Endoscopic Sleeve GastroplastyOn May 22nd, 2014, the Mayo Clinic doctors introduced a bariatric procedure that is unlike any other procedure. The Endoscopic Sleeve Gastroplasty (ESG) is an outpatient operation that can be completed in two-hour. Like other weight loss procedures, the endoscopic sleeve gastroplasty is designed for overweight patients who want to lose about 40 pounds.

Mayo Clinic doctors Dr. Barhma Abu Dayyeh and Dr. Christopher Gostout started the clinical trial in 2012 with just 10 patients. One patient was Cherish Grabau who lost 40 pounds fairly quickly after the procedure.

With a BMI of 30-35, Grabau met the qualifications for this operation. Candidates for this procedure are not morbidly obese or those who won’t qualify for gastric bypass surgery. This new procedure is targeted at individuals who are overweight and looking to change their lifestyle and to prevent comorbidities from occurring as a result of excess weight on the body.

About Endoscopic Sleeve Gastroplasty

The endoscopic sleeve gastroplasty procedure constricts the stomach without any surgery. A mechanical suturing device is placed at the end of an endoscope that is small enough to fit through the esophagus itself. This flexible medical instrument threads itself through the body to the stomach where sutures are reshaped to form a sleeve.

This will constrict the stomach giving the recipients of this procedure a feeling of being full sooner and for a longer period of time. Patients must undergo a screening process and nutrition counseling for weeks before going under sedation with general anesthesia for this minimally invasive procedure.

It’s important to understand that this procedure is not a miracle cure; patients still must do a lot of work and take responsibility for their health. It takes willpower to stand up and say that one is on the wrong path and wants to stop the destruction before it damages too much of their body.

Comparison to Other Bariatric Procedures

According to the doctors, this surgery differs from the gastric sleeve and gastric bypass surgery because it can be reversed, repeated, and adjusted according to each patient’s needs. They also mention that the procedure itself is much easier to perform, which allows them to treat many more patients and to prevent the inevitable. The procedure itself, the doctors say, gives them a signal where they can go back in and tighten things up or remodify the sleeve itself.

According to the report, the new procedure will cost about $10,000 or about ¼ of the cost of traditional gastric bypass surgery. Dr. Gostout and Dr. Dayyeh have trained doctors in places such as Texas, California, Miami, Boston, and St. Louis on how to perform this preventative operation.

Note: The Endoscopic Sleeve Gastroplasty is often confused with the Gastric Mini Sleeve because of similar names. The ESG however is entirely endoscopic. Mini sleeve surgery has two approaches to accomplish the desired surgical outcome. The doctor either uses 3 to 5 incisions like the traditional sleeve or utilizes 1 to 5 incisions laparoscopically while instruments are endoscopically inserted to remove the separated stomach.