Weight loss injections vs endoscopic sleeve

Weight loss injections have had considerable success in helping individuals lose weight. Ever since emerging on the weight loss scene they have been transformative in their application and usage. It is remarkable to see how much weight loss people can achieve with the weekly injections. Over the long term maintenance doses of the injections have helped individuals keep their weight off. However, we are now appreciating the long term side effects such as an increase in gallstone presentations and pathology. As well as the lower numbers of injection-induced pancreatitis. In the longer term compliance and cost can be significant issues. The expense of remaining on these medications after a couple of years similar to having had a sleeve gastrectomy.

Benefits of endoscopic sleeve

An endoscopic sleeve (ESG) is a minimally invasive, scarless intervention that can be performed as a day case. It involves an endoscopy (camera) equipped with a specialist suturing device that can stitch the inside of the stomach. Transforming it from a melon shape to a tubular shape. This has several advantages. Namely to reduce the volume of the stomach and also to reduce the ability of the stomach to push food down into the intestine (motility). The effect of this mechanism is that the individual remains fuller for longer and gets early satiety. This is the main mechanism of action of an endoscopic sleeve and the reason for a successful 30-40% excess weight loss (EWL).

Conclusion

It is my opinion that this procedure, in combination with weight loss injections/drugs, is the future of weight loss interventions. The two work really well together and are minimally invasive procedures. Individuals looking to lock in their weight loss after having success with injections need to consider an endoscopic sleeve procedure. It is the best intervention to prevent weight regain after stopping weight loss injections. Research shows individuals put on all the weight they lost with injections and more.