It’s an endoscopic procedure that has no scars or incisions. The provider puts an endoscope down the mouth of the patient into the stomach to perform the procedure. The patient is under anesthesia the whole time.
Who’s a good fit for ESG?
To see if these procedures are right for you, consult a gastroenterologist or a bariatric endoscopy specialist at a nearby hospital.
Frequently asked questions about ESG (FAQs)
You've got questions. We've got answers.
Unlike a traditional surgical sleeve procedure, ESG is performed without any incisions, and no part of the stomach is removed. It’s similar because it limits the amount of food a person can eat by reducing the size of the stomach.
People usually go home the same day and generally can return to routine daily activity in 2–3 days.2 Follow your doctor’s specific instructions.
ESG can be part of achieving weight loss, but it requires a lasting commitment to losing weight. To keep weight off, it’s important to live a healthy lifestyle, including eating well and staying active.
Each person has different results. In a clinical study, patients lost an average of 13.6% of their total body weight 12 months after undergoing the ESG procedure and following a prescribed diet and exercise program.2
The most common side effects are gastrointestinal symptoms such as nausea, abdominal pain, vomiting, constipation, burping or diarrhea. These symptoms typically resolve within 30–60 days.
All procedures have risk. Talk with your doctor and be sure you understand all the risks before you have any procedure.
ESG is for adults with obesity and a body mass index (BMI) of 30-50kg/ m2 who have not been able to lose weight or maintain weight loss through diet and exercise alone. Talk to a doctor about whether you’re a good candidate.
Your doctor will ask you about your medical history and perform a physical exam to decide if ESG is right for you. At the time of your procedure, the doctor may detect internal issues that prevent you from receiving ESG. For example, stomach ulcers or inflammation in the stomach may impact device placement.
You should not receive ESG if you: have a large hiatal hernia; have a history of bleeding in your stomach or food pipe; have a history of eating disorders; are pregnant; have bleeding disorders or are on blood thinners.
Your provider can work with you one-on-one on to discuss coverage or financing options for your procedure.
What about cost and insurance?
Many patients receive reimbursements for these procedures. Please consult your doctor or insurer to understand eligibility and coverage.
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*Individual weight loss may vary.
Results in other cases may vary. In a study, patients with class 1 (BMI 30 to <35 kg/m²) or class 2 (BMI 35 to <40 kg/m²) obesity who underwent ESG in conjunction with prescribed diet and exercise counseling achieved an average of 13.6% total body weight loss at year one.
1. For the Endoscopic Suturing System you need to follow a healthy diet and exercise program to lose weight. You may not lose weight if you do not adopt healthy habits. Your doctor’s clinical team, including dieticians, nutritionists and/or exercise trainers, should help you on your weight loss journey.
2. Abu Dayyeh BK, Bazerbachi F, Vargas EJ, et al. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): A prospective, multicentre, randomised trial. Lancet. 2022;400:441–451.
Disclaimer: The information presented in this document by Boston Scientific India is for educational purposes only for patient/family member of the patient who is planning to be implanted with Boston Scientific’s device based on the judgement of Healthcare professional and cannot be circulated further. Healthcare professional holds the responsibility to share the information as deemed appropriate with the patient/family member of the patient. The information should not be treated as comprehensive and does not intend to provide diagnosis, treatment or any medical advice. Responsibility for patient care resides with the healthcare professional on the basis of his or her professional licence, experience and knowledge of the patient. Healthcare professionals must rely on their judgment when deciding which treatments and procedures to use with patients. Individual results may vary and hence, it is advisable to consult your doctor or other qualified health care professional regarding any medical or health related diagnosis.
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