Interventional Bariatric Endoscopy Procedure
Obesity is a condition linked to increased risks of cardiovascular disease, diabetes, hypertension and hyperlipidemia. While lifestyle changes such as diet, exercise and behavioral modifications are the foundation of treatment, many patients struggle to maintain a healthy weight through these interventions alone. Bariatric surgery is usually recommended for individuals with a BMI (body mass index) over 40 or over 35 with at least one comorbidity. However, for those who are ineligible for or uninterested in surgery, interventional bariatric endoscopy offers a minimally invasive alternative.
What Is Bariatric Endoscopy?
Interventional bariatric endoscopy, also known as endoscopic bariatric therapy, is a minimally invasive procedure designed to promote weight loss in individuals with obesity. It bridges the gap between medical management and bariatric surgery, offering a safe and effective option for patients who do not qualify for, or prefer to avoid, surgery. Bariatric endoscopy is a weight loss procedure performed through the patient’s mouth, using a flexible endoscope to access the stomach and small intestine, where various techniques are applied to encourage weight loss and improve related comorbidities without incisions and scarring. Bariatric endoscopy procedures are particularly recommended for moderately obese patients (BMI 30-35) or severely obese patients (BMI >40) seeking nonsurgical alternatives with fewer complications and lower costs.
What Is the ESG Procedure?
Endoscopic sleeve gastroplasty (ESG) is a minimally invasive weight loss procedure that uses a full-thickness endoscopic suturing device to create a sleevelike structure in the stomach, reducing its size. Endoscopic sleeve gastroplasty limits the amount of food the stomach can hold, promoting early satiety and reduced calorie intake. ESG has been shown to help patients lose weight effectively, with studies reporting a significant percentage of total body weight loss within the first 12 months. The procedure also improves obesity-related comorbidities, such as hypertension, diabetes and hypertriglyceridemia, with minimal complications and faster recovery compared to traditional bariatric surgeries. Unlike more invasive options, endoscopic sleeve gastroplasty patients are discharged the same day or within 24-48 hours. Common side effects, such as abdominal pain and nausea, are mild and resolve quickly. ESG is considered a safe and effective alternative, particularly for those with a BMI between 30 and 40 or patients who prefer to avoid surgical interventions.
What Is the Safest Weight Loss Procedure?
Safety is a key concern for patients and healthcare providers when considering weight loss procedures. Bariatric endoscopy procedures like endoscopic sleeve gastroplasty are often considered some of the safest due to their minimally invasive nature. Unlike traditional surgeries such as gastric bypass or sleeve gastrectomy, bariatric endoscopy does not require large incisions, reducing the risks of complications like infections, bleeding or hernias. However, as with any medical procedure, consulting with a qualified bariatric surgeon is vital to discuss individual risks and benefits based on your specific health condition.
What Weight Loss Procedure Is Right for Me?
Choosing the right weight loss procedure depends on various factors, including your BMI, health status and weight loss goals. People with extreme obesity, defined as a BMI of 40 or higher or 35 or higher with severe comorbidities, may benefit from weight loss procedures.
The BMI can be a screening tool to help diagnose the amount of fat an individual has and categorize a person's weight (underweight, healthy weight, overweight and obesity). Although BMI does not measure a person's body fat directly, it can indicate various metabolic disorders.
- If your BMI is 18.5 to 24.9, it falls within the normal or healthy range.
- If your BMI is 25.0 to 29.9, it falls within the overweight range.
- If your BMI is 30.0 or higher, it falls within the obese range.
Bariatric endoscopy may be the best option if you are looking for a nonsurgical approach with a faster recovery time, minimal downtime and less impact on the digestive process compared to traditional bariatric surgery. A comprehensive consultation with a bariatric provider is essential to determine if this procedure is right for you. They will evaluate your health history, weight loss goals and medical needs to tailor a personalized weight loss strategy.
Find a Bariatric Surgeon in Nacogdoches, TX
HealthCare is Better Together.
If you are interested in learning more about bariatric endoscopy or want to find out if this procedure is right for you, our bariatric surgeons at Nacogdoches Medical Center in Texas have the experience and tools to help you reach your weight goals with compassionate and personalized care. Let us help you take charge of your journey to better health.