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• How is the endoscopic sleeve gastroplasty carried out?
The ESG is carried out via endoscopy, which means that it’s done through your mouth and down your throat. Everything is done from the inside of your stomach, rather than the outside of it, like traditional weight loss surgeries.

• Does this mean that it’s not an actual surgery?
Technically, yes! An endoscopy is non-surgical. No incisions are made whatsoever.

• Will I be in pain after the procedure?
Yes, you are likely to have some discomfort for a couple of days. However, in comparison to other weight loss surgeries, the level of discomfort is far lower, following an ESG. We will provide you with pain relief, as required.

• How soon can I be back to work?
The recovery from an ESG procedure is extremely fast, compared to other weight loss procedures. You should be capable of returning to working within only a couple of days! A gastric band procedure would usually result in 1 week off work, whilst a traditional gastric sleeve procedure would be 2 weeks off work.

• What about scarring, following the surgery?
As the ESG is carried out via endoscopy, there is no scarring! No incisions or wounds are made through this procedure.

• How soon can I drive, following my procedure?
The procedure is carried out under general anaesthetic, so we would advise no driving for 24 hours afterwards.

• Should I expect frequent vomiting, following my ESG procedure?
Absolutely not! The ESG simply makes your stomach smaller, so you feel full having eaten allot less than you usually would have. It doesn’t make you sick.

• Will I need to take vitamin supplements?
The ESG doesn’t change the absorption of nutrients from food, as your intestines remain unchanged. However, you will be eating allot less food. Therefore, we advise to take a daily multivitamin.

• What about physical activity following my procedure?
Exercise and physical activity is very much encouraged, following your procedure. The ESG limits you in no way with this, whether you decide to walk for 5 minutes or run a marathon!

• Is it safe to have other surgical procedures in the future?
Yes. However, you must inform your surgeon what you have had done.

• Can I drink alcohol?
Yes. However, it must be in moderation, as alcohol holds a very high calorie content.

• What results can I expect?
It isn't possible to predict how much weight you will lose following any form of weight loss surgery, as results vary according to many factors including your willingness to adapt your diet and your physical activity. The evidence we have regarding the ESG suggests patients can expect to lose about half of their excess weight over a 12 month period. At this stage, because this is still a new procedure, longer term results are not yet available.

• Will my ESG procedure cause airport security or X-Ray systems to go off?
No. You can pass freely through X-Rays without anything causing alarms to go off.

• Will I need cosmetic surgery to get rid of excess skin, following my weight loss?
You may choose to have excess skin removed, if you lose a high amount of weight. However, in most cases, this isn’t essential. A surgery like that would usually be carried out for cosmetic reasons. Right now, you are considering weight loss surgery for far more important reasons. Your health. So let’s focus on that first and consider the cosmetic side of things after you achieve your results.
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“6 months in and I’m 3 stone down, taking less of my medication and I can start going for walks!”

“I honestly didn’t think I would ever lose weight. I had resigned to the fact that I would stay at my size for the rest of my life. I owe my life to Dr. Hewin.”

“Dave and the weight loss team have been so helpful to me from the very start. Whenever I feel like I need some motivation I can pick up the phone or drop into them”

“The biggest change for me would have to be not needing to buy my clothes from a catalogue anymore!”
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