disease to come back, as well as lower their quality of life and self-esteem. It turns out that many of my patients think that they have failed at the surgery and that they have been shamed for “wasting” the surgery. As a result, we now know that dilation of the surgically made gastric pouch and stoma are both linked to weight gain on their own. Most of the time, patients will say that they can eat more food at meals (often they say they can eat “like a normal person”), or that they get more hungry between meals and end up snacking all day.
Revision surgeries can help people lose weight again, but they have more risks than the original surgery, so patients and surgeons aren’t always willing to do this. Over the years, endoscopic suturing has been looked at as a treatment for weight gain. This is similar to the method used for ESG. Many studies have been done on this technique. These are including one that was randomized and used shams (the most rigorous study design). The weight gain stops for almost all patients. Most will lose 20 to 50 percent of their extra weight.
Risks Of Endoscopic Weight Loss
In general, nausea and pain are two of the main side effects that can happen right away after the procedure. These problems are usually solved in a week. Studies have shown that complications happen in about 5% of patients. This is three times less than with other surgical weight loss procedures.
The procedure is done with general anesthesia. Through the mouth and into the stomach, a flexible camera is put in place. Sutures are then put in the stomach to make it about the size and shape of a typical banana. Most patients are sent home after a short stay in the recovery room and the ambulatory area, where they can get up and walk.
Candidates For Endoscopic Weight Loss
There are some people who are not good candidates for this procedure. Such as those who have had surgery on their esophagus or stomach before. Others with cirrhosis or bleeding problems may not be able to join. Different centers may have different rules about when you can’t have the procedure. So be sure to talk to the doctor who does it. Most centers that do this kind of surgery have a team of people who help with diet and exercise before and after the surgery. These are important for the results to last a long time.
Another member of the team is a bariatric psychologist. Psychologists not only help people lose weight. However, they also help people deal with the psychological changes that happen when they lose a lot of weight. Most patients have to drink liquids for a short time after the procedure. But they can then go back to a normal diet that is likely to be healthier and smaller portions. Learn about these diet plans from a dietician on the multidisciplinary team.
How Many Weights Can You Lose With Endoscopic Weight Loss?
If you want to lose 40-75 pounds or 30-50 percent of your body fat, you should do it for a year. The ideal weight is subtracted from the current weight to figure out how much extra weight there is. A study that looked at a lot of different places around the world found that this weight loss lasted at least three years. More research will need to be done to show that the results last as long as other weight loss surgery.
People may also be able to prevent or improve other illnesses that are caused by being overweight. These illnesses include diabetes and hypertension. There are very few long-term side effects. As a result, one thought was that it could make gastroesophageal reflux disease worse. However, studies have shown that the endoscopic gastric banding procedure is better than the laparoscopic gastric banding procedure. It’s because it causes less gastric reflux.
If the need ever came up to reverse the endoscopic sleeve gastroplasty, this could be done. There have been reports of people having surgery to lose weight after the endoscopic sleeve gastroplasty didn’t help them lose enough weight. It is very important that a surgical endoscopist who is familiar with the procedure do the reversal. Rarely do people want to change things back.