Endoscopic sleeve gastroplasty in 2020/2021 | Most asked questions
Фильм және анимация
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.
Пікірлер: 59
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!
LOVE THIS VID!! Such a concise and informative way of explaining this! 👏💓
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
3 жыл бұрын
Farah Faruqi great thanks!
Great video sir!
Great Video Doc! Cant wait to have my surgery with you!
@writejules
4 ай бұрын
Hi did you have this surgery? Curious of feedback from those who did it.
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
3 жыл бұрын
No
Thank you! Could you do a video on what you think about other wls like vsg, rny and bypass
Nice vid!!
@AustinChiangMD
3 жыл бұрын
Thank you!
@samson9609
3 жыл бұрын
@@AustinChiangMD Does the stomach still produce gremlin after ESG?
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?
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?
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 ?
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
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.
What are the stitches made of? Has this procedure proven to be successful for the long run or is it temporary???
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
4 ай бұрын
This was exactly my question, are there pockets where food or fluid can get stuck and what happens then 🤷♀️
Are there still side effects like dumping syndrome?
I weigh 145 kg how much weightloss can I expect after this esg.also also I don't have cholesterol diabetes hyper tension etc
Thank you so much!!!! What happens to the sutures after years? Do they get absorbed?
@matheusmotta648
3 жыл бұрын
No
I like him
HI.. Great video. Do you have colleagues in Canada who offer this procedure?
Which one gives the most weight loss?
How effective is it for weight loss what if the stitches break?
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
3 жыл бұрын
Great question, maybe I'll make a video on those medications!
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
3 жыл бұрын
Unfortunately there's no CPT code for this :(
Hey Doc.. is this procedure reversible?
What would make insurance cover this procedure?
Can this be done if you had gastric sleeve done in 2016 and gained all my weight back plus 5
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
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
3 жыл бұрын
No, but there's another endoscopic procedure to help with weight regain after gastric bypass surgery!
@patriciafeagins2171
3 жыл бұрын
Austin Chiang MD MPH how can I find out information about this?
@peachmelba9333
3 жыл бұрын
@@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!
Which procedure is cheaper LSG or ESG
@jazroom8411
2 жыл бұрын
ESG
How do u book with you
Does ESG cause dumping syndrome?
What’s the cost
Food, Alcohol or medication restrictions?
@matheusmotta648
3 жыл бұрын
Yes just like bariátric
Can you do gastric bypass endoscopically?
@AustinChiangMD
3 жыл бұрын
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
3 жыл бұрын
@@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
3 жыл бұрын
Jen Werner ah I see....best of luck with that procedure!
@njjen3953
3 жыл бұрын
@@AustinChiangMD Thank you very much.
@chantaldelila8367
2 жыл бұрын
Dear doctor how many layers of stitches you do for endoscopy sleeve?
Can you take nsaids after this procedure?
What happens to the skin pinched in the sutures?
I haven’t finished the video but I hope you will answer the question of $PRICE 🤞🏻🤞🏻
@purplekat10000
2 жыл бұрын
Still not finished but I’m now wondering what kinds of complications are common with this procedure
@writejules
4 ай бұрын
@@purplekat10000he covered cost and potential complications in the video