Note: The information provided here applies to elective Endoscopic Sleeve Gastroplasty (ESG) procedures under standard conditions. However, specifics may vary depending on individual patient factors, such as the presence of obesity-related comorbidities, patient tolerance, or any complications that might arise during or after the procedure. The patient’s overall health, the complexity of the procedure, and the need for additional interventions can also influence the procedure and recovery process.

Inpatient/Outpatient
Endoscopic Sleeve Gastroplasty (ESG) is typically performed as an outpatient procedure. This minimally invasive weight-loss procedure does not require surgical incisions, allowing most patients to return home the same day. The procedure is usually conducted in a hospital or specialized clinic, where patients are monitored for a few hours afterward to ensure they recover safely.

Hospital Stay Duration
Patients undergoing ESG generally do not require an overnight hospital stay. The entire process, including preparation, the procedure itself, and post-procedure monitoring, typically takes about 4 to 6 hours. After the procedure, patients are observed to ensure they are stable and can usually be discharged within a few hours.

Type of Anesthesia
ESG is typically performed under general anesthesia or deep sedation, ensuring that the patient is comfortable and unconscious during the procedure. This allows the endoscopist to safely perform the procedure, which involves using an endoscope to suture the stomach and create a sleeve-like shape, reducing its capacity.

Travel After Procedure
Patients are generally advised to avoid travel, particularly long-distance or air travel, for at least a few days after ESG. This allows time for initial recovery and monitoring for any early complications, such as pain, nausea, or vomiting. Most patients can resume normal activities within a week, but they should follow specific recommendations from their healthcare provider regarding travel and activity levels.

Pre-procedure Preparation
Preparation for ESG typically involves following a liquid or low-calorie diet for a few days to a week before the procedure to reduce the size of the liver and improve surgical outcomes. Patients may also need to stop taking certain medications, particularly blood thinners, as directed by their healthcare provider to minimize the risk of bleeding during the procedure. The healthcare provider will provide specific pre-procedure instructions, including any necessary tests or evaluations.

Procedure Duration
The ESG procedure typically takes about 60 to 90 minutes. During the procedure, an endoscope equipped with a suturing device is inserted through the mouth and into the stomach. The endoscopist then places a series of stitches to reduce the size of the stomach, creating a sleeve-like shape that limits food intake.

Recovery Time
Recovery from ESG is generally quicker than traditional surgical weight-loss procedures. Most patients can resume light activities within a few days, but it is recommended to follow a gradual return to normal activities, including exercise, over the next few weeks. Patients will need to adhere to a special post-procedure diet, starting with liquids and gradually progressing to pureed and then solid foods over several weeks. Full recovery and adaptation to the new eating pattern may take several weeks.

Estimated Cost
The cost of ESG can vary depending on the clinic, geographic location, and the specifics of the patient’s condition. ESG is generally less expensive than traditional bariatric surgery, but costs can still be significant. For accurate cost information, patients should contact their healthcare provider or treatment center directly.

Post-procedure Care
Post-procedure care for ESG involves a structured diet and lifestyle changes. Patients will begin with a liquid diet, followed by pureed foods, and eventually transition to solid foods over several weeks. Regular follow-up appointments are crucial to monitor weight loss, nutritional status, and any potential complications. Patients will also receive guidance on incorporating physical activity and making long-term dietary changes to support weight loss and overall health. Psychological support or counseling may be recommended to help patients adjust to the changes following ESG and to address any emotional or behavioral issues related to eating.