Apollo Endoscopic Gastric Sleeve

Apollo Endoscopic Sleeve Gastroplasty

A Comprehensive Guideline


Apollo Endoscopic Sleeve Gastroplasty, also known as non-surgical gastric sleeve, is a more recent sort of minimally invasive weightloss procedure. This treatment may be an option if you are really overweight. Ideal prospects will generally have a body mass index of 30 or more. If diet regimen and workout haven’t benefited you, it could be the following action. It is executed using a tiny camera inserted via the mouth to the stomach. In endoscopic sleeve gastroplasty, also a sophisticated suturing tool is put into your throat and to your stomach. The endoscopist after that places sutures in your stomach to make it smaller sized. This procedure may be an alternative if you’re considerably overweight– a body mass index of 30 or even more– and diet and exercise haven’t benefited you.

Apollo endoscopic sleeve gastroplasty leads to substantial reduction in your total body weight. It aids you drop weight by limiting how much you can consume. As well as the procedure is minimally intrusive, minimizing the danger of operative difficulties and allowing fast return to everyday activities.

Like various other weight-loss treatments, endoscopic sleeve gastroplasty requires dedication to a much healthier lifestyle. You require to make permanent healthy adjustments to your diet regimen and obtain regular exercise to help guarantee the lasting success of endoscopic sleeve gastroplasty.

Apollo Endoscopic Sleeve Gastroplasty
Doctor consulting obese woman on light background. Weight loss surgery

Why It’s Done?

Apollo endoscopic sleeve gastroplasty is performed to help you reduce weight as well as potentially reduced your risk of significant weight-related health problems, including:

  • Cardiovascular diseases as well as stroke
  • High blood pressure
  • Nonalcoholic fatty liver condition (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Sleep apnea
  • Type 2 diabetes and diabetic issues
  • Osteoarthritis (joint discomfort)

Who Is Eligible For ESG?

Endoscopic sleeve gastroplasty is readily available to people whose body mass index (BMI) is above 30, who haven’t succeeded in getting rid of excess weight with way of life adjustment alone, as well as that do not qualify or wish to pursue standard bariatric surgical procedures.

Yet endoscopic sleeve gastroplasty isn’t for everyone that is overweight. A screening process aids physicians see if the treatment could be useful for you. And also you have to be willing to dedicate to healthy lifestyle changes, routine clinical follow-up and also join behaviour modification.

Endoscopic sleeve gastroplasty isn’t ideal for anyone that has a big hiatal hernia or a problem associated with gastrointestinal bleeding, such as gastritis or peptic ulcer condition. Endoscopic sleeve gastroplasty is not presently covered by a lot of health insurance.

Exactly How Does an Endoscopic Sleeve Gastroplasty Work?

An endoscopic sleeve gastroplasty works by decreasing the size of your stomach. You would feel completely satisfied with smaller portions of food. This assists you to drop weight as well as maintain your ideal weight.

The treatment is carried out with you asleep (under general anaesthesia) utilizing an endoscope. This is a flexible tube with a video camera as well as a Hi-Tech stitching tool. It is inserted carefully down your throat, food-pipe and also into the stomach.

The tiny video camera enables your doctor to see inside your stomach without making any cuts in your belly. They will make a row of around 12 stitches.

The stitches will change the structure of your stomach so it is shaped like a tube. This restricts the number of calories your body can consume. It essentially simulates a standard gastric sleeve.

Apollo Endoscopic Sleeve Gastroplasty

How Long Does The Endoscopic Sleeve Gastroplasty Takes?

The treatment takes around 90 mins. You will awaken in a recovery room where your care team will check you. After you wake up from the anaesthesia provided to you throughout surgery, you’ll usually go home the same day.

What are the advantages of an endoscopic sleeve gastroplasty?

There are lots of benefits of having an endoscopic sleeve gastroplasty over surgical treatment. These benefits consist of:

  • Safer as well as less invasive
  • Much less discomfort
  • Lowered risk of infection
  • No noticeable abdominal area scars
  • Much shorter healing period
  • No need to hospitalisation

To drop weight and also preserve your weight reduction after having this procedure you will need to eat a healthy and balanced diet regimen and also take routine exercise. Keeping a healthy and balanced weight can lead to a brand-new lease of life and also even more self-confidence in your look. It can give you a lot more energy and flexibility to delight in the important things you wish to finish with the people you like one of the most.

Risks and Complications of ESG

Up until now, endoscopic sleeve gastroplasty has revealed a favorable security profile. Pain and also nausea might happen for a couple of days after the treatment. These symptoms are generally taken care of with discomfort and nausea medications. Most individuals feel better after a few days.

Additionally, although it’s not created to be a temporary treatment, endoscopic sleeve gastroplasty can be converted to various other bariatric surgical treatment. When combined with way of living alteration, endoscopic sleeve gastroplasty lead to around 15% to 20% total body weight loss at 12 to 24 months.

In very early research studies on endoscopic sleeve gastroplasty, the procedure is considered to be secure. As the procedure is still new, concerns do stay concerning the lasting effectiveness.

How Can You Prepare the Procedure?

If you get approved for endoscopic sleeve gastroplasty, our team will certainly offer you certain guidelines on just how to get ready for your procedure. You might require to have various laboratory tests as well as examinations prior to surgery. You may have restrictions on consuming food, alcohol consumption and which drugs you can take. You might additionally be needed to begin a physical activity program.

It’s handy to intend in advance for your recuperation after the treatment. For instance, schedule a companion or somebody else to assist at home. Recovery from endoscopic sleeve gastroplasty generally takes just a few days. You will certainly likewise need to be a lot more active and also boost your daily workout. Schedule aid at home if you believe you’ll need it.

Dr Manoel Galvao Neto and Dr Murat Ustun are performing Apollo ESG in 2013

What Should you Expect with ESG?

During the treatment:

Endoscopic sleeve gastroplasty is performed in the endoscopy unit as an outpatient procedure. General anesthesia is used for the treatment, so you’ll be unconscious. The procedure is done using a flexible tube with a camera and also an endoscopic suturing tool attached (endoscope). The endoscope is inserted down your throat right into the tummy. The tiny camera allows the medical professional operating the endoscope to see and run inside yourstomach without making incisions in your abdominal area.

Using the endoscope, the doctor puts stitches in the stomach. The stitches alter the structure of your stomach, leaving it shaped like a tube. This limits the quantity of food you can consume due to the fact that you really feel fuller sooner. Endoscopic sleeve gastroplasty takes about 60 to 90 mins.

After the treatment:

After the endoscopic sleeve gastroplasty, you’ll awaken in a recovery room, where clinical personnel checks you for any kind of complications. After recovering from sedation, the majority of individuals go home the same day. Some people may need a short admission to the health center for someday or much less for monitoring after the treatment.

After the treatment, you typically will not be allowed to consume for a few hours. After that, you’ll be enabled to start a liquid diet regimen, which you need to proceed for a minimum of 2 weeks. At some point, you’ll move on to semisolid foods, and afterwards to a normal healthy and balanced diet regimen.


Just like any weight-loss program, dedication to comply a healthy diet, physical activity, emotional health as well as resiliency will play a large role in how much weight you shed. Usually, if a person completes the whole program as well as follows all the standards, she or he can expect to lose regarding 12 % to 20 % of his/her body weight in one year.

Endoscopic sleeve gastroplasty may boost conditions frequently related to being obese, including:

  • Heart disease or stroke
  • Hypertension
  • Serious sleep apnea
  • Type 2 diabetes
  • Gastroesophageal reflux disease (GERD)
  • Osteoarthritis (joint discomfort)
Endoscopic Sleeve Gastroplasty Reduces Volume of Stomach

How Reliable is Endoscopic Sleeve Gastroplasty?

In a study carried out by de Moura et al. with 34 individuals that undertook ESG for weight reduction after sleeve gastroplasty, the technological success rate was 100% without serious side effects and also ≥ 25% EBWL in all patients, with a mean %TBWL of 18.3% at year.

What Are the Adverse Effects of Having an Endoscopic Sleeve Gastroplasty?

We know that weight loss isn’t very easy, specifically on your own without any professional help. When you have actually tried different diet regimens as well as workout however it’s simply insufficient, maybe it’s time to start of your trip to a healthier you.

However, it is very important to be familiar with some adverse effects. Our team will review these with you as well as make certain you’re well notified regarding your therapy before you have it. You will certainly feel great as well as assured that you understand what to anticipate.

When Weight-loss Procedure doesn’t Function?

It’s possible to not lost adequate weight or to regain weight after any kind of kind of weight-loss procedure, even if the procedure itself functions appropriately. This weight gain can happen if you do not adhere to the suggested way of life modifications. To assist stay clear of reclaiming weight, you should make permanent healthy modifications in your diet regimen as well as obtain routine exercise and also exercise.

Is Endoscopic Sleeve Gastroplasty Long-term?

We can say it’s nonpermanent: Sleeve gastroplasty does not make long-term alterations to your body shape as well as is completely relatively easy to fix. Shown results: Individuals achieve approximately 20 % complete body weight reduction 18 months post treatment.

What is the Difference Between Endoscopic Sleeve Gastroplasty and Gastric Sleeve?

During a laparoscopic sleeve gastrectomy (LSG), a big portion of the patient’s stomach is cut away as well as completely removed but throughout the endoscopic sleeve gastroplasty (ESG) treatment, the stomach is re-shaped to minimize its size and also sutured in place. There are no cuts made during ESG.

Just How Uncomfortable is ESG?

ESG requires no incisions or cutting into the belly– the procedure is even much less invasive than laparoscopic gastric sleeve surgical procedure. The individual experiences little or no discomfort during the procedure.

Is ESG Much Better than Bariatric Sleeve?

The gastric sleeve procedure attains this by surgically eliminating a huge section of the stomach, while surgeons non-surgically reduce the dimension of the stomach throughout ESG by folding and also suturing it. So we can not compare these two techniques. In gastric sleeve, which is totally irreversible, restriction is more stronger, also there is a hormonal effects explained by the removed part’s secretions.

How Quickly do you Drop Weight with ESG?

You will begin to observe weight loss quickly, even within the very first week, with ideal outcomes after regarding 6 months. As prevails with weight management procedures, ESG can help boost conditions connected with excessive weight, including cardiovascular disease, sleep apnea, joint problems and diabetes.

How Much Does an Endoscopic Sleeve Gastroplasty Cost? 

An endoscopic sleeve gastroplasty typically costs you in between $7,000 and also $9,000 in USA. We offer ESG procedures in different locations like Turkey, Poland and Marseilles. Prices start from 5990 EU to £11750. Please contact us about incredibly competitive package prices.

Stomach Reshaping with Endosleeve

Just How Big is Your Stomach After ESG?

After the treatment, the stomach is 70-80 % smaller sized in dimension, which limits the amount of food that is consumed before feeling complete, restricts the quantity of calories soaked up by the stomach, and likewise prolongs the moment food continues to be in the stomach, extending the sensation of volume.

Is Endoscopic Sleeve Gastroplasty FDA Accepted?

Yes, endoscopic sleeve gastroplasty is approved by the FDA. In other words, independent scientific tests have actually been performed and also supplied outcomes that show this weight loss technique is both efficient and secure.

What Happens to Stand after ESG?

Adhering to the ESG procedure, the internal sutures will certainly hold the stomach in the new, sleeve shape, up until it fully recovers. After the tissue heals, the sutures will stay in the stomach wall surface. With time, the tummy tenses or “fibroses” and has a tendency to remain in its smaller shape.

Can Stomach Be Stretched After ESG?

Consequently, you can put on weight, also after stomach sleeve surgical treatment. The crucial point to remember is that the stomach can as well as will stretch a percentage– that’s normal.

Exactly How do You Really Feel after ESG?

You can feel some unpleasant feelings after the procedure, but in most of the cases they would be minimal. These complaints are:

  • Cramping: Constraining is common in the first 3-4 days after the procedure and also can be treated with medicines
  • Reflux (including heartburn as well as some belching)
  • Nausea
  • Sleepiness

Can You Consume Alcohol After ESG Treatment?

After endoscopic sleeve gastroplasty (ESG), you should avoid alcohol consumption for at least 3 months. This will help your body is healed correctly and also lower the risk of troubles. If you are taking blood thinners or medications that can counteract with alcohol, you must stay clear of drinking alcohol for six months.

Can You Consume Coffee After ESG?

Black Coffee is allowed without sugar as well as no creamer. Starting week 2 the patient gets on a soft foods, low sugar, low fat diet regimen for 3 weeks. Anything you can mash up with a fork, prevent meat. Please ask for our ESG Post-Operative Diet leaflet for extra information.

Does ESG Cause Hair Loss?

In some patients, hair thinning or hair loss might happen. This is temporary and normally can be solved when nutrition and also weight loss achieve a plateau. The hair loss usually happens anywhere from 3 to 9 months after surgical treatment. The exact same reason for the hair loss can additionally cause modifications in your skin texture and also appearance.

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