General guidelines for Endoscopic Sleeve Gastroplasty: Endoscopic Sleeve Gastroplasty is designed for severely obese people and is intended to improve obesity-related illnesses and diseases. The procedure is primarily recommended for people who cannot lose weight through diet and exercise.
Endoscopic sleeve gastroplasty is a cutting-edge weight-loss procedure. It shrinks the size of your stomach using an endoscopic suturing device without the need for a procedure.
The gastric sleeve is a weight-loss procedurethat permanently removes about 75% of the stomach. Studies have shown that people who have this procedure lose about 65% more weight than people who have had gastric bypass procedures. People who get the surgery typically lose between 50 and 100 pounds in the first year after the procedure.
The hospital will provide communication to you a few days before your procedure to confirm what time you need to arrive. If you have any queries before receiving this call, contact the endoscopy schedulers at +214-941-6891.
Please Note: This unit treats both inpatients and outpatients, and emergencies may come up that could cause delays in the planned procedure. The unit’s arrival times are designed to prepare you for your practice. Is it crucial that you show up at your given time?
We appreciate your patience and understand that you want the best care possible. Unfortunately, due to the unpredictable nature of procedure units, we may not be able to provide you with the respect you deserve.
We ask that you be prepared to spend the day here in case we need to assess your condition further.
We may not consistently be able to predict when a procedure or recovery will require hospitalization, so it’s essential to be prepared to stay in the hospital if necessary.
Do not wear any valuables or jewelry on the day of your procedure, as we do not have a secured place for you to store them.
You will need to bring a driver with you to take you home, as you will not be able to take public transport for 24 hours after the procedure. We have limited space in our waiting area, so only one visitor will be allowed to stay during your process.
Before your procedure, your doctor may have you do some pre-procedural evaluations. These could include
The Endoscopic Sleeve Gastroplasty diet is a special diet created for you by the bariatric program dietitian. You must follow the guidelines for the endoscopic sleeve gastroplasty diet carefully for optimal results.
You must follow a clear liquid diet the day before your procedure. This means only consuming liquids that you can see through.
A clear liquid diet may consist of the following foods:
You shouldn’t eat anything after midnight.
Be sure to have these objects ready before procedure.
Pre-procedure list for endoscopic sleeve gastrectomy
You mustn’t eat & drink anything after midnight the night before your procedure.
221 W Colorado, Blvd. Pav II, Ste. 630
Dallas, TX 75208
If you think you strength be late for your assignment or have any questions on the procedure’s day, please call us at +214-941-6891.
Arrive at least 90 minutes before your planned procedure time. You will need to register and provide your medical history when you arrive.
At 6 am the day of the process, take the EMEND (aprepitant) capsule with a bit of water.
During the Endoscopic Sleeve Gastroplasty procedure, a small incision is made in the abdomen, with a long thin camera inserted to allow the surgeon to visualize the inside of the stomach.
The doctor then creates a small, single-layer tube to create a new stomach pouch.
The stomach is then separated from the esophagus, and the gastro-jejunostomy is created, allowing the stomach to drain directly into the small intestine.
The doctor uses an endoscope to place approximately 24 sutures in the stomach, which leaves the stomach shaped like a tube and restricts the number of calories your body absorbs.
Once the process is entirely complete, you will be taken to the endoscopy unit to recover from the anesthesia. Your doctor will then discuss the process with you.
We advise that it is common to forget conversations had with your doctor after anesthesia. Therefore, we suggest having a family member present for this conversation at your request.
After the procedure, you may have a brief stay in the hospital or be discharged home if you feel well.
It is crucial to consume lots of fluids to rehydrate.
There are very few side effects of the sleeve gastrectomy procedure. The most common side effects are dehydration and constipation, which can be easily treated. However, some people may know the following side effects
If you know any of these symptoms after your procedure, they should go away within 24 to 72 hours. However, if they are severe or don’t improve, please let your doctor know or go to the emergency room.
You will be given various medications, which are to be taken at different intervals. Please bring them regularly, as prescribed by your doctor.
You should take
The following medications may be taken as needed:
Liquid Tylenol with codeine up to 15ml every 6 hours
Tramadol (crushed) 1 to 2 tablets every 6 hours
Take one capful of Miralax daily, dissolving it in four ounces of water.
Call your doctor to schedule a follow-up appointment.
221 W Colorado, Blvd. Pav II, Ste. 630
Dallas, TX 75208
It is suggested that you follow up with your doctor according to the following schedule:
1-month: office visit
3-month: office visit
6-month: office visit
9-month: phone call
1-year: office visit
You should get your upper GI series (X-ray) scheduled within one week of your procedure.
Days 1-2: Only consume clear liquids
Days 3-14: Full liquids, including shakes, soups, and stews
Week 3: Start to add soft foods like cooked vegetables, soft fruits, and mashed potatoes
Week 4: Continue to eat soft foods and add cooked vegetables and soft fruits
Week 6: Add starches like whole-grain bread and pasta
Clear liquids include water, broth, and juice. They’re usually easy to digest and don’t contain caffeine or carbonation.
Advance your diet to include more soft foods, as tolerated. Soft foods are a great way to get extra protein into your diet, and they’re usually moist and easy to chew. Try to find sources of soft, diced, ground, or pureed protein, and add them to your meals as often as possible.
It’s week 6, so it’s time to start incorporating starches into your diet! Just remember to keep portions small and focus on whole grain options like quinoa, whole wheat bread, and brown rice.
And as always, include plenty of protein and veggies at every meal!
A few tips:
The goal is to drink 6-8 glasses or 36-64 ounces of fluids daily. This can include water, protein shakes, and other beverages.
Your body knows best – stop eating when you’re no longer hungry. You may only be able to handle a couple of tablespoons of food at each meal.
Prepare these items before procedure:
The intensity of the pain differs from individual to individual. In general, the pain is sharp and feels like a cramp. It shouldn’t last for more than many days. The pain medication prescribed should help. You can alternate between Tylenol with codeine & tramadol (taken every 3 hours). You can also take liquid Tylenol as needed.
Three medications can be prescribed for nausea so that you can alternate between them. Nausea should only last for 2-3 days.
You may be dehydrated. You need water that contains electrolytes. If you haven’t already, start taking a multivitamin. Be sure to drink little amounts of water every five to ten minutes.
You can take Tylenol every six hours, but remember that Tylenol is already present in codeine, so you don’t need to take both. It is normal if you have a fever after your procedure that lasts for the first three days. However, if your fever persists, please call the office.
Discomfort is normal after a procedure, but if you experience pain that persists or worsens or has abdominal distension, you should call the office. Remember that you can take Tylenol with codeine or liquid Tylenol. You can alternate with tramadol.0
If you experience any side effects from the scopolamine patch, remove the patch and call the office.
You might want to try increasing your Miralax dosage to twice daily and adding 1-2 senna tablets at bedtime. More, be sure to drink a lot of water throughout the day.
You can start light exercise again on day 5, but no abdominal exercises. No heavy lifting until your 1-month follow-up visit.
If you take an acid medication once a day, increase it to twice daily. You may also & Zantac at night (start with 75 mg and increase as needed to 300 mg at bedtime).
You need to increase your protein intake and eat more solids. Liquids will not make you whole. Once you start eating solids, your stomach will shrink to its standard size. Do not worry about the size of your stomach.
Do not overeat and test your capacity – your stomach is still tiny even if you do not feel affliction as a form of constraint. This will prevent your stomach from stretching and tearing.
For the next three months, avoid alcohol altogether for the best chance of weight loss. After those three months, you can start to reintroduce alcohol into your diet but minimize it as much as possible. However, you may still have some tolerance for it, so proceed with caution.
No strenuous activity, but generally 2-3 weeks after the procedure.
It is your accountability to make appointments with the nutritionist – it is strongly recommended that you follow up at least 1-2 times a month. It is also recommended to call & set up these appointments in advance to get timely appointments.
You will be able to fly on the fifth day after your procedure. This is just to ensure that everything is okay. You will need to have had your upper GI series before your travels.
How soon you return is entirely up to you. Some people come back the next day, while others may take a few days.
Endoscopic sleeve gastroplasty is a weight loss procedure that makes the stomach smaller. This operation is considered one of the most effective. The sleeve gastroplasty lasts for several years. You can lose up to 70% of the fat that you have in your stomach, which is the most affected area of your body after you stop the diet.