Endoscopic Sleeve

Conveniently located to serve London, Greater London, Birmingham, and Manchester.

For significant weight loss without surgery, Mr. George Vasilikostas of the GV Weight Loss Clinic is a top provider of endoscopic sleeve gastroplasty in London, UK. Mr. Vasilikostas performs endoscopic sleeve gastroplasty (ESG) with the advanced precision capability of the Apollo OverStitch™ endoscope, the procedure is non-surgical and minimally invasive, offering an effective and reversible alternative to traditional surgical weight loss procedures.

Non-Surgical Weight Loss with the Apollo OverStitch™ ESG System

The Apollo OverStitch™ System marks a groundbreaking advancement in the field of minimally invasive weight loss treatments. This innovative minimally invasive endoscopic device stands out for its unique ability to place full-thickness sutures through the gastric tissue. With smooth precision, the Apollo OverStitch™ enables Mr. Vasilikostas to reshape the stomach from the inside, effectively reducing its volume without the need for incisions, scars, or extended recovery times.

To ensure the patient’s comfort and safety, the ESG weight loss procedure is performed while the patient is under general anesthesia. Next, a flexible endoscope camera tipped with the Apollo OverStitch device, is carefully inserted through the mouth.

The light and camera on the endoscope allow for clear visualization of the stomach’s interior as Mr. Vasilikostas uses the Apollo OverStitch to strategically place a series of sutures within the stomach lining to narrow the stomach into a sleeve-like shape. Once the alteration to the stomach is complete, the endoscope is withdrawn.

Results and Recovery from Apollo OverStitch ESG

After undergoing the endoscopic sleeve gastroplasty procedure, a much smaller amount of food is required for the patient to experience a feeling of satiety. This reduces the likelihood of overeating. When ESG is combined with lifestyle modifications that include a healthy diet and regular exercise, as directed by our experienced team, the potential for weight loss results increases even more.

After twelve months, patients have been seen to experience, on average, 15 percent to 25 percent reduction of their overall body weight, or excess body weight loss of 50 percent. The exact degree of weight loss varies depending on each patient’s commitment to their lifestyle changes. Weight loss after endoscopic sleeve gastroplasty has been seen to be sustainable for over two years.

As a result of weight loss with endoscopic sleeve gastroplasty, patients can reduce health issues such as heart disease, Type 2 diabetes, osteoarthritis, sleep apnea, high blood pressure, and gastroesophageal reflux disease or GERD, all while preserving the integrity and function of the stomach.

Am I a Candidatefor Endoscopic Sleeve Gastroplasty?

Optimal candidates for an endoscopic sleeve gastroplasty have a BMI of 30 or higher and have not been able to achieve lasting weight-loss results utilizing traditional diet and exercise. Patients who prefer to avoid the removal of stomach sections often select this option. It is also a suitable procedure for patients who are unable to undergo surgical procedures due to poor health or a pre-existing medical condition.

Patients who have previously undergone endoscopic or surgical sleeve surgery can safely undergo an endoscopic sleeve gastroplasty. The procedure can also be performed for patients who have undergone Roux-en-Y gastric bypass surgery.

In cases where patients have experienced weight regain due to stomal dilation after a gastric bypass, endoscopic sleeve gastroplasty is an ideal solution. When it is being performed for this reason, it is known as transoral outlet reduction (TOR) surgery.

Candidates must not be afflicted with any health conditions that involve gastrointestinal bleeding. Patients experiencing a large hiatal hernia are not ideal candidates for endoscopic sleeve gastroplasty.

The Endoscopic SleeveConsultation

The endoscopic sleeve gastroplasty consultation begins with a discussion of the patient’s weight-reduction goals. The patient will discuss the details of their weight-loss journey with Mr. Vasilikostas, including all past attempts at weight loss. He will enquire about various lifestyle and health factors to develop a deeper understanding of the changes required to achieve effective weight loss.

Mr. Vasilikostas will perform a physical examination and will evaluate your complete medical history, including current medications, allergies, and pre-existing medical conditions. These may all potentially affect a patient’s candidacy.

Following this, Mr. Vasilikostas will discuss whether or not an endoscopic sleeve gastroplasty is a viable option for the patient. If the procedure is recommended, he will discuss the details of the procedure, including preparation, aftercare, and the patient’s potential results. Patients are encouraged to ask questions and raise concerns at any time during their consultation.

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Guided Behaviour Modification

Guided behaviour changes are a vital aspect of the medical weight-reduction process. Without behaviour changes, patients cannot achieve optimal results with endoscopic sleeve gastroplasty. Our team of health professionals will provide personalized guidance based on each patient’s current diet and activity levels.

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Practicing proper portion control is required to ensure optimal benefits from endoscopic sleeve gastroplasty. Not observing proper portion control can result in ESG sleeve failure.

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The Endoscopic Sleeve Gastroplasty Procedure

The endoscopic sleeve gastroplasty procedure requires anywhere from 45 minutes to an hour and a half to perform. At the start of endoscopic sleeve gastroplasty, general anaesthesia is administered in order to ensure that the patient is unconscious for the duration of the surgery. This ensures a pain-free experience.

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Next, an endoscope is inserted orally. An endoscope is a tube equipped with a light and a camera, allowing for a very detailed view of the oesophagus and the stomach. The endoscope also features a tool for precise suturing. This is utilised to suture key regions of the stomach, adjusting its shape. It becomes tube-like and able to contain a smaller quantity of food. Generally, the capacity of the stomach is reduced by 65% to 70% as a result of this suturing. The endoscope is then carefully withdrawn.

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After Endoscopic Sleeve Gastroplasty

Immediately following the procedure, the patient will be monitored and will likely be able to return home the same day to rest and recover. Patients may experience temporary pain and nausea, both of which can be addressed with the assistance of medications as prescribed by Mr. Vasilikostas.

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Light walking is recommended during initial endoscopic sleeve gastroplasty recovery. In around three to four weeks after the procedure, patients regain the amount of energy required to participate in strenuous physical exercise.

Patients will be restricted to a liquid diet for around two weeks. After this time, they may be cleared to transition to a semi-solid diet before beginning a solid-food diet. This new solid-food diet will be designed in accordance with the patient’s weight-loss goals.

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The Cost of Endoscopic Sleeve Gastroplasty

The price of endoscopic sleeve gastroplasty is determined based on a variety of factors, including previous medical history and personal needs for support. Bespoke pricing packages are available, as well as financing options. Cost will be discussed in detail during each patient’s personalised consultation.

Meet Mr Vasilikostas

With more than 25 years of clinical expertise and excellent results, Mr Vasilikostas is highly qualified in all aspects of weight loss management, including a wide range of medical and minimally invasive surgical procedures such as Allurion balloon, Orbera balloon, endoscopic sleeve, gastric bypass, mini-gastric bypass, gastric sleeve, SADI-S procedure and revision weight loss surgery.

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What makes endoscopic sleeve gastroplasty different from gastric sleeve surgery?

Endoscopic sleeve gastroplasty and gastric sleeve surgery both restrict stomach capacity by giving the stomach a sleeve shape. However, each procedure employs a different technique to accomplish this adjustment.

Traditional gastric sleeve surgery accesses the stomach through incisions in the abdomen. A portion of the stomach is then physically separated from the rest of the stomach using precise incisions, and this portion is removed. A longer recovery process is necessary due to the required tissue trauma.

In contrast, endoscopic sleeve gastroplasty does not employ incisions at any point during its process. The stomach is accessed through oral insertion of an endoscope. A portion of the stomach is then separated from the rest of the stomach using placement of sutures. Both portions of the stomach remain in the body. Because no incisions were created, the recovery process is shorter.

What type of sutures are utilised during endoscopic sleeve gastroplasty?

Anywhere from five to 12 Prolene sutures will be placed during the ESG procedure. Prolene is a durable material that does not dissolve, and because of this, the results of endoscopic sleeve gastroplasty are permanent. These stitches have very small metallic anchors on each end. These anchors will not be detected by metal detectors and will not interfere with MRI imaging.

How many days off from work will I need to take following endoscopic sleeve gastroplasty?

Typically, patients must stay home from work for around three days. More physically strenuous jobs may require a longer period of time off. Patients can return to work once cleared by Mr. Vasilikostas.

What happens to the larger section of the stomach after endoscopic sleeve gastroplasty?

After an ESG procedure, the larger section of the stomach continues to be healthy. No issues or changes in blood supply are experienced.

Schedule A Consultation

Renowned weight-reduction specialist Mr. Georgios Vasilikostas performs endoscopic sleeve gastroplasty for London patients who prefer a non-surgical bariatric procedure. With the aid of endoscopic sleeve gastroplasty, numerous patients have successfully achieved their target weight and experienced long-lasting weight loss.

Mr. Vasilikostas is a highly skilled physician with over 25 years of experience in the field of medical weight reduction. He has written numerous articles for medical journals and is a member of several surgical associations. Additionally, he regularly provides expert training to medical students at St. George’s University Hospitals.

Arrange a consultation to learn more about endoscopic sleeve gastroplasty in London. Our skilled and experienced weight-reduction professionals will be available to answer any questions that patients may have. Contact our office to schedule your personalized appointment with Mr. Vasilikostas.