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In medicine, endoscopic sleeve gastroplasty (ESG) is a minimally-invasive, non-surgical (incisionless), endoscopic weight loss procedure that is part of the field of endoscopic bariatric therapies. To perform ESG, a physician sutures a patient’s stomach into a narrower, smaller tube-like configuration. [ 1 ]
Sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure, typically performed laparoscopically, in which approximately 75 - 85% of the stomach is removed, [1] [2] along the greater curvature, [3] which leaves a cylindrical, or "sleeve"-shaped stomach the size of a banana.
This procedure is similar to the sleeve gastrectomy surgery, but a sleeve is created by suturing, rather than physically removing stomach tissue. [69] This allows for the natural ability of the stomach to absorb nutrients to remain intact. [69] This procedure is reversible, is a less invasive procedure, and does not use hardware or staples. [70]
Gastric bypass surgery has an emotional and physiological impact on the individual. Many who have undergone the surgery develop depression in the following months as a result of a change in the role food plays in their emotional well-being. [journal 20] Strict limitations on the diet can place great emotional strain on the patient. Energy ...
These operations can be carried out using conventional open surgical procedures or minimally invasive techniques like laparoscopic or robotic-assisted surgery, which require smaller incisions and result in quicker recoveries. Surgery of the digestive system is a complicated topic that calls for specialized education and experience.
Lastly, this procedure is post-operatively associated with decreased bone density and higher incidence of bone fractures. This may be due to the importance of gastric acid in calcium absorption. [4] Post-operatively, up to 70% of patients undergoing total gastrectomy develop complications such as dumping syndrome and reflux esophagitis. [5]
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