Endoscopic Sleeve Gastroplasty in Bangkok

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical procedure designed to support long-term weight loss by reducing stomach size without incisions or an overnight hospital stay. It offers an alternative to traditional bariatric surgery with a shorter recovery time.

At Rattinan Medical Center, ESG is performed using advanced techniques and strict medical standards to ensure a safe and effective approach to weight management.

ESG helps with weight loss by reducing stomach size without surgery, cuts, or hospital stays. It’s a minimally invasive procedure with a quicker recovery compared to traditional weight loss surgeries.

Both Endoscopic Sleeve Gastroplasty (ESG) and Sleeve Gastrectomy (SG) are weight loss procedures designed to reduce stomach size, but they differ significantly in approach, invasiveness, and recovery.

Similarities (Both ESG & SG)

• Purpose: Both procedures aim to reduce stomach size to support weight loss.
• Effectiveness: Both help patients feel full faster and eat less, leading to long-term weight loss.
• Medical Supervision: Both require professional evaluation, follow-up care, and lifestyle changes for success.
• Candidates: Suitable for individuals struggling with obesity and looking for a medical weight loss solution.

• People with a BMI of 30-40 who need help losing weight but don’t qualify for traditional bariatric surgery.
• Those who prefer a less invasive option with a shorter recovery time.
• Individuals committed to making long-term lifestyle changes for sustainable weight loss.

• Average Weight Loss: ESG typically leads to 15-20% total body weight loss within the first year.
• Gradual Results: Weight loss occurs progressively over 6 to 12 months, depending on lifestyle changes.
• Sustainable Outcome: Long-term success depends on dietary habits, exercise, and medical follow-ups.
• Less Drastic Than Surgery: While ESG is effective, weight loss is generally less than Sleeve Gastrectomy (SG) since no stomach tissue is removed.
• Potential for Regain: Without lifestyle adjustments, some weight regain may occur over time.

Endoscopic Sleeve Gastroplasty is a special procedure that uses a small camera (called an endoscope) and tiny tools to place stitches inside your stomach. Here’s how it works:

1.Endoscopic Suturing Technique

The doctor uses the endoscope, a flexible tube with a camera, to see inside your stomach without needing to make big cuts. They then use small instruments to place stitches inside.

2.STOMACH REDUCTION

These stitches are used to make the stomach smaller by folding parts of it inwards. This reduces the amount of food your stomach can hold at one time, helping you feel full with less food.

3.APPETITE CONTROL AND PORTION REDUCTION

By making the stomach smaller, Endoscopic Sleeve Gastroplasty helps control how much you can eat at once. This can lead to feeling satisfied with smaller portions, making it easier to stick to healthier eating habits.

The Endoscopic Sleeve Gastroplasty is a non-surgical, endoscopic weight loss treatment designed to reduce stomach size without incisions. Here’s how it works:

1. Pre-Procedure Preparation

• A doctor evaluates your medical history and weight loss goals.
• You may need to follow a liquid diet a few days before the procedure.
• Fasting is required 8-12 hours before the procedure.

2. Anesthesia Administration

• The procedure is performed under general anesthesia or sedation, ensuring no pain or discomfort.

3. Endoscopic Insertion

• A flexible endoscope with a suturing device is inserted through the mouth into the stomach.
• No external incisions are needed.

4. Stomach Suturing

• The OverStitch device is used to place sutures inside the stomach to reduce its size.
• The new, smaller stomach limits food intake, helping with weight loss.

5. Completion & Recovery

• The procedure takes about 60–90 minutes.
• Patients are monitored for a few hours before being discharged the same day.
• Most can return to daily activities within a few days.

6. Post-Procedure Care

• A liquid diet is required for the first few weeks.
• Gradual reintroduction of soft and solid foods follows under medical supervision.
• Regular follow-ups help track progress and maintain long-term weight loss.

Here are a few questions to consider. If you answered yes to any of them, you may be a suitable candidate for Endoscopic Sleeve Gastroplasty— a less invasive and effective weight-loss solution.

1. Are you overweight but not enough to require gastric bypass surgery (BMI 28-35)? (Click! to calculate BMI)
2. Are you considered super obese and at high risk for long-term surgery?
3. Have you had multiple abdominal surgeries in the past, making additional surgeries more difficult?
4. Do you have abnormal abdominal organs that complicate traditional surgical procedures?
5. Are you over the age limit for normal surgery, such as being over 65 years old?
6. Do you prefer a non-surgical option due to religious beliefs or personal reasons?
7. Are you looking for a temporary solution while waiting for gastric bypass or sleeve surgery?
8. Are you afraid of undergoing any type of gastric bypass surgery?