Endoscopic Sleeve

 

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Endoscopic sleeve gastroplasty (ESG) is a non-surgical, minimally invasive weight-loss procedure where the stomach is reduced in size using sutures placed through an endoscope. Unlike surgical sleeve gastrectomy, ESG does not involve any incisions and has a quicker recovery time. It is recommended for individuals who want to avoid surgery but need help with significant weight loss.

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After undergoing Roux-en-Y gastric bypass surgery (RNY), the diet is critical for long-term success and recovery. Immediately after surgery, patients are required to follow a liquid diet to allow their stomachs to heal. Over time, they transition from liquids to soft foods, and eventually solid foods. This post-op diet is high in protein to support muscle retention and healing, low in fats and sugars, and carefully portioned to avoid stretching the stomach pouch. Lifelong dietary changes are necessary to avoid... +More
After undergoing Roux-en-Y gastric bypass surgery (RNY), the diet is critical for long-term success and recovery. Immediately after surgery, patients are required to follow a liquid diet to allow their stomachs to heal. Over time, they transition from liquids to soft foods, and eventually solid foods. This post-op diet is high in protein to support muscle retention and healing, low in fats and sugars, and carefully portioned to avoid stretching the stomach pouch. Lifelong dietary changes are necessary to avoid... +More
A partial gastrectomy is a surgical procedure where part of the stomach is removed, often due to stomach cancer, ulcers, or other severe gastric issues. This procedure reduces the size of the stomach, leading to reduced food intake, but it also requires significant dietary changes after 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.
Sleeve surgery in the UK refers to sleeve gastrectomy, one of the most popular weight-loss surgeries. It is often recommended for individuals with severe obesity who have not had success with diet and exercise. The NHS provides this surgery for eligible patients, but private clinics also offer the procedure, often with shorter waiting times.
The cost of gastric band surgery in the UK ranges from £1,450 to £8,000 at private clinics. The NHS may cover the surgery for patients who meet specific health criteria, such as a BMI over 40 or a BMI over 35 with obesity-related health conditions.
A Gastrointestinal (GI) doctor, also known as a gastroenterologist, specializes in diagnosing and treating conditions affecting the digestive system. This includes the esophagus, stomach, intestines, liver, pancreas, and gallbladder. Common reasons to see a GI doctor include chronic heartburn, abdominal pain, irritable bowel syndrome (IBS), Crohn’s disease, and more. GI doctors play a critical role in managing post-operative care for patients who have undergone bariatric surgery to ensure proper digestion and... +More
In the UK, slimming tablets are commonly prescribed or available over the counter to aid weight loss. Medications like Orlistat help block the absorption of fat, while appetite suppressants target hunger. These medications are often combined with lifestyle changes for better long-term results.
Metastatic gastric cancer occurs when stomach cancer spreads to other parts of the body, such as the liver, lungs, or lymph nodes. Treatment for metastatic gastric cancer often involves a combination of chemotherapy, radiation, and targeted therapies, as surgery is typically not an option for advanced-stage cancers.
Cancer of the Gastrointestinal Tract (GIT) includes cancers that affect the stomach, intestines, esophagus, colon, liver, and pancreas. Symptoms vary depending on the type of cancer but may include weight loss, blood in the stool, or persistent abdominal pain. Early detection is crucial for improving survival rates, and treatment options range from surgery to chemotherapy and radiation.
In the UK, gastroenterology is a well-established medical field. The NHS provides access to gastroenterologists through referrals, though wait times can be significant depending on the region. Private gastroenterology services are available for those seeking faster treatment. The role of a gastroenterologist in the UK is crucial for managing digestive disorders and bariatric surgery outcomes, as well as performing diagnostic and therapeutic procedures such as endoscopies and colonoscopies.
Fat burner pills are supplements that claim to increase metabolism, enhance fat oxidation, and reduce appetite. These products often contain ingredients like caffeine, green tea extract, and capsaicin. While they can support weight loss, they are not a substitute for a healthy diet and exercise.
Weight loss tablets are medications designed to help individuals lose weight by suppressing appetite or blocking fat absorption. Common examples include Orlistat, which reduces fat absorption, and phentermine, which is an appetite suppressant. These medications are typically prescribed to individuals with a BMI over 30 or those with obesity-related conditions.
The death rate for gastric sleeve surgery in Turkey is extremely low, with rates similar to those in Western countries. With advancements in laparoscopic surgery and highly trained bariatric surgeons, the mortality rate is estimated to be less than 0.1%. Most complications are manageable and arise from issues such as leaks or infections.
Common VSG side effects include nausea, vomiting, acid reflux, and constipation due to the smaller stomach size. Nutrient deficiencies, like vitamin B12 and iron, may occur if patients don't follow their prescribed supplements. Long-term complications can include weight regain or the development of gastroesophageal reflux disease (GERD).
Atrophic gastritis is a chronic condition where the stomach lining thins and loses its ability to produce stomach acid and digestive enzymes. This condition can be caused by long-term H. pylori infection or autoimmune diseases and may increase the risk of stomach cancer. Treatment focuses on addressing the underlying cause and managing symptoms.
Stress gastritis occurs due to physical or emotional stress, which increases stomach acid production and irritates the stomach lining. It’s common in critically ill patients or those undergoing significant emotional distress. Treatment includes stress management, acid-reducing medications, and dietary adjustments.
The lap band and sleeve gastrectomy are two different bariatric surgeries. The lap band is adjustable and reversible, involving the placement of a band around the upper stomach. The sleeve, on the other hand, is permanent and involves the removal of part of the stomach. Sleeve gastrectomy tends to offer more substantial long-term weight loss, but the lap band has fewer immediate risks.
Roux-en-Y (RNY) gastric bypass is a type of weight-loss surgery in which the stomach is divided into a small upper pouch and a larger lower "remnant" portion. The small intestine is rearranged to connect to both. This reduces the stomach's capacity and alters how the body absorbs calories and nutrients, making it one of the most effective bariatric surgeries for long-term weight loss. Patients can expect significant weight loss, but the procedure is more complex than other forms of bariatric surgery, requiring... +More
Gastric RNY, or Roux-en-Y gastric bypass, remains one of the most effective surgical options for treating obesity. By reducing the size of the stomach and bypassing a portion of the intestines, patients experience a significant reduction in hunger and an inability to eat large meals. Gastric RNY can lead to rapid weight loss and improvement or resolution of obesity-related conditions such as type 2 diabetes, sleep apnea, and hypertension.
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.
Chronic gastritis is a long-lasting inflammation of the stomach lining that can lead to complications like ulcers or an increased risk of stomach cancer. Common causes include H. pylori infection or autoimmune disorders. Patients may need ongoing treatment with medications to reduce stomach acid and eradicate infections.
The cost of gastric band surgery in the UK ranges from £1,450 to £8,000 at private clinics. The NHS may cover the surgery for patients who meet specific health criteria, such as a BMI over 40 or a BMI over 35 with obesity-related health conditions.
In the UK, gastric sleeve surgery is available through the National Health Service (NHS) for patients who meet specific criteria, such as having a Body Mass Index (BMI) over 40 or over 35 with obesity-related health conditions. Private options are also available, and the cost typically ranges from £8,000 to £12,000.
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 gastroenterologist is a specialist in diagnosing and treating diseases of the gastrointestinal tract, including the stomach, intestines, liver, pancreas, and gallbladder. Common conditions treated include IBS, Crohn's disease, and gastritis. They play a critical role in the care of patients post-bariatric surgery, helping manage complications and ensuring proper digestion.
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 mini gastric sleeve refers to a less invasive version of the standard sleeve gastrectomy. It’s a simpler procedure that results in a smaller stomach size and helps with long-term weight loss. While not as widely performed, it is an option for those seeking weight-loss surgery with fewer complications.
The sleeve in weight-loss surgery refers to the stomach after a portion has been removed during a sleeve gastrectomy. The remaining part of the stomach is shaped like a narrow tube or sleeve, significantly reducing the amount of food the stomach can hold and aiding in long-term weight loss.
Roux-en-Y Gastric Bypass (RYGB) is a popular form of bariatric surgery that reduces the size of the stomach and reroutes the digestive system. This results in both restriction of food intake and malabsorption, leading to significant weight loss. The surgery is considered highly effective for morbidly obese individuals and also helps improve obesity-related health issues like diabetes, hypertension, and sleep apnea. However, it requires lifelong dietary changes and nutritional supplements to avoid deficiencies.
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 stomach sleeve diet follows the same principles as the gastric sleeve diet. After the surgery, patients must follow a structured eating plan, starting with liquids and progressing to solid foods over several weeks. The diet focuses on small, high-protein meals to support weight loss and ensure adequate nutrition.
The best weight loss clinics in the UK offer a combination of services, from medical weight-loss treatments like bariatric surgery and prescription medications to lifestyle programs involving diet, exercise, and behavioral therapy. These clinics often have multidisciplinary teams of specialists, including dietitians, doctors, and psychologists.
A sleeve diet plan involves gradual dietary progression after surgery, focusing on protein-rich foods, minimal carbohydrates, and small portion sizes. Long-term, patients must continue eating nutrient-dense, low-calorie meals to maintain weight loss. Key components include lean meats, vegetables, whole grains, and avoiding sugary and fatty foods.
The pre-surgical diet is designed to reduce the size of the liver and optimize the patient’s health before bariatric surgery. Typically high in protein and low in carbohydrates, it often involves consuming liquid protein shakes and limited solid foods for 1 to 2 weeks before surgery. This diet reduces surgical risks and prepares the body for the changes it will undergo post-surgery.
Gastric bypass surgery involves creating a small pouch from the stomach and connecting it directly to the small intestine. It significantly reduces food intake and alters digestion, leading to substantial weight loss. This procedure is one of the most common forms of bariatric surgery and is highly effective for long-term weight reduction.
A gastric balloon is a non-surgical weight-loss option where a silicone balloon is inserted into the stomach and inflated. It takes up space, helping patients feel fuller sooner and eat less. The balloon is temporary and is removed after 6-12 months, during which patients must follow a strict diet and exercise regimen to ensure lasting weight loss.
Gastric band removal is a surgical procedure performed when a gastric band causes complications, fails to aid weight loss, or the patient wishes to opt for a different type of bariatric surgery. The band is removed, and in some cases, patients may choose to undergo a sleeve gastrectomy or gastric bypass as a replacement.
Diet tablets, or weight-loss pills, are medications or supplements designed to help individuals lose weight by suppressing appetite, boosting metabolism, or blocking fat absorption. Common prescription options include Orlistat and Phentermine, while over-the-counter products often include herbal supplements. However, these should be used under medical supervision, as many come with side effects or limited effectiveness without lifestyle changes.
Gastric banding is a type of bariatric surgery in which an adjustable band is placed around the upper part of the stomach to create a small pouch that limits food intake. It is one of the least invasive forms of weight-loss surgery but has fallen out of favor due to its lower success rates compared to other procedures like the sleeve gastrectomy or Roux-en-Y bypass. The band can be adjusted or removed, making it more flexible than other surgeries.
The term bariatric refers to the branch of medicine focused on the prevention and treatment of obesity and related disorders. Bariatric procedures, such as gastric bypass or sleeve gastrectomy, are designed to help patients achieve significant, long-term weight loss when other methods like diet and exercise have failed.
An infection in the stomach is commonly caused by bacteria like H. pylori, which can lead to gastritis, ulcers, or even stomach cancer. Symptoms of a stomach infection include nausea, vomiting, diarrhea, and stomach pain. Treatment involves antibiotics and medications to reduce stomach acid and heal the stomach lining.
A gastric balloon is a non-surgical weight-loss option where a silicone balloon is inserted into the stomach and inflated. It takes up space, helping patients feel fuller sooner and eat less. The balloon is temporary and is removed after 6-12 months, during which patients must follow a strict diet and exercise regimen to ensure lasting weight loss.
The gastric balloon pill is a new, non-invasive weight-loss method where a deflated balloon is swallowed in pill form and then inflated in the stomach. Known as the Allurion Balloon, this method reduces the amount of food the stomach can hold, promoting weight loss without surgery.
The decision between sleeve gastrectomy and gastric bypass depends on a patient’s health and weight-loss goals. The sleeve is simpler and involves fewer complications but may result in less An inflamed stomach, or gastritis, is caused by irritation or damage to the stomach lining. It can be acute or chronic and may result from infections, excessive alcohol consumption, or prolonged use of NSAIDs. Symptoms include pain, nausea, and bloating, and treatment involves dietary changes, medication, and avoiding irritants... +More
When the stomach is taken out through a procedure like gastrectomy, the patient must adapt to a new lifestyle that involves eating smaller, more frequent meals and relying on supplements for essential nutrients. This surgery is performed to treat conditions like stomach cancer, ulcers, or severe obesity.
The safest form of weight-loss surgery is typically considered to be gastric sleeve surgery due to its relatively simple procedure and lower risk of complications. However, the choice of surgery should be tailored to the patient’s health needs and obesity level, as procedures like gastric bypass may be more effective for certain patients.
The cost of gastric sleeve surgery varies depending on the country and clinic. In the UK, private gastric sleeve surgery ranges from £8,000 to £12,000. The procedure is also available on the NHS for eligible patients who meet specific criteria, such as having a BMI over 40.
The intragastric balloon is a non-surgical weight-loss method where a balloon is inserted into the stomach to reduce its capacity temporarily. While it can be an effective weight-loss tool, patients may experience side effects like nausea, vomiting, abdominal discomfort, acid reflux, and, in rare cases, balloon deflation or migration. Most side effects occur in the first few days after the procedure and can be managed with medication.
A mini gastric bypass is a simpler version of the traditional RNY gastric bypass. It involves creating a small stomach pouch and bypassing a section of the small intestine. This procedure is less invasive and typically quicker to perform, with fewer complications. It offers similar weight-loss results to the traditional bypass but may result in higher rates of bile reflux. It is becoming a popular choice for those looking for effective weight-loss surgery with a shorter recovery time.
Bariatric relates to treatments aimed at weight reduction, especially in individuals with severe obesity. This includes medical, surgical, and behavioral interventions. Bariatric surgery, such as gastric sleeve or bypass, is often a last resort for those who have struggled with losing weight through traditional methods.

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