There is a huge percentage of the population that is overweight or clinically obese, and a very large proportion of these people are desperately trying to lose weight. Many of them will try a diet and may well be successful, at least in the short term. However, having lost some weight they begin to start backsliding and slipping back into their old eating habits, and before they know it they have put the weight back on again and are sometimes heavier than before they began the diet.
They may just try another diet or they might try weight loss pills. Many of them hop from one “magic” solution to the next, rather like being on an ever-moving roundabout. The one thing that most of these people have in common is that they don’t want to start looking at surgery for weight loss. However, new procedures are being developed and one of these non-surgical weight loss options is called ESG – Endoscopic Sleeve Gastroplasty.
This is a less invasive procedure that involves suturing the stomach from the inside. It is performed endoscopically using a stitching device which is placed into the stomach through the mouth and it will reduce the capacity of the stomach by as much as 80%. Thus it achieves exactly the same effect as a gastric band but without any cutting or stitching, and leaves no wound or scarring. It is done under a general anaesthetic and takes about an hour.
The effect is that it reduces the capacity of the stomach so that you feel full after eating much less, and it slows down the speed at which the food passes into the bowel. As you eat, the food goes into a small pocket at the top of the stomach and then works its way down through the much smaller banana shaped stomach before passing into the bowel.
The results have been very good so far, with 50% – 60% of excess weight being lost after two years. Some patients have done considerably better and achieved their target weight in 12 months.