SPECIALISTS IN THIS AREA
Over a quarter of all adults in the UK are now obese. This can be dangerous and increasing numbers of people are looking for ways to help them lose weight.
As anyone who has tried to lose weight knows, dieting and exercise alone don’t always work. In fact on average people lose only 3% of body weight when they try these approaches alone – although some people can have great success! The number of drugs available is also very limited. Bariatric (anti-obesity) surgery, however, is proven to be effective.
Bariatric surgery is not for everyone. The National Institute for Health and Care Excellence, NICE, has recommended that it should be offered to people with morbid (severe) obesity. Whilst it is good for these people, something less extensive is needed for the large number of people who are moderately overweight or who do not want to have surgery.
What is a Gastroplasty?
The endoscopic sleeve gastroplasty (ESG) is a novel technique which has already been widely implemented in the USA, Mainland Europe, Australasia and South America although less frequently in the UK. This procedure allows a reduction of the capacity of the stomach and may also exert effects through reducing the exposure of gastric cells to nutrients thereby affecting hormonal release which in turn controls appetite and satiety. It is carried out in the endoscopy unit with existing endoscopic equipment and deep sedation.
In an Endoscopic Sleeve Gastroplasty, the doctor creates a narrow pouch, or sleeve within the stomach, using an endoscope (a camera which passes from the mouth into the stomach. This reduces the size of the stomach with the aim of helping the patient to lose weight.
ESG uses the Apollo Endosurgery OverStitch Device, which allows the endoscopist to perform plications (stitches) along the greater curvature of the stomach, creating a reduction is the volume of the stomach similar to a sleeve gastrectomy seen in surgery.
The procedure involves an upper endoscopy and a subsequent application of sutures to the greater curve of the stomach to reduce the capacity of the stomach. The procedure aims to reduce stomach size by about 70%. This means the stomach needs less food to feel full. The patient then feels well satiated after eating much less food.
Who is this Treatment Suitable For?
Endoscopic sleeve gastroplasty (ESG) can be offered to patients with obesity who are either unable to undergo bariatric surgery or who would not be willing to do so. The procedure is carried out in endoscopy under full anesthesia by our expert team.
All our patients will have been properly assessed prior to treatment by a bariatric Multi disciplinary team and be counselled by dieticians and endocrinologists at the London Clinic to ensure we look after all their needs before and after the procedure.