How does ESG compare to VSG? Endoscopic sleeve vs. surgical sleeve: key similarities and differences

Рет қаралды 5,698

Күн бұрын

Dr. Christopher McGowan, an expert in Endoscopic Sleeve Gastroplasty (ESG), breaks down the key differences and similarities between ESG and Vertical Sleeve Gastrectomy (VSG).
This video will equip you with the knowledge you need to make an informed decision about these weight-loss procedures. From the methods of each procedure, expected weight loss, risks and recovery times, to insurance coverage.
Hopefully, this video can help you understand which procedure could be the right choice for you. Remember, no procedure is superior - they simply offer different benefits and limitations.
#esg #VSG #WeightLossJourney #InformedDecision #weightloss #endoscopicsleevegastroplasty #endoscopicweightloss #gastricsleevesurgery #lsg #sleevegastrectomy
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Пікірлер: 18

@Trudy-Lee1 21 күн бұрын

Thanks for sharing this. Very informative. I subbed.

@sunshinebeauty7951 10 ай бұрын

Thank you so much for clarifying the difference between the two, in Australia it doesn’t seem like ESG is very popular and is definitely outside of the private health network. I enjoyed knowing the difference between the two mechanisms, they really are completely different procedures.

@carriepickett2687 Ай бұрын

That is frustrating insurance will not cover ESG the same as VSG, because depending on a patient's needs and life restrictions the choice should be between the doctor and patient. I appreciate the clarity of this video because the decrease of ghrelin hunger hormones for VSG is appealing, but also the recovery time for ESG makes that option very attractive.

@flovoices4u294 2 ай бұрын

Great video. VSG is a "refluxogenic" procedure. Until best practices are agreed upon and standardization of technique is implemented, this is a huge flaw in this surgery IMO. Even the best surgeons still seem to have a 14-15% rate of de novo GERD post-surgery. No bueno for me. The risk vs benefit is not there until a person is around a Class 3. IMO ;).

@maryymendes 6 ай бұрын

What about vitamins and care after surgery? What are the main differences? I have searched about it and don't find any profounder analysis on the matter. Thanks.

@DrMcGowanMD 4 ай бұрын

After VSG, it is recommend to stay on a multivitamin long-term. There is no current evidence to suggest that this is necessary with ESG. Our assumption is that it is not necessary, given that absorption is not altered and motility is decreased, not increased. However, we do recommend that our ESG patients take a complete multivitamin (or bariatric multivitamin) until they are consistently maintaining a balanced diet, which is typically within 3 months of the procedure.

@suep.1875 3 ай бұрын

Why doesn't insurance cover ESG and how expensive is this? I really appreciate your explanations!

@DrMcGowanMD 3 ай бұрын

It’s in the works. Probably 3-5 years away. There are many steps to obtaining insurance coverage for a procedure including a randomized trial (done), FDA authorization (done), assignment of a procedural CPT code (in process; 2 years turnaround), then Medicare valuation. Average cost is between $10k and $15k nationally

@carriepickett2687 Ай бұрын

@@DrMcGowanMD I very much appreciate this video and I have been debating whether to pay for the ESG or have insurance cover a VSG, because of my limited availability for recovery I am leaning towards ESG despite the cost. Your video states you can return to activity, does this general description of activities include weightlifting like powerlifting? What are the implications for wearing a tight belt when performing a deadlift set? I assume things should be fine.

@jenniferoseiboateng8370 15 күн бұрын

With ESG and VSG, Which Procedure reduces Diabetes and High Bllod Pressure Please? Thanks

@Godislove789 19 күн бұрын

How much is endoscopic sleeve? And is it reversible?

@aaliyahford502 2 ай бұрын

Genuine question.. why do I have to be overweight first to qualify for an endoscopic sleeve?

@carmenperez6055 4 ай бұрын

What about those stitches on the endoscopic sleeve?

@DrMcGowanMD 4 ай бұрын

The sutures are non-dissolvable, polypropylene material. They remain in the stomach wall after the procedure, initially serving as scaffolding to allow the stomach to heal in the sleeve-like shape.

@cgirls.3676 3 ай бұрын

Is the ESG performed under general Anesthesia?

@DrMcGowanMD 3 ай бұрын

Yes, it is