Endoscopic Sleeve Gastroplasty ESG
Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight loss procedure that aims to reduce stomach size without any incisions. By utilizing an endoscope inserted through the mouth, a series of precise stitches are applied
to reshape and significantly reduce the stomach's volume.
This innovative approach allows patients to feel full more quickly, aiding in portion control and promoting sustainable weight loss.
Post-Procedure Diet Plan:
Following ESG, adhering to a structured diet plan is essential for healing and optimal weight loss results. Below is a recommended progression through various dietary stages.
Stage 1: Clear Liquids (Days 1-3)
• Focus on staying hydrated with clear liquids only to allow initial healing.
• Examples: Water, clear broth, sugar-free gelatin, and herbal tea (no caffeine).
Stage 2: Full Liquids (Days 4-7)
• Transition to full liquids for added protein and gentle nutrition.
• Examples: Protein shakes (low sugar), smooth soups, plain Greek yogurt, and lactose-free milk if needed.
Stage 3: Pureed Foods (Weeks 2-3)
• Add pureed, high-protein foods to ease digestion and maintain satiety.
• Examples: Mashed sweet potatoes, blended oatmeal, cottage cheese, scrambled eggs, and pureed fruits and vegetables.
Stage 4: Soft Foods (Weeks 4-5)
• Introduce soft, nutrient-rich foods to build on your progress.
• Examples: Soft-cooked vegetables, scrambled eggs, ground or shredded lean meats, and tender fish.
Stage 5: Transition to Regular Foods (Week 6 and beyond)
• Gradually return to a balanced diet with lean proteins, whole grains, vegetables, and fruits.
• Sample Meal:
• Breakfast: Greek yogurt with berries
• Lunch: Grilled chicken breast with steamed vegetables
• Dinner: Baked salmon with quinoa and mixed greens
• Snacks: Nuts, cottage cheese, or a low-sugar protein shake
Who is ESG For?
ESG is suitable for individuals with a Body Mass Index (BMI) between 27 -40 who seek significant weight loss but prefer a non-surgical approach.
Benefits of ESG:
• Minimally Invasive: ESG is performed entirely endoscopically, meaning no external incisions, leading to a quicker recovery.
• Effective Appetite Control: The reduced stomach size allows patients to eat less while feeling satisfied.
• Quick Recovery: Most patients resume normal activities within a few days.
Side Effects and Considerations:
While ESG is generally safe, some patients may experience temporary side effects as their body adjusts:
• Mild Nausea and Discomfort: Common within the first few days after the procedure.
• Sore Throat: Can result from the endoscope insertion, but typically subsides within a few days.
• Temporary Stomach Cramping: May occur as the stomach adapts to its new size.
These side effects are usually short-lived. Discuss any concerns with your consultant to understand and manage expectations.
Long-Term Success:
ESG requires commitment to healthy lifestyle changes, including a balanced diet and regular physical activity. Following these guidelines will help ensure sustainable weight loss and improved overall health.
Studies indicate that patients can achieve significant and sustainable weight loss over time1. For instance, a study found that approximately 60% of ESG patients experience a 20% reduction in total body weight within a year. Additionally, the maximum weight loss is generally achieved by 24 months after the procedure, with patients maintaining a substantial portion of their weight loss over the long term.