Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure where a gastroenterologist uses an endoscope to stitch the stomach into a smaller size, reducing its capacity. Unlike traditional bariatric surgery, ESG is performed through the mouth and doesn’t involve cutting or removing any part of the stomach. Recovery is quicker, and the procedure is reversible, but the weight loss achieved is typically less significant than with RNY or gastric sleeve surgery.

The gastric balloon is a non-surgical weight-loss treatment available in the UK. A soft silicone balloon is inserted into the stomach and inflated, reducing the amount of food the stomach can hold. This procedure helps patients feel fuller faster and is often used as a temporary measure to kickstart weight loss.

A gastric infection often results from bacteria such as Helicobacter pylori (H. pylori), which causes inflammation in the stomach lining. This infection is a major cause of ulcers and, in some cases, can lead to stomach cancer. Treatment involves antibiotics to eradicate the bacteria, along with acid-reducing medications.

Mild erythematous refers to slight redness or inflammation, often found during endoscopic exams. In the stomach or intestines, it can indicate irritation or early stages of inflammation caused by infections, acid reflux, or mild gastritis.

The gastric balloon is a non-surgical weight-loss treatment available in the UK. A soft silicone balloon is inserted into the stomach and inflated, reducing the amount of food the stomach can hold. This procedure helps patients feel fuller faster and is often used as a temporary measure to kickstart weight loss.

WLS stands for Weight Loss Surgery, and bariatric surgery is a broad term that includes procedures like gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Bariatric surgery is performed to treat morbid obesity when lifestyle changes alone have failed to produce significant weight loss. It leads to long-term weight loss and improvement in health conditions like diabetes and heart disease.

The diet after sleeve gastrectomy is crucial for recovery and long-term success. Patients start with a liquid diet, then gradually progress to pureed foods, soft foods, and eventually solid meals over several weeks. A focus on high-protein, low-carbohydrate, and nutrient-dense foods helps maintain weight loss and avoid deficiencies. Hydration and vitamin supplementation are also important aspects of the post-sleeve diet.

The gastric band scar is typically minimal, as the procedure is usually done laparoscopically through small incisions. The scarring may vary based on the patient’s healing process, but these small scars usually fade over time. Proper wound care can minimize scarring and promote healing.

Patients typically need a Body Mass Index (BMI) of 35 or higher, with obesity-related health conditions, or a BMI of 40 or more to qualify for gastric sleeve surgery. This surgery, known as Vertical Sleeve Gastrectomy (VSG), involves removing about 80% of the stomach to reduce food intake and is one of the most popular bariatric procedures.

The Roux-en-Y procedure is a type of gastric bypass surgery where the stomach is divided into a small pouch, and part of the small intestine is rerouted to the new pouch. This reduces both food intake and nutrient absorption, leading to significant weight loss and improvements in obesity-related health conditions.

Roux-en-Y bypass is another term for the RNY procedure. This surgery helps patients lose weight by creating a small pouch from the stomach and connecting it directly to the small intestine, bypassing a portion of the digestive tract. The result is a reduced ability to absorb calories and nutrients. Patients who undergo RNY experience rapid weight loss, but it also requires them to make permanent changes to their diet and lifestyle to avoid complications like dumping syndrome, where food moves too quickly from the... +More

Wegovy is available through the NHS for patients meeting specific criteria. To qualify, individuals generally need to have a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition such as diabetes or hypertension. Wegovy is a relatively new option and is prescribed under careful medical supervision.

Roux-en-Y bypass is another term for the RNY procedure. This surgery helps patients lose weight by creating a small pouch from the stomach and connecting it directly to the small intestine, bypassing a portion of the digestive tract. The result is a reduced ability to absorb calories and nutrients. Patients who undergo RNY experience rapid weight loss, but it also requires them to make permanent changes to their diet and lifestyle to avoid complications like dumping syndrome, where food moves too quickly from the... +More

When comparing lap band and gastric bypass, the key difference lies in their mechanisms. The lap band restricts food intake by placing an adjustable band around the stomach, while gastric bypass both restricts food intake and alters digestion by rerouting part of the intestines. Gastric bypass typically leads to more rapid and significant weight loss but carries a higher risk of complications.

A "belly doctor" typically refers to a gastroenterologist, a specialist who treats conditions affecting the stomach and digestive system. Patients see belly doctors for issues like ulcers, acid reflux, irritable bowel syndrome (IBS), and chronic stomach pain. Bariatric patients often consult gastroenterologists for pre- and post-surgery care to ensure their digestive systems are functioning well after surgeries like gastric bypass.

Bikini sleeve is a colloquial term referring to a gastric sleeve surgery performed through small, hidden incisions around the bikini line to minimize visible scarring. This technique is designed for patients who are concerned about the cosmetic appearance of their body post-surgery while achieving the same weight loss benefits as traditional Vertical Sleeve Gastrectomy (VSG).

Gastric sleeve results are typically impressive, with patients losing 50-60% of their excess body weight within the first year. The surgery also leads to improvements in obesity-related conditions like diabetes, hypertension, and sleep apnea. Long-term success depends on the patient’s ability to maintain a healthy lifestyle post-surgery.

Sleeve banding combines two bariatric procedures: the gastric sleeve and an adjustable gastric band. It is a less common technique used to enhance the weight-loss results of the sleeve by adding additional restriction through the band. However, complications from the band have made it less favorable in recent years.

The gastric sleeve or Vertical Sleeve Gastrectomy (VSG) involves the removal of a large portion of the stomach, leaving a sleeve-shaped stomach. This surgery is purely restrictive, meaning it reduces the stomach’s size to limit food intake. It’s highly effective for weight loss and requires fewer alterations to the digestive system than the gastric bypass.

A gastric specialist is a doctor who focuses on diagnosing and treating conditions affecting the stomach and digestive system. This includes conditions like ulcers, gastritis, acid reflux, and cancers of the stomach. These specialists may perform endoscopies and recommend lifestyle changes, medications, or surgery.

A gastrectomy is the surgical removal of part or all of the stomach. It is often performed to treat stomach cancer, severe ulcers, or obesity. A partial gastrectomy removes only a portion, while a total gastrectomy removes the entire stomach, requiring significant lifestyle changes post-surgery.

Weight loss pills include prescription medications like Orlistat (which blocks fat absorption) and over-the-counter supplements marketed to boost metabolism or suppress appetite. While some medications are effective when used correctly, they must be combined with lifestyle changes like diet and exercise for long-term success.

RNY (Roux-en-Y) gastric bypass and the gastric sleeve (sleeve gastrectomy) are two of the most common bariatric surgeries. While both procedures restrict the stomach’s size, the RNY bypass also reroutes part of the small intestine, reducing calorie absorption. The sleeve removes a large portion of the stomach without altering the intestines. The choice between the two depends on the patient’s health, goals, and surgeon recommendations.

Following gastric sleeve surgery, patients adhere to a post-op diet that gradually transitions from liquids to pureed foods, soft foods, and eventually solid meals. High-protein, low-carb meals are recommended to promote healing and support long-term weight loss while avoiding nutrient deficiencies.