Endoscopic Sleeve Gastroplasty ESG Surgery Surrey Hampshire Berkshire Nu-life Surgery

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Endoscopic Sleeve Gastrectomy

Find out all you need to know about ESG Surgery.

An endoscopic non-surgical procedure…

Endoscopic Sleeve Gastrectomy (ESG)

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Am I suitable for the procedure?

At the time of your consultation Mr. Irukulla will assess your eligibility for the procedure; however following criteria can be used as rough guidance.

•  Your BMI is 32-45kg/m2 (patients with greater BMI might be considered based on other parameters)

• You have already tried to lose weight through diet and lifestyle changes but been unsuccessful in maintaining weight loss

•  You do not wish to have a more invasive procedure such as the traditional sleeve gastrectomy

• If you are keen on having procedure similar to gastric band but not interested in maintenance problems associated with gastric band

• You are willing to adhere to both surgical and dietetic follow up and adhere to instructions.


Some answers to questions we are often asked.

Endoscopic sleeve gastroplasty falls under the umbrella of endoscopic – non-surgical procedure that is used to examine a person’s digestive tract. It is similar to a gastric sleeve operation, but no incisions are made because the procedure is done through the tube orally.The tube is snaked down into the person's stomach, going through the mouth and throat. From there an endoscopic suturing device reduces the size of the stomach by creating a 'sleeve' with sutures. This makes the stomach into a smaller pouch so a person will feel fuller faster.”ESG or incisionless or scarless sleeve is carried out by Endoscopy under General Anaesthesia. The results of the procedure are similar to traditional sleeve gastrectomy with the benefit of scar less, safer and quicker recovery. The procedure can take 1-2 hours under general anaesthesia.  ESG can be carried out as a day procedure

How long do I need to stay in the hospital?

ESG can be performed as a day case; however your surgeon will tell you whether you need to stay overnight.

Will I experience pain?

Yes, you will experience mild to moderate abdominal pain after the procedure from the gas used to inflate the stomach. The pain is expected to recede few hours after the procedure. You will be sent home with soluble pain relief medication.

How long will I be followed up?

You will be followed up for one year by the bariatric dietician and two years by Mr.Irukulla

Do I need  vitamin supplements?

You will need to take supplements in the first few months after the procedure.

How much weight will I lose?

Following any weight loss procedure, the weight loss is determined by diet, life style change, close monitoring.  Your surgeon will advise you at the time of initial consultation on expected weight loss

Who cannot have ESG?

ESG is not for everyone. It may not be a suitable operation when more malabsorptive procedures are recommended. It is also not suitable in patients with large hiatus hernia, previous major abdominal surgery and bleeding problems.

When does ESG not work?

It is crucial that you work with your dietician and adhere to instructions, to achieve maximum benefit from ESG, in order to change your diet and life style.  

We’re here to help with any questions you have about any of the procedures we offer.

To find out more about Nu-life Surgery please either:

• Call us on 01483 724833

• Send an email to enquiries.nulifesurgery@gmail.com

• Fill out our general enquiry form

• Make a consultation enquiry


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