Endoscopic Gastric Sleeve

Also known as an endoscopic sleeve gastroplasty, this is one of the newer weight-loss techniques Novomed offers. It is similar to the laparoscopic sleeve operation in that it aims to reduce the size of your stomach, but with sutures (stitches) rather than surgery. Although no part of the stomach is actually removed, it is designed to be a permanent solution in that the stitches won’t be removed. However, if the stomach stretches over time, it can be tightened again with a similar procedure.

The effect of reducing the size of your stomach is two-fold. Firstly, it holds less so you eat less and, secondly, it will empty more slowly, meaning you feel full for longer.  Usually patients lose, on average, 18% to 20% of their body weight after one year

Some of the advantages are that no incisions are required, you won’t need to stay in the hospital overnight, and pain and risk is minimal. Our bariatric surgeon will be able to advise you whether this is the best option for you.

How it works

An endoscope is a long, flexible device that passes through your mouth and esophagus to enter the stomach. To create the gastric sleeve, a suturing (stitching) device is mounted onto the endoscope. Our surgeon will use the OverStitch™ Endoscopic Suturing System, which allows him to place full-thickness sutures.

No portion of the stomach will be removed. Instead, he will sew the inside of the stomach, drawing the lateral edges together, effectively reducing its size to, roughly, that of a banana.

Like other weight-loss procedures, endoscopic sleeve gastroplasty requires commitment to a healthier lifestyle. We have a multidisciplinary team including dietitians, psychologists and physiotherapists, to help you make permanent healthy changes to your diet and activity levels.

Risks and Complications

Unlike surgical options, our surgeon will not remove any part of your stomach, risks and complicates are rare. There could be some abdominal pain and nausea in the first week, but this is manageable.

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