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Endoscopic Sleeve Gastroplasty
Auralia, in conjunction with our world renowned Consultant Bariatric Surgeon, Mr. Jamie Kelly, are proud to be one of the first hospitals on the planet to pioneer a new non-surgical alternative to the gastric sleeve, the endoscopic sleeve gastroplasty (ESG).

What is it?

The endoscopic sleeve gastroplasty is a new procedure for those who want the benefits of weight loss surgery, but from a less invasive, non-surgical procedure. It involves stapling the stomach from the inside to significantly reduce its capacity by about 80%. After the procedure, the stomach remains intact but has been stitched from top to bottom to leave a smaller banana shaped stomach through which the food you eat passes.

The major benefit of the endoscopic sleeve gastroplasty is that it is performed via endoscopy (through your mouth and down your throat). This means that unlike surgery, there is no cutting, no stapling, no scarring and no wounds! The procedure is carried out by our pioneering surgeon Mr Jamie Kelly, under general anaesthetic and usually takes 60-90 minutes.

The procedure works by reducing stomach capacity and slowing down the speed at which food passes into the bowel. The food you eat goes into a small pocket at the top of the stomach before working its way down through the reduced, banana shaped tube, and emptying into the bowel.

The recovery period for patients who have undergone an ESG is 2-3 days. This is substantially lower than the 2 week recovery period for traditional gastric sleeve surgeries.

How is an ESG different from the traditional gastric sleeve surgery?

As can be seen in the below diagram, the left image of the traditional gastric sleeve shows a very large portion of the stomach being permanently removed, through an invasive surgical procedure. The image on the right shows the endoscopic sleeve gastroplasty. The indentations on the image show where the large portion of the stomach has been stitched together, to close it off. The left side of the stomach shows what would now be your new, tubular stomach. As can clearly be seen, this area of the stomach can only hold quite a small amount of food before filling up, providing you with a feeling of satiety or fullness. Eating smaller portions whilst still feeling this satiety or fullness is what results in your weight loss.

endoscopic sleeve gastroplasty ESG

Am I eligible for an endoscopic sleeve gastroplasty?

We will explain all of your options, including all pros and cons, at consultation, but as a guide, you may be eligible if:
• You've tried to lose weight through diet and lifestyle changes
• You don't want the maintenance commitments of a gastric band
• You don't want a more invasive, irreversible procedure such as the traditional gastric sleeve.
• You believe that you can work with the procedure, to gain your results.

Benefits of the Endoscopic Sleeve Gastroplasty:

• Far lower risk of complications, when compared with the traditional gastric sleeve.
• The entire procedure is non-surgical, therefore less invasive, with no incisions, wounds or scarring.
• The recovery process is much faster than traditional weight loss surgeries. Most patients return to work within 2-3 days!
• Immediate effectiveness. Whilst a gastric band may require adjustments before finding your “sweet spot”, the ESG is effective immediately.

The Endoscopic Sleeve Gastroplasty Program

All ESG patients will be enrolled onto a 12 month aftercare program following their procedure. This program will include:

• Full nutritional guides which are worded in a way that is easy to understand.
• Full exercise guides. We may advise not to exercise initially, until some weight has been lost, making it safer to do so.
• UNLIMITED appointments with our expert weight loss team, from your surgeon to our bariatric nurses, coordinators and management!
• 24/7 emergency phone support.

Aftercare following the Gastric Sleeve

After-Care at Auralia: Here at Auralia Weight Loss Clinic we take pride in our comprehensive after-care program which has been proven to be the most effective program for long term weight loss and weight management. As part of your after-care:
• You will have access to twenty-four hour phone lines which put you through directly to a member of our medical team, day or night!

• You will receive full expert nutritional guidelines which are worded in a way that is easy to understand whilst still explaining every detail of the foods and drinks which you should consume along with explaining portion sizes, cooking instructions and how to re-adjust your eating habits.

• You will receive tailored exercise guidelines which are structured around your own abilities. We have structured these guidelines for many patients around long term goals such as walking a 5km race or even running a marathon! Whatever your goal is, we will work towards it as a team!

• You will be entitled to UNLIMITED appointments with our weight loss team in order to maximise your results for the entire duration of your after-care!

• You will receive FULL surgical cover.

Frequently asked Questions About Endoscopic Sleeve Gastroplasty
"37% - the percentage of obese patients on medication whose diabetes remained in remission one year after weight loss surgery, compared with 12% of those who relied on medication alone"
Source: Time Magazine

"Just wanted to say thank you and to let you know how much I appreciate what you have done for me. You have a lovely manner and made the whole experience far less scary and intimidating than I thought it would be. Keep up the good work and thanks again for everything."

- A.B., Dublin

"What more can I say but the BIGGEST thank you to the team at Auralia. You have given me my life back."

- R.H., Limerick

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