Endoscopic sleeve gastroplasty in 2020/2021 | Most asked questions

After gaining over 1.5million views on this TikTok, I'm excited to answer some of my most frequently asked questions in the comments about the endoscopic sleeve gastroplasty (ESG). I am a gastroenterologist (subspecializing in advanced endoscopy and bariatric endoscopy).
(Sorry the audio still messed up -- trying new things out...)
#endoscopicsleevegastroplasty #weightloss #bariatricsurgery
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DISCLAIMER: This video does not constitute medical advice, and is purely meant to be educational. The content of this video is my personal opinion, and not that of my employer. Use of this information is at your own risk. Austin Chiang, MD MPH will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death.

[@AustinChiangMD]

Leave all your questions here and feel free to check out my TikTok for more fun and informative videos! ALSO, let me know what else you want to see here. I'll hopefully be making more vids :p Thanks again for your support!

[@nes8787]

LOVE THIS VID!! Such a concise and informative way of explaining this! 👏💓

[@dremtdream3841]

Thank you! Could you do a video on what you think about other wls like vsg, rny and bypass

[@farahfaruqi806]

Thank you for posting a detail information related to this! I was wondering about this procedure and you already answered many of my questions!

[@AustinChiangMD]

Farah Faruqi great thanks!

[@spookygreg]

During the healing process, does stomach acid collect in the crevices behind the sutures? How are the sutures strong enough to prevent leaks and buildups in the folds?

[@matheusmotta648]

No

[@shanleyabhi]

Great video sir!

[@sintiaperalta1746]

Great Video Doc! Cant wait to have my surgery with you!

[@writejules]

Hi did you have this surgery? Curious of feedback from those who did it.

[@neilrosenberg4437]

Your thoughts about ESG as a revision to a VSG performed more then 10 years ago where the patient has regained most of there weight ( BMI 40). Any particular challenges or issues? Is this rare ?

[@callmebutterfly1274]

I had the gastric bypass in ‘08 and since have gained significant weight back but I also was diagnosed with multiple autoimmune issues. I want to try a revision surgery but I’m not sure if it would be worth it with my current medical situation?

[@juliecaron6091]

My question is "Will you still be able to eat in a nirmal way (just smaller portions) and still enjoy food or will you become like people who have had gastric surgeries and can't really eat even normal small portions of food without getting sick and have weird relationships with there little tiny one bites if food?

[@runlolarunpunk]

Are there still side effects like dumping syndrome?

[@HAI.1]

I wanted to ask some questions: After surgery does the patient have refulx problems ..is it permanent? After surgery does the patient have to take vitamin tablets everyday for the rest of their life? Do you get dehydrated faster as the stomach is much smaller?...because the patient can't drink water at the same level prior to surgery. With the weightloss does the patient loose alot of hair? Thankyou

[@minervasoto-weisman5673]

What are the stitches made of? Has this procedure proven to be successful for the long run or is it temporary???

[@aaronbate282]

For this procedure would I have to quit smoking? I've tried everything from Chantix to cold turkey, acupuncture to Nicolette. I apparently have the willpower of a gnat when it comes to quitting smoking.

[@terrialves7881]

What weight loss medications are available that don’t cause false energy feeling or racing heart? Love your videos! Either informative or light-hearted, I look forward to yours popping up in my TikTok feed.

[@AustinChiangMD]

Great question, maybe I'll make a video on those medications!

[@josueidani7539]

Nice vid!!

[@AustinChiangMD]

Thank you!

[@samson9609]

@@AustinChiangMD Does the stomach still produce gremlin after ESG?

[@RS-ir1pe]

I weigh 145 kg how much weightloss can I expect after this esg.also also I don't have cholesterol diabetes hyper tension etc

[@melindanoel8027]

HI.. Great video. Do you have colleagues in Canada who offer this procedure?

[@manetthector506]

Can this be done if you had gastric sleeve done in 2016 and gained all my weight back plus 5

[@stephanyguerrero3220]

Thank you so much!!!! What happens to the sutures after years? Do they get absorbed?

[@matheusmotta648]

No

[@e.williams13]

What happens to the part of the stomach that is sutured off? Does it fuse together? Can food get stuck down the part that has been closed off?

[@writejules]

This was exactly my question, are there pockets where food or fluid can get stuck and what happens then 🤷‍♀️

[@Mrlistenandlearn]

How effective is it for weight loss what if the stitches break?

[@purplekat10000]

What would make insurance cover this procedure?

[@basilal-lawati2421]

Hey Doc.. is this procedure reversible?

[@sarahlamberston3109]

What is the CPT code? I am trying to find out if it is covered under Tricare/military dependent insurance. Post hysterectomy weight gain has been a bitch and nothing has helped long term.

[@AustinChiangMD]

Unfortunately there's no CPT code for this :(

[@adriaevans8657]

Which one gives the most weight loss?

[@juliecaron6091]

Does ESG cause dumping syndrome?

[@Dheerudr]

Hi sir I'm gastroenterology resident In India. I'm interested in advanced endoscopy bariatric procedures. Can you pls make.a video on. How can Indian Gastro residents can apply for a certificate course or fellowship in bariatric endoscopy in your institute or US? Thanks in advance

[@quettagirlsboutique7761]

How do u book with you

[@patriciafeagins2171]

Can you do this procedure if you’ve already had RnY bypass 15 years ago? I’ve gained about 15 pounds back and am really getting worried.

[@AustinChiangMD]

No, but there's another endoscopic procedure to help with weight regain after gastric bypass surgery!

[@patriciafeagins2171]

Austin Chiang MD MPH how can I find out information about this?

[@peachmelba9333]

@@AustinChiangMD And I may be facing it myself- I keep stenosising, developing marginal ulcers, followed my surgeon's rules, eat only 1/4-1/3 cup of food- had to revert to soft and broth because pouch won't tolerate meat. And Quality of Life- Pffft!

[@so4real]

I like him

[@starchildaqua8590]

What’s the cost

[@alexandrakreiman2115]

Can you take nsaids after this procedure?

[@adriaevans8657]

Which procedure is cheaper LSG or ESG

[@jazroom8411]

ESG

[@txpatriot7044]

Food, Alcohol or medication restrictions?

[@matheusmotta648]

Yes just like bariátric

[@njjen3953]

Can you do gastric bypass endoscopically?

[@AustinChiangMD]

Jen Werner great question - not for weight loss purposes but if necessary for a stomach outlet blockage from cancer, for instance, we are able to “bypass” that but placing a stent directly from the stomach to another loop of intestine.

[@njjen3953]

@@AustinChiangMD The reason I asked is that I am preparing for gastric bypass due to Gastroparesis and GERD that medication does not help with.

[@AustinChiangMD]

Jen Werner ah I see....best of luck with that procedure!

[@njjen3953]

@@AustinChiangMD Thank you very much.

[@chantaldelila8367]

Dear doctor how many layers of stitches you do for endoscopy sleeve?

[@libra0arbil]

What happens to the skin pinched in the sutures?

[@purplekat10000]

I haven’t finished the video but I hope you will answer the question of $PRICE 🤞🏻🤞🏻

[@purplekat10000]

Still not finished but I’m now wondering what kinds of complications are common with this procedure

[@writejules]

@@purplekat10000he covered cost and potential complications in the video