Endoscopic Sleeve Gastroplasty vs Gastric Sleeve Surgery
Obesity is a remissive but not curable chronic disease which may require a surgical intervention to correct. Morbid obesity occurs when a person carries excess weight or body fat that might affect their health and reaches 100 pounds or more of being overweight. Normal obesity is defined when the person’s BMI (Body Mass Index) is 30 or above while a normal range of t a thin persons BMI is between 18.5 and 25. As such, obesity and morbid obesity is often linked to serious health issues such as diabetes, heart disease, stroke and even some types of cancer.
Due to the importance of the role that the gastrointestinal tract plays in people’s body weight and metabolic control, a few surgical and endoscopic procedures to help fight obesity have been developed with excellent results and effectiveness in many aspects.
There are now two available gastric sleeve procedures, both with the main objective to reduce the gastric pouch by creating a sleeve form which are nowadays gaining popularity: The Endoscopic Sleeve Gastroplasty (ESG) and Laparoscopic Vertical Sleeve Gastrectomy (VSG)
With the Endoscopic Sleeve Gastroplasty, the surgeon reduces the gastric lumen to a size comparable with that of Gastric Sleeve Surgery. It imbricates the bigger curvature of the stomach to create a tubular structure without any disruption of the gastric vascular or neuronal supply
With the Laparoscopic Gastric Sleeve Surgery, the surgeon makes several incisions in the abdomen and inserts a laparoscope with a very small camera which sends pictures to the monitor to be able to perform the surgery. The surgeon then removes 80% of the stomach removing with it the gastric fundus and the section of the stomach that creates hunger with the patients.
Both procedures have been demonstrated to be safe and effective treatment options for obese patients but obviously there are certain aspects to consider as operative risks, side effects, etc. Patients must learn about the alternatives and answer to all the questions they might have about which one would be the better option for them.
Endoscopic Sleeve Gastroplasty is a relative novel or new procedure for endoscopic bariatric therapies. It is a minimally invasive same-day surgery that achieves less weight loss at 6 months than Laparoscopic Sleeve Gastrectomy. However, compared to other weight loss strategies, it offers satisfactory efficacy in weight loss and has lower risks then say the Gastric Bypass Surgery. Even though this surgery does not provide the same results as a gastric sleeve surgery, some patients may find this to be a suitable option especially if they have a hard time following doctor’s instructions or don’t want or need to lose a large amount of weight. Weight loss however is much less and not nearly as significant or long term than that of the gastric sleeve or even gastric bypass surgery. Doctors have found that with the Endoscopic Sleeve Gastroplasty, that weight loss effect over time will decrease and weight can be and usually is regained. The current results are limited however due to the limited amount of studies as this is a relatively newer weight loss option.
Laparoscopic Sleeve Gastrectomy or the Gastric Sleeve surgery offers a lasting solution to effective weight loss by removing between 60 % to 80% portion of the stomach using minimally invasive surgical techniques, leaving behind a new small sleeve or tube of stomach and making changes to patient’s stomach and digestive system that limit how much food they can eat and how many nutrients they absorb, leading to weight loss. The Gastric sleeve surgery has a track record of success for more than 12 years now and it has proven to be one of the newer gold standards for weight loss surgery.
The way Gastric Sleeve work is:
- Dietary restriction: As the stomach is smaller, there is much less room to receive food so, patients cannot eat as much food as they used to. By limiting the capacity, the patient will experience weight loss.
- It physiologically diminishes appetite: As a big part of the stomach is removed, chemical changes are produce in the patient’s body producing decrease appetite. The section of the stomach that produces the Grehlin or the hunger hormone is removed, helping the patient diet due to lack of hunger and cravings.
Laparoscopic Sleeve Gastrectomy or Gastric Sleeve is the most popular restrictive weight loss surgery because of its high efficiency in weight loss and quality of life after the operation. If you are considering weight loss surgery and trying to decide between the Endoscopic Sleeve Gastroplasty or the Vertical Sleeve Gastrectomy, Dr. Juan F. Hidalgo the lead surgeon at Weight Loss Team, the bariatric surgical center at the CMQ Hospitals in Puerto Vallarta Mexico, strongly recommends the Gastric Sleeve surgery over the Endoscopic Sleeve Gastroplasty.
For more information regarding Clinics/ Hospitals and Weight Loss Options mentioned in this article:
Weight Loss Team – Bariatric Surgical Center at the CMQ Hospital in Puerto Vallarta – Dr. Juan F. Hidalgo
Telephone: Toll free 1(800) 404-9064 or + 1(818) 949-6911