How does the ESG compare with surgical weight loss procedures?
The biggest benefit of the non-surgical sleeve(endoscopic sleeve gastroplasty, or ESG) is that it is a lower risk alternative to the surgical weight loss options. There is no cutting of the abdomen or stomach so the risks are lower, especially compared to gastric sleeve surgery.
All weight loss procedures bring a degree of uncertainty - this is true of any surgery - but in the case of the bandand the sleevewe have a good understanding of the risks. As a new procedure, however, its impossible to have the same degree of certainty about the ESG. We know that some of the risks of surgery do not apply (as this is an endoscopic procedure) but new patients need to accept that there are some unknowns that will only be answered as the number of cases increases in the years ahead. To a lesser degree the same is also true of the surgical sleeve. Although well established in the UK, there remains an absence of long term (5 year plus) data. There is more published data available for the gastric band and gastric bypass.
There are pros and cons for the surgical sleeve and ESG, click herefor a table designed to help you compare the differences.
Considerations when comparing procedures
ESG or surgical sleeve?
If you are considering the surgical and non surgical (ESG) sleeves you are likely to choose the ESG if you have a lower BMI (in the 32-45 range), your weight is not yet causing you weight related health problems and you want a lower risk procedure (one without the implications of staple line leakage).
If your BMI is over 45 and/or you are experiencing health problems due to your weight, such as type 2 diabetes, hypertension, etc, the surgical sleeve will be the better choice.
Ask your personal questions about the ESG here on our enquiry form. We’re here to help and answer your questions.
ESG or gastric band?
Most people thinking about an ESG will be making the choice between ESG and the gastric band. They are both good options for those with a BMI below 45. There are more unknowns with the ESG than the band as it’s the newer procedure but you’ll tend to choose the ESG if you want a lower maintenance procedure (no band fills), one that is lower risk than surgery and one that seems to be a little more powerful. As the ESG slows gastric emptying it seems to help patients change their diet and reduce their calorie intake, certainly in the period soon after surgery. The band is a safe, effective option. You’ll opt for it if you want something that is minimally invasive, proven to deliver good weight loss and health improvement over a long period, and that is totally reversible. Both offer a speedy recovery time.
Ask us about the ESG here on our enquiry form. We’re ready to help and answer your questions
Read our frequently asked questions on the ESG