What is ESG?

ESG is a minimally invasive weight loss procedure that reduces the size of the stomach by placing a series of stitches in the stomach.

How is ESG performed?

ESG is carried out under general anesthesia. A flexible lighted instrument (gastroscope) is placed into the mouth and advanced to the stomach, and using a special device a series of stitches is placed in the stomach. The stitches restrict the size of the stomach creating a sleeve.

Who is a suitable candidate?

A person with a BMI of 30 or more, who has tried unsuccessfully to lose weight, would be a candidate for this procedure. ESG, along with proper diet and exercise, will help persons lose weight. Please use our BMI calculator to figure out your BMI.

How is ESG different from gastric sleeve surgery?

Unlike gastric sleeve surgery, in ESG the stomach is not removed so there is less risk of complications, less pain, no scar, faster return to work and daily activities, and less cost because it is performed at an ambulatory surgery center as opposed to a hospital.

What are the risks?

The risks would include those associated with general anesthesia. In addition, there is a small risk of bleeding and infection. Overall, however, the risks are much less than with the alternative procedure, gastric sleeve surgery.

How soon can I return to work?

You should plan to take at least four days off after the procedure to recover.

How much weight can
I expect to lose?

Generally, patients lose 20% of their weight. The amount of weight loss depends on how closely you follow the diet and exercise program.

Is there any pain?

You will have some discomfort for a few days after the procedure. However, compared to the gastric sleeve surgery, the pain is much less. We will provide you with pain medication as needed to keep you comfortable.

Can I become pregnant after ESG?

ESG is not recommended if you are pregnant. We would recommend waiting for a year after the procedure before becoming pregnant.

What is Endoscopic Revision after Gastric Sleeve Surgery?

Endoscopic revision after gastric sleeve surgery is a minimally invasive weight loss procedure for people who have had a gastric sleeve surgery and have regained significant weight.
The procedure is carried out under general anesthesia.

How is Endoscopic Revision after Gastric Sleeve Surgery performed?

A flexible lighted instrument (gastroscope) is placed into the mouth and advanced to the stomach, and using a special device, stitches are placed in the stomach to make it smaller.

What causes regain of weight after Endoscopic Revision after Gastric Sleeve Surgery?

Gastric sleeve surgery creates a smaller stomach which creates a full feeling after eating small amounts of food and results in weight loss. Over time, the stomach can stretch and enlarge, resulting in loss of the sensation of fullness and renewed weight gain.

Who is a suitable candidate for Endoscopic Revision after Gastric Sleeve Surgery?

A person who has had a gastric sleeve surgery and initially lost significant weight and now finds they have regained a substantial part of that weight would be a good candidate for this procedure.

What are the advantages of Endoscopic Revision after Gastric Sleeve Surgery compared to a surgical repair?

Due to adhesions from gastric sleeve surgery, endoscopic revision has less risk of complications, less pain, no scar, faster return to work and daily activities, and less cost.

What are the risks of Endoscopic Revision after Gastric Sleeve Surgery?

The risks would include those associated with general anesthesia. In addition, there is a small risk of bleeding and infection. Overall, however, the risks are much less than with the alternative procedure, a surgical repair.

How soon can I return to work after Endoscopic Revision after Gastric Sleeve Surgery?

You should plan to take at least 4 days off after the procedure to recover.

Is there any pain?

You will have some discomfort for a few days after the procedure. However, compared to the surgical repair, the pain is much less. We will provide you with pain medication as needed to keep you comfortable.

What is Endoscopic Revision after Gastric Bypass?

Endoscopic revision is a minimally invasive weight loss procedure for people who have had a gastric bypass and have regained significant weight.

How is Endoscopic Revision after Gastric Bypass performed?

The procedure is carried out under general anesthesia. A flexible lighted instrument (gastroscope) is placed into the mouth and to the stomach, then stitches are placed in the gastric pouch and/or in the opening between the pouch and the small intestine.

What causes regain of weight after Gastric Bypass?

Over time, the gastric pouch and the opening can stretch resulting in loss of the sensation of fullness and renewed weight gain.

Who is a suitable candidate for Endoscopic Revision after Gastric Bypass?

A person who has had a gastric bypass and initially lost significant weight, and now finds they have regained a substantial part of that weight, would be a good candidate for this procedure.

What are the advantages of Endoscopic Revision compared to a surgical repair?

Due to adhesions from gastric bypass, endoscopic revision has less risk of complications, less pain, no scar, faster return to work and daily activities, and less cost.

What are the risks of Endoscopic Revision?

The risks would include those associated with general anesthesia. In addition, there is a small risk of bleeding and infection. Overall however, the risks are much less than with the alternative procedure, a surgical repair.

How much weight can I expect to lose after Endoscopic Revision?

The amount of weight loss depends on how closely you follow the diet and exercise program.

How soon can I return to work after Endoscopic Revision?

You should plan to take at least four days off after the procedure to recover.

Is there any pain?

You will have some discomfort for a few days after the procedure. However, compared to the surgical repair, the pain is much less. We will provide you with pain medication as needed to keep you comfortable.

What is ORBERA?

The ORBERA Managed Weight Loss System is a nonsurgical procedure that helps patients lose weight and maintain weight loss.

Who would be a good candidate for the ORBERA balloon?

The ORBERA balloon is a good option for patients age 21 and over, who are moderately overweight, with a BMI of 30-40, and have been unable to lose weight with diet and exercise. It is intended to work with diet, exercise, and behavior modification to achieve and maintain weight loss.

How is the ORBERA balloon inserted?

The ORBERA balloon is placed on an outpatient basis at a surgery center. The procedure is performed under IV Anesthesia and takes about 30 minutes. The deflated balloon is placed through the mouth into the stomach and the balloon is filled with saline solution until it is the size of a grapefruit. The balloon is removed in six months.

What are the side effects?

Most patients will experience nausea, vomiting, and abdominal pain. In most cases, the symptoms will be mild to moderate. Symptoms of GERD (heartburn) occur in about one third of cases. These symptoms usually resolve after one week, but can last up to 2 weeks. We will prescribe medications to help with these symptoms.

How much weight can I expect to lose with the ORBERA balloon?

The average person loses three times more weight than with diet and exercise alone. The average weight loss is about 22 lbs., but following the diet and exercise program closely can result in greater weight loss.

What if I get pregnant?

We will not place the ORBERA balloon if you are pregnant or plan to become pregnant in the next six months. If you become pregnant after the balloon is placed, it will need to be removed after consultation with your obstetrician.