Get Effective Endoscopic Sleeve Gastroplasty from Tasmania Anti-Obesity Surgery

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Get Effective Endoscopic Sleeve Gastroplasty from
Tasmania Anti-Obesity Surgery
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Overstitch

• Endoscopic Sleeve Gastroplasty (ESG) is a
  recently developed weight-loss procedure which
  shrinks the size of the stomach using an
  endoscopic suturing device without the need for
  surgery. ESG has been shown in early trials to
  lead to significant weight loss by limiting how
  much food can be eaten before you feel full.
  Because ESG is not surgery, but an endoscopic
  procedure, there is significantly reduced risks
  and more rapid recovery.

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• Like other weight loss procedures however,
  ESG requires commitment to a change in life-style
  healthier eating and some exercise.
• ESG is not suitable for anyone who has
  gastrointestinal bleeding, a hiatus hernia larger
  than 3 or 4 cm, or who has had previous stomach
  surgery.
• ESG is a new procedure, and you need to check
  with your health fund regarding coverage.

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• Early studies of ESG have shown a favorable
  safety profile. Some pain and nausea may occur
  for several days after the procedure, which can
  usually be well controlled with appropriate
  medications.
• ESG is designed to be a permanent procedure,
  however it can to a large degree be reversed and
  converted to another type of anti-obesity
  procedure. However no long term information is
  yet available for ESG.

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• ESG is carried out in hospital under general
  anesthesia. An endoscope is passed through the
  mouth into the stomach. An attached suturing
  device allows placement of multiple internal
  stitches to alter the shape and capacity of the
  stomach. Usually about 12 sutures are placed,
  taking around 90 minutes. Most people go home the
  same day.
• After the procedure, you remain nil orally
  for 8 hours. Then a liquid diet is started and
  continued for 3 weeks. After that there is
  gradual transition back to normal food. 

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• There is then regular follow up by the surgeon
  and multidisciplinary team. The amount of weight
  lost from ESG depends on both the shrinkage of
  the stomach capacity from the procedure (usually
  to about 20 of normal), as well as changing to a
  healthier lifestyle.
• Early studies have shown promising results. A
  recent study of people undergoing ESG with a BMI
  averaging 38 showed average weight loss of 17.8kg
  at 6 months, and 19kg at 12 months.

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• A second study of ESG in people with average
  BMI of 45 showed average 33kg weight loss at 6
  months. It is expected that this degree of weight
  loss will lead to improvement in other diseases
  which may be present, such as diabetes, high
  blood pressure, sleep apnea and heart disease.

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References

• Abu Dayyeh BK et al. Status evaluation report
  endoscopic bariatric therapies.
• Gastrointestinal Surg. 2015 815
• Lopez-Nava G et al. Endoscopic Sleeve
  Gastroplasty how do I do it.
• Obesity Surg (in Press) 2015
• Sharaiha RZ et al. Initial experience with
  endoscopic sleeve gastroplasty. Technical success
  and reproducibility in the bariatric population.

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Endoscopy 2015 47164

• Abu Dayyeh BK et al. Endoscopic Sleeve
  Gastroplasty. A potential endoscopic alternative
  to surgical sleeve gastrectomy fro treatment of
  obesity.
• Gastrointestinal Endoscopy 201378530
• Lopez-Nava G et al. Endoscopic Sleeve
  gastroplasty for the treatment of obesity.
  Endoscopy 201547449

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• http//tasmaniaantiobesitysurgery.com.au/