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Endoscopic Sleeve Gastroplasty (ESG) with Dr. Arif Ahmad at Long Island Laparoscopic Surgery

Have you tried GLP-1 injections for weight loss but had to stop due to side effects or other challenges?

If so, you may be a strong candidate for Endoscopic Sleeve Gastroplasty (ESG), a non-surgical, incisionless procedure designed to support long-term weight loss. Endoscopic Sleeve Gastroplasty (ESG) is a new minimally invasive, non-surgical weight loss procedure that reduces the size of the stomach using an endoscope—meaning no incisions, no scars, and a shorter recovery time compared to traditional surgery. This approach typically involves fewer side effects and offers an effective option for patients seeking long-term weight loss.

Dr. Ahmad and Dr. Agarwala are certified and highly experienced in performing ESG. In many cases, this procedure is covered by insurance. We would be happy to discuss the risks, benefits, and next steps with you at your upcoming appointment.

What is Endoscopic Sleeve Gastroplasty (ESG)?

ESG is a state-of-the-art weight-loss procedure utilizing an endoscope—a flexible tube with a camera and suturing device. This allows Dr. Ahmad to place sutures in your stomach, reshaping it into a tube. This new structure helps you feel full sooner and eat less.

Achieving long-term success with ESG means committing to a healthier lifestyle, including a balanced diet and regular exercise.

Who is a Good Candidate for Endoscopic Sleeve Gastroplasty?

Endoscopic Sleeve GastroplastyEndoscopic Sleeve Gastroplasty

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ESG can significantly reduce weight and the risk of serious health issues such as:

  • Heart disease and stroke
  • High blood pressure
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Sleep apnea
  • Type 2 diabetes
  • Osteoarthritis (joint pain)

You might be an ideal candidate if:

  • Your BMI is above 30.
  • Diet and exercise alone haven't been effective.
  • You don’t qualify for or want traditional bariatric surgery.
  • You're ready to commit to a healthier lifestyle, regular follow-ups, and behavioral therapy.

The Endoscopic Sleeve Gastroplasty (ESG) Process

Before the Procedure:

If ESG is right for you, Dr. Ahmad’s team will guide you through the necessary preparations, including:

  • Lab tests and exams
  • Dietary and medication restrictions
  • Starting a physical activity program
  • Planning for post-procedure recovery

During the Procedure:

Performed under general anesthesia, ESG is an outpatient procedure completed in about 90 minutes. Dr. Ahmad will use an endoscope to place sutures in your stomach, reducing its size by 70-80%. This minimally invasive method avoids incisions, minimizing risk and promoting a quicker recovery.

After the Procedure:

Most patients go home the same day, though some may require a brief hospital stay. Initially, you'll follow a liquid diet for two weeks, gradually progressing to semi-solid foods, and then to a regular, healthy diet.

Results and Expectations:

Success with ESG depends on your dedication to a healthy lifestyle. On average, patients can expect to lose 12% to 20% of their body weight in the first year. Commitment to nutrition, exercise, and emotional health is crucial to maintaining these results.

Common Concerns and Considerations

  • Return to Work: Most patients resume work within 2-3 days.
  • Sutures: The sutures are permanent. If they break, a follow-up procedure can restore the sleeve.
  • Eligibility: Patients who cannot have an upper endoscopy, are pregnant, use certain blood thinners, or have specific medical conditions may not be candidates.
  • Nutritional Supplements: Typically, no supplements are required post-ESG.
  • Procedure Permanence: The sleeve can stretch over time, but a retightening procedure can restore it if needed.
  • Reversibility: ESG can be reversed, though this carries risks and should be discussed with Dr. Ahmad.

Why Choose Dr. Arif Ahmad?

Dr. Ahmad’s expertise and compassionate care ensure a safe and effective ESG procedure, supported by comprehensive post-procedure care and support. His commitment to patient success and long-term health sets him apart as a leading bariatric surgeon.

Patient Testimonials

Hear from past patients about their transformative journeys with Dr. Ahmad and the Long Island Laparoscopic Surgery team. Their experiences highlight the exceptional care and successful outcomes achieved under Dr. Ahmad’s guidance.

Ready for an incision-free weight-loss solution? Trust Dr. Arif Ahmad and the team at Long Island Laparoscopic Surgery for your ESG journey.