Non Surgical future of obesity management – Endoscopic Sleeve Gastroplasty introduced in Tricity

Chandigarh/ 15th Jan 2020: To create awareness on “Obesity & its Health Hazards” a team of Doctors from Panchkula, addressed the media person today. Speaking on the occasion Dr. Rajan Mittal, Consultant Gastroenterology, Interventional Endoscopy, Bariatric endoscopist said that “Obesity is an epidemic and India is right in the middle of a fat explosion.”

India the 3rd most obese country in the world and Obesity is a leading cause of liver damage, besides Alcohol

Dr. Rajan shared that 73% of urban Indians are obese, that is 3 out of 4 people and a recent Lancet report quotes that 34% of India’s population is insufficiently active. What is even more alarming is that millions of youngsters and millennials are battling medical conditions and complications that arise from obesity – such as type-2 diabetes mellitus, Obstructive sleep apnea, Osteoarthritis, Low self-esteem, Depression, Infertility, Hernias, Cancers and Heart Failure. Not to forget, the implications of the incalculable emotional cost attached to it. Obesity has led to an immense increase in the mortality rates across the nation – nearly reducing life expectancy by 9 years in women and 12 years in men.

30 million of India’s adult population is either overweight or obese and 62 million diabetic

DrRajanMittal shared that nowadaysBariatic Surgeries are on a rise in India, as people have become more aware of complications that obesity brings.

Endoscopic Bariatric is the way forward in tackling Obesity

Endoscopic Sleeve Gastroplasty, commonly known as ESG is not a surgery, but extends the benefit of Surgery. It is a Non-Surgical procedure done endoscopically(pipe inserted through the mouth). ESG involves suturing the stomach from inside firstly leading to a reduction in the size of the stomach & secondly whatever food is eaten, stays in the stomach for a longer time, hence causing a sense of fullness and leads to prolonged satiety.

Dr. Rajan further briefed that it is a 45 min daycare procedure, wherein the patient is discharged the same day and he/she resumes normal work from the next day onwards. Patients who have undergone this procedure lose up to 18-20% of their total body weight over a period of 3-6 months. ESG is also indicated in patients who are not fit for conventional Bariatric Surgery.

Benefits of Endoscopic Sleeve Gastroplasty ( ESG)

  • Non-Surgical procedure
  • No cutting
  • No Stapling
  • 45 mins procedure
  • Same-day discharge
  • 20% of total body weight loss.
  • Same results as surgery.
  • After endoscopy patients can do normal work from 2nd day onwards.

Indications for ESG

  1. BMI of 27 – 40.
  2. Obese patients with
  1. a)Diabetes,
  2. b)Joint Pain,
  3. c)Liver Damage,
  4. d)Obstructive Sleep Apnea,
  5. e)Depression,
  6. f)Menstrual irregularities.