Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is a minimally invasive procedure that can help you tackle abdominal obesity effectively. By reducing the size of your stomach, endoscopic sleeve gastroplasty encourages weight loss by limiting your food intake and calorie absorption. If you are looking for an effective treatment for abdominal obesity, consult our bariatric surgeons at Pristyn Care. Book an appointment with us for a comprehensive consultation.

Endoscopic sleeve gastroplasty is a minimally invasive procedure that can help you tackle ... Read More

Book FREE Doctor Appointment

Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app

Patient Name

Mobile Number

Select City

Call Us

We are rated

3 M+ Happy Patients

200+ Hospitals

30+ Cities

3M+

Happy Patients

50+

Disease

200+

Hospitals

30+

Cities

Free Consultation

Free Cab Facility

No-Cost EMI

Support in Insurance Claim

1-day Hospitalization

USFDA-Approved Procedure

What Is Endoscopic Sleeve Gastroplasty?

Endoscopic sleeve gastroplasty is a novel procedure performed to facilitate weight loss in individuals struggling with obesity.

It involves using an endoscope, a flexible tube fitted with a camera and stitching equipment.
An endoscope is inserted through the mouth and into the stomach.
The doctor uses this device to suture sections of the stomach together, reducing its size by about 70%.
This reduction limits food intake and aids in weight loss over time.
Unlike traditional surgeries like gastric bypass or sleeve gastrectomy, endoscopic sleeve gastroplasty is non-surgical.
It is performed on an outpatient basis and typically requires only a brief recovery period.

However, it’s important to note that endoscopic sleeve gastroplasty is not for everyone. Patients must meet specific criteria including having a Body Mass Index (BMI) between 30 and 40, Also, they should be ready for significant lifestyle changes to be ready for surgery.

Endoscopic Sleeve Gastroplasty Surgery Cost Calculator

Fill details to get actual cost

Types of Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty primarily falls into two categories based on techniques and devices used during the procedure:

Standard Endoscopic Sleeve Gastroplasty
- This is the most common type of endoscopic sleeve gastroplasty.
- An endoscope equipped with a suturing device places the sutures within the stomach.
- This creates folds in the stomach wall and effectively reduces its size and volume by about 70%.
Accordion Procedure
- This term is interchangeably used with endoscopic sleeve gastroplasty.
- The procedure emphasises the accordion-like folding of the stomach during suturing.
- This highlights the method of reducing stomach capacity without removing any tissue.
- This makes it a less invasive alternative to traditional bariatric surgeries.

Both types aim to prompt significant weight loss and improve health metrics for individuals with obesity. This is suitable for those who have not found success with lifestyle changes alone.

Diagnosis Before Endoscopic Sleeve Gastroplasty

Before undergoing an endoscopic sleeve gastroplasty procedure, it’s crucial to comprehensively diagnose abdominal obesity. Here are the primary methods doctors use to confirm your condition:

BMI check: This is an essential test where your weight and height are measured to calculate your BMI. A score of 30 or more is considered obese, indicating that you may have excessive fat around your stomach and abdomen.
Waist circumference measurement: Your doctor may measure around your waist. A circumference of 102 centimetres (men) or 88 centimetres (women) or more indicates abdominal obesity.
Physical examination: The doctors will carry out a thorough physical examination. Based on this, they assess your health and the extent of your obesity.
Medical history review: Your doctor will review your medical history. This includes existing conditions or illnesses, medications you’re taking, lifestyle factors and family health history.
Blood tests: These can help identify any underlying conditions that could contribute to obesity, such as hypothyroidism or Cushing’s syndrome.
Imaging tests: Occasionally, imaging tests such as ultrasound, CT scan, or MRI may be used to assess fat distribution. This also helps to look for related complications like fatty liver disease.

Procedure for Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is a comprehensive surgical procedure that helps in reducing the size of your stomach. The process involves:

Pre-surgical Preparation: It involves a thorough medical examination, blood tests, and imaging where necessary. Patients should abstain from tobacco, smoking, and alcohol for at least a week before and two weeks after surgery.
Anaesthesia: Patients are put under general anaesthesia for the procedure. This helps keep them comfortable and pain-free during the surgery.
Insertion of Endoscope: An endoscope, a flexible tube with a camera and suturing device, is inserted through the mouth into the stomach.
Stomach Suturing: The front and back walls of the stomach are marked, and the suturing device places around 8 stitches. This helps bring the walls together, reducing the stomach’s size by about 70%.
Post-surgical Care: After surgery, patients usually stay in the hospital for a few hours. They begin with a liquid diet. After two weeks, they switch to semi-solid foods. Then, they gradually transition to a regular, healthy diet based on their surgeon’s advice.

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Follow-Up

Free Cab Facility

24*7 Patient Support

Who Is the Right Candidate for Endoscopic Sleeve Gastroplasty?

The decision to undergo an endoscopic sleeve gastroplasty procedure is not made lightly. It requires careful consideration and consultation with your doctor. The ideal candidates for this procedure are typically:

Diagnosed with abdominal obesity: Adults with a BMI of 30 or higher could be considered. This is for those who have not been able to lose significant weight through diet or exercise alone.
Committed to change: Candidates should be prepared to undertake major lifestyle changes post-surgery. This includes incorporating regular exercise, a healthy diet, and strict adherence to post-operative care instructions.
Informed and willing: Awareness about the procedure, its risks, potential complications and success rates is crucial. An ideal candidate should be fully informed and willing to proceed despite possible risks.

Benefits of Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is a promising treatment for obesity, bringing about significant weight loss and improvements in overall health. Here are some noteworthy benefits of this treatment:

Significant weight reduction: With endoscopic sleeve gastroplasty, you can expect up to a 16% decrease in total body weight in the first year. This treatment also aids in losing about 60% of excess body weight.
Improvement in obesity-linked conditions: Endoscopic sleeve gastroplasty has proven beneficial in managing or resolving health problems. This includes type 2 diabetes, high cholesterol, high blood pressure, acid reflux, sleep apnea, and fatty liver disease.
Shorter recovery time: Being a minimally invasive outpatient procedure, the recovery period post-endoscopic sleeve gastroplasty is typically between 1 to 3 days. This allows you to swiftly resume your regular activities.
Lower risk of nutritional deficiencies: Unlike gastric bypass, endoscopic sleeve gastroplasty does not meddle with your intestines. This significantly reduces the chances of vitamin and mineral deficiencies.

How to Prepare for Endoscopic Sleeve Gastroplasty?

Preparing for an endoscopic sleeve gastroplasty involves several key steps to ensure the procedure goes smoothly and safely. Here’s what you need to do:

Medical Tests: Undergo routine medical tests as recommended by your doctor. These tests help assess your overall health and ensure you are fit for the procedure.
Medications: Your doctor may prescribe antibiotics and anti-nausea medications to take before the surgery. These medications help prevent infections and manage potential side effects.
Fasting: Avoid consuming any food or drink after midnight on the night before your surgery. This fasting is crucial to reduce the risk of complications during the procedure.

Recovery Tips and Precautions to Follow After Endoscopic Sleeve Gastroplasty

Recovery is a crucial part of the surgical process. Follow these key tips and precautions to ensure a smooth recovery after your endoscopic sleeve gastroplasty:

Immediate post-procedure diet: Start with a liquid diet supplemented with protein for the first two weeks. This helps your stomach heal without straining it.
Transition phase: After the initial two weeks, move to pureed or soft foods for the next two weeks. This gradual transition helps your digestive system adjust.
Regular diet: After one month, slowly introduce regular foods back into your diet. During this period, avoid carbonated drinks and solid foods to prevent complications and ensure proper healing.

Potential Risks or Complications Associated with Endoscopic Sleeve Gastroplasty

While endoscopic sleeve gastroplasty offers significant benefits, it’s important to be aware of potential risks and complications. Here’s what you need to know:

Narrowing of the stomach outlet: This can cause vomiting and discomfort.
Loosening of stitches: This may reduce the effectiveness of the procedure over time.
Stomach leaks or infections: These are serious complications that require immediate medical attention.
Pulmonary embolism: An air clot in the lungs is a rare but serious risk.
Pneumoperitoneum or Pneumothorax: Air in the abdominal cavity or a collapsed lung are potential risks.
Weight regain: Weight regain over time is possible; regular monitoring and adherence to dietary guidelines can minimize this risk.

Endoscopic sleeve gastroplasty is an effective, minimally invasive option for significant weight loss and health improvement. It also offers a quicker recovery compared to traditional bariatric surgery. Regular interactions with your doctor and commitment to a healthy lifestyle can ensure a successful outcome.

Cost of Endoscopic Sleeve Gastroplasty in India

Endoscopic sleeve gastroplasty is a significant medical procedure for weight loss, and as such, it comes with an associated cost. In India, the price for endoscopic sleeve gastroplasty ranges from approximately ₹250,000 to ₹450,000. The average cost for this treatment hovers around ₹320,000. However, it’s necessary to remember that this figure typically covers only the procedure itself.

Several factors might contribute to the overall expense:

Location of the hospital: The geographical position of the hospital significantly influences the cost. Cities often have more expensive setups compared to smaller towns due to higher operational costs.
Reputation of the doctor: A well-known doctor with a successful track record may charge more for their expertise.
Hospital amenities: Hospitals equipped with advanced technology and premium facilities might add to the cost of endoscopic sleeve gastroplasty.
Additional cost: The above price generally does not cover pre-operative evaluations, post-operative care, or any eventual complications. These could contribute to the overall expense.

Is Endoscopic Sleeve Gastroplasty Covered Under Insurance?

Insurance coverage for endoscopic sleeve gastroplasty in India varies by policy. Many insurance plans do not typically cover this procedure as it is considered elective. However, coverage may be possible if the patient meets specific medical necessity criteria. This may include a BMI of 30 or higher and documented unsuccessful weight loss attempts through non-surgical methods.

Inclusions:
- Coverage for pre-operative evaluations, including consultations and necessary medical tests.
- If deemed medically necessary, potential coverage for the procedure and follow-up appointments, depending on the insurance plan.
Exclusions:
- Procedures categorised as cosmetic or elective, like endoscopic sleeve gastroplasty, may not be covered.
- Complications arising from the procedure may not be included.
- Long-term follow-up care and nutritional counseling are typically not covered.

Patients considering endoscopic sleeve gastroplasty in India should consult with their insurance provider. Understand their specific coverage options and any prerequisites for pre-authorization.

Frequently Asked Questions

What are the causes that necessitate an Endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty is generally performed to treat severe obesity. If traditional efforts at weight loss such as diet, exercise, or medication have failed, a doctor may suggest Endoscopic sleeve gastroplasty. Certain medical conditions linked with obesity, such as type 2 diabetes or sleep apnea, might also necessitate this procedure.

How does the Endoscopic Sleeve Gastroplasty procedure affect my diet?

Following endoscopic sleeve gastroplasty, you’ll need to commit to a healthier lifestyle to ensure the success and longevity of the treatment. Initially, your doctor will advise a liquid diet before advancing to soft foods and finally solid food. Ongoing dietary counseling is crucial for maintaining weight loss.

What is the success rate of endoscopic sleeve gastroplasty in India?

As per several studies, Endoscopic sleeve gastroplasty has shown promising results. Patients typically lose around 15-20% of their total body weight within a year of the operation. Long-term success, however, largely depends on one’s commitment to lifestyle changes and follow-up care.

Can Endoscopic Sleeve Gastroplasty be reversed?

Contrary to surgical weight-loss procedures, endoscopic sleeve gastroplasty is non-surgical and theoretically reversible or modifiable if necessary. However, any decision about reversal or modification should be discussed seriously with your doctor.

Is it normal to experience pain after an Endoscopic Sleeve Gastroplasty procedure?

Minimal discomfort may occur after endoscopic sleeve gastroplasty which can be managed by pain relief medications prescribed by your doctor. Any persistent pain should be immediately reported to your healthcare provider.

What is included in the recovery phase for Endoscopic Sleeve Gastroplasty?

Following endoscopic sleeve gastroplasty, you’ll spend time in a recovery room where doctors monitor you for any adverse reactions. You’ll also be advised on diet and necessary lifestyle changes. Regular follow-up visits will be required to ensure the ongoing success of the procedure.

How does Endoscopic Sleeve Gastroplasty aid in weight loss?

Endoscopic sleeve gastroplasty aids weight loss by reducing the size of your stomach and limiting the amount you can eat. As less food is consumed, fewer calories are absorbed, leading to weight loss. Further support in the form of dietary counselling and lifestyle changes enhances the efficacy of the procedure.

Can Endoscopic Sleeve Gastroplasty be conducted more than once?

While endoscopic sleeve gastroplasty is generally a one-time procedure, adjustments or revisions can be made if necessary. These decisions are made on a case-by-case basis, taking into consideration factors such as medical complications or insufficient weight loss. Your doctor will provide more personalised advice regarding this.

How long does it take to see results after an Endoscopic Sleeve Gastroplasty?

The rate at which you lose weight after endoscopic sleeve gastroplasty can vary depending on many factors. This includes your initial body weight, diet changes and increased physical activity. Patients notice weight loss within the first month following the procedure.

How can I maintain my weight after an endoscopic sleeve gastroplasty?

Maintaining weight post-endoscopic sleeve gastroplasty involves adhering to a healthier lifestyle including a balanced diet and regular exercise. Dietary counselling and support groups can play a vital role in this journey. Regular follow-up appointments with your doctor are also crucial for monitoring progress and making necessary adjustments.

View more questions