Endoscopic Sleeve Gastroplasty - Procedure and Recovery

Endoscopic sleeve gastroplasty is a minimally invasive surgery for weight loss that is becoming more popular. When you have endoscopic sleeve gastroplasty, a suturing device is put in your throat and down to your stomach. You'll then have stitches put in your stomach to make it smaller. This surgery is performed if you are substantially overweight — with a body mass index of 30 or above — and have failed to lose weight with diet and exercise. It promotes weight loss by making you eat less. There are also fewer complications due to surgery because the procedure is minimally invasive and has lesser tissue damage.

1. Endoscopic sleeve gastroplasty leads to significant weight loss.
2.  Helps you lose weight by limiting how much you can eat.
3. And the procedure is minimally invasive, reducing the risk of operative complications
4. quick return to daily activities.

People who have endoscopic sleeve gastroplasty may be able to lose weight and reduce their risk of weight-related health problems, such as:

1. A heart attack and a stroke.
2. Hypertension is a cardiovascular complication that arises due to excessive weight.
3. Non-alcoholic steatohepatitis or non-alcoholic fatty liver disease 
4. Difficulty in breathing during sleep (sleep apnoea) is a condition that affects around 5% of the population.
5. Insulin resistance and type 2 diabetes 
6. Osteoarthritis is a condition characterised by inflammation of the joints (joint pain).
7. Weight loss surgery is also a prerequisite for undergoing other surgeries, such as hip replacement surgery or renal transplant surgery.

What to expect before surgery? 

1. Your doctor can help you decide if Endoscopic sleeve gastroplasty is right for you. 
2. To undergo Endoscopic sleeve gastroplasty, you should have a BMI of above 30, be unable to reduce your weight with exercise and dietary restrictions and do not wish to undergo the traditional bariatric surgery.
3. Healthcare providers use your BMI to assess your risk of developing weight-related disorders. 
4. If you are a suitable candidate for endoscopic sleeve gastroplasty, your doctor will give you detailed guidance on preparing for your surgery. 
5. Before you have surgery, you might need to have several laboratory tests. 
6. The doctor may also inform you about restrictions on what you can and can't eat, drink, and which medications to avoid before the surgery. 
7. Recovery from endoscopic sleeve gastroplasty usually only takes a few days. However, it may take more time in some cases.

What to expect on the day of surgery?

1. You need to visit the hospital a few hours before the scheduled surgery time.
2. The relative accompanying you will complete the formalities, including filing the consent form.
3. The staff may ask you to re
4. move the jewellery, contact lenses, and dentures before the surgery.
5. You may also receive the pre-anaesthesia check-up report that indicates that you are healthy enough to undergo surgery.
6. The staff will record the food you have last eaten and your underlying medical conditions.
7. The nurses will check your vitals and shift you to the operation theatre.
8. What to expect during surgery?
9. The doctor will advise you to lie on the table on your back.
10. The doctor may also insert the IV lines to deliver medications.
11. You would be given general anaesthesia before surgery to make you asleep throughout the surgery.
12. The surgeon will interest the endoscope through the throat and reduce the size of the stomach through suturing.
13. Once the suturing is done, the doctor removes the endoscope.
14. The surgery is done without any incision.
15. Throughout the procedure, the staff will monitor the vitals, such as pulse, blood pressure, and breathing.

What to expect during surgery?

1. The doctor will advise you to lie on the table on your back.
2. The doctor may also insert the IV lines to deliver medications.
3. You would be given general anaesthesia before surgery to make you asleep throughout the surgery.
4. The surgeon will interest the endoscope through the throat and reduce the size of the stomach through suturing.
5. Once the suturing is done, the doctor removes the endoscope.
6. The surgery is done without any incision.
7. Throughout the procedure, the staff will monitor the vitals, such as pulse, blood pressure, and breathing.
8. ot be suitable for you. If you have surgery, you may also have problems with your nutrition. You might need to take vitamins and supplements for the rest of your life. Your doctor will tell you what you need to do to get better.
9. Acid reflux can happen, but it's not as common as when someone has a surgical sleeve gastrectomy. There are fewer chances of post-surgical complications.

First follow up appointment:

1. After the procedure, nutritionists and psychologists met with patients every week or two weeks. 
2. After the patients start eating solid food, the main thing is to follow the hypocaloric diet and talk about healthy food options and alternatives. 
3. Once the first phase was over, nutritional support moved to give patients a diet plan that they could follow for a long time tailored to their own needs.
4. The psychologist advises the patients to follow the recommended lifestyle changes to keep their weight loss over time. 
5. Patients are also taught how to respond to food appetite and other things that make people want to eat. 
6. Gastric cavity restriction helps to keep calories in check. Dietitians and psychologists worked together to solve problems and come up with the best treatment plan for each patient. 
7. The exercise was suggested, taking into account each patient's limitations and following the advice of an exercise physiologist, as well as what they could do. 
8. With Endoscopic Sleeve Gastroplasty, about 10-20% of their weight is lost by making people feel full and making them less hungry, provided people should follow all the guidelines of the doctor.

When to Consult a Doctor?

Endoscopic sleeve gastroplasty complications are few. Consult your doctor if you have the following symptoms:

1. Fever and chills
2. Bleeding
3. Clot formation
4. Infection