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Endoscopic Sleeve Gastroplasty Recovery Time

Days two to seven after an Endoscopic Sleeve Gastrectomy (ESG) are typically characterised by a positive recovery experience for most patients. The majority report minimal to no pain following the non surgical procedure, which is a significant advantage of ESG compared to more invasive surgeries. Some patients do describe mild discomfort related to gas buildup, but this sensation is usually short-lived and resolves itself within a few days. Additionally, while nausea can occur—often as a residual effect of general anaesthesia—it tends to be mild and improves quickly as patients adjust to their post-operative care regimen.

During this initial recovery phase, patients begin adhering to a temporary liquid diet designed to ease their transition back into normal eating routines. This crucial dietary adjustment helps facilitate healing while also preparing the stomach for solid foods at a later stage. As they progress through these early days, patients are advised to slowly reintroduce textures in their meals and monitor their body’s responses closely. By gradually working up from liquids to solids, individuals can ensure that their digestive system adjusts effectively, minimising complications and promoting long-term success in achieving weight loss goals following the ESG procedure.

 In the first two weeks following your operation, you are likely to feel fatigued. While we encourage daily walking, please avoid overexertion. You may notice a reduction in the volume of your stools. This is normal, as your food intake will be significantly less than before the procedure, particularly during the liquid phase of the diet (more information on this will follow). Ensure you drink plenty of water; you may also try vegetable juice, Dulcoease, or Senokot. If these do not help, consider using a liquid laxative such as lactulose (Duphulac) or Senokot Syrup.

Medication

Typically, you will be able to continue taking your regular medication. However, if your tablets are particularly large, you may need to break them up. Most good chemists provide small devices that can assist with this. If, upon attempting to take your tablets, you find they are sticking, you can crush them and mix them with a spoonful of yoghurt to mask the taste. Before doing so, check with your pharmacist to ensure this is appropriate. Some tablets are specially formulated for slow release or are coated to protect the stomach, and crushing them may compromise these properties. Capsules should not pose any issues, as they are soft and designed to dissolve in the stomach.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

You should avoid aspirin and other non-steroidal anti-inflammatory pain relievers, such as Brufen, Diclofenac, Sulindac, Celecoxib, and Oxicam. Long-term use of these medications may irritate the stomach lining, potentially leading to inflammation or ulceration. If you have arthritis and require these medications, you may continue as normal but consider taking an additional tablet to protect your stomach lining. Consult your doctor, and if you have further questions, do not hesitate to ask the Healthier Weight team for advice. Following surgery, adherence to a specific nutritional plan is essential.

Activities

You can engage in normal daily activities, such as climbing stairs, without the need for special assistance. It is important not to remain in bed; moving about and performing light exercises are beneficial. You can resume all normal physical and sexual activities as soon as you feel comfortable—there are no restrictions.

Typically, you should feel well enough to return to work by the third or fourth day after your ESG.

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