Dr Girish Juneja is a highly experienced surgeon in the field of Laparoscopic and Weight Loss Surgery, with a particular focus on bariatric procedures. With over three decades of experience in laparoscopic and general surgery, he is recognized as a Certified Surgeon of Excellence for Bariatric and Metabolic Surgery by the European Accreditation Society for Bariatric Surgery (EAC-BS), affiliated with the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO).
His journey in laparoscopic surgery began with training at Ninewells Medical College in Dundee, Scotland, and the UK. Furthermore, he holds a diploma in minimal surgery from Strasbourg, France, and is a Fellow of the ACE Bariatric Surgical Center in Emmen, Netherlands. Dr. Juneja is dedicated to continuously enhancing his expertise and regularly participates in conferences and workshops worldwide to stay updated on the latest advancements in the field.
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non-surgical weight loss procedure that aims to reduce the size of the stomach to promote weight loss. It is sometimes referred to as a “gastric sleeve without surgery” because it mimics the effects of a surgical gastric sleeve, but it is performed entirely through an endoscope (a flexible tube with a camera) inserted through the mouth and into the stomach.
ESG is considered a less invasive alternative to traditional bariatric surgeries like gastric bypass or sleeve gastrectomy. It does not involve any incisions, which typically means shorter recovery times and fewer complications. However, the degree of weight loss achieved with ESG may be somewhat less significant than with surgical procedures, and long-term success still depends on adopting and maintaining a healthy lifestyle with diet and exercise.
Gastric Sleeve Surgery, also known as Sleeve Gastrectomy, is a surgical weight loss procedure designed to assist individuals in losing weight by reducing the size of the stomach. It is one of the most commonly performed bariatric surgeries and has proven effective in helping people achieve significant and sustainable weight loss.
Gastric Sleeve Surgery is a major surgical procedure and, like all surgeries, carries risks and potential complications. Therefore, it should only be considered after careful evaluation by a healthcare provider or bariatric specialist. Additionally, long-term success following this surgery depends on making and maintaining healthy lifestyle changes, including dietary modifications and regular physical activity.
Endoscopic Sleeve Gastroplasty (ESG) and Gastric Sleeve Surgery, also known as Sleeve Gastrectomy, are both medical procedures designed to aid weight loss by reducing the size of the stomach. However, they differ in several key aspects:
It is a non-surgical, minimally invasive procedure performed entirely through an endoscope inserted through the mouth. ESG involves suturing and reshaping the stomach to create a tubular structure.
This is a surgical procedure in which a portion of the stomach is permanently removed, leaving a smaller, sleeve-shaped stomach. It requires incisions and is performed in an operating room.
Reversible. The effects can be undone by removing the sutures, allowing the stomach to return to its original size.
Surgical and more invasive, involving incisions and a longer recovery period.
Non-surgical and minimally invasive. It does not require incisions, resulting in a shorter recovery time and lower risk of complications.
Generally considered irreversible because a portion of the stomach is removed.
May result in moderate weight loss, typically less than what is achieved through surgical options.
Generally leads to more significant and sustained weight loss due to the permanent reduction in stomach size.
Success depends on maintaining a healthy lifestyle with diet and exercise after the procedure. Weight regain is possible if these habits are not maintained.
Typically results in more durable and substantial weight loss, but long-term success also relies on lifestyle changes.
Suitable for individuals with a BMI in the overweight to moderately obese range, or those who may not qualify for or prefer to avoid surgery.
Often recommended for individuals with a higher BMI and a history of obesity-related health problems.
The choice between ESG and Gastric Sleeve Surgery depends on an individual’s specific circumstances, including their BMI, medical history, preferences, and willingness to undergo surgery. Consulting with a healthcare provider or a bariatric specialist is crucial to determine the most suitable weight loss approach.
An endoscope is inserted through the mouth and into the stomach to visualize its interior.
Sutures or special devices are used to gather and suture the stomach tissue, effectively reducing the stomach’s size and capacity.
A surgeon removes a large portion of the stomach, leaving behind a much smaller, sleeve-shaped stomach that resembles a narrow tube or banana. This reduction in stomach size significantly limits the amount of food that can be consumed.
The procedure does not involve rerouting or bypassing the intestines, as is the case with some other bariatric surgeries like gastric bypass.
Before undergoing Endoscopic Sleeve Gastroplasty (ESG) or Gastric Sleeve Surgery, there are several things you should avoid or consider:
Remember that these recommendations may vary depending on your specific medical condition and the preferences of your healthcare provider.
Endoscopic Sleeve Gastroplasty (ESG) and Gastric Sleeve Surgery are both weight loss procedures that can lead to significant changes in your body and overall health. However, it’s crucial to understand that the results and expectations can vary from person to person, and success depends on various factors, including your commitment to lifestyle changes and post-surgery care. Here are the general results and expectations for each procedure:
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