the new approach for weight loss is only offered here, success rate increases in study settings, nutrition advice and tight follow-up is included

endoscopic sleeve gastroplasty / operation (ESG) and Endosleeve are synonymous

various devices offer the opportunity to insert single sutures through 1-2 stomach folds, tighten them with visible anchors on each side and suture ends inside the remaining stomach [shown in the transverse stomach illustration POSE 3.0]

with OverStitch™ material it’s possible to perform a individual smooth and slim endosleeve with narrow stitches and tight stomach folds underneath, also the needle and a small anchor can be inserted into the folds underneath [shown in the transverse stomach illustration SlimSleeve]

is a new distinct suturing variant with better safety, protection and durability than other ESG,  supervised by associated studies

treatment is

• Standardized
• Low-complicated
• Innovative and
• Minimally invasive

gastric balloon from 3.500 EUR and ESG from 10.000 EUR, health insurance eventually reimburse costs after prior specialised treatment and assessment

YES, the procedure takes about one hour (balloon 20 min.) and after recovery you will be discharged from anaesthesia after adequate monitoring, usually after 2(-4) hours (balloon 1 hour)

with the use of special techniques, the procedure is very protecting and typically you will have decreasing symptoms within the first three days, so that you’re back on yout earlier level after short reconvalescence according to your general condition

compared to open surgery, there are no reports of life-threatening complications or risks far, the complication rate is <1% overall

like open surgery, ESG is performed under general anaesthesia by an experienced anaesthesiologist including ‘single shot’ antibiotics

with maximum precautions, the procedure is performed extra gentle using special techniques and application (can be explained and further elaborated by personal contact) which results in a significantly better post-op course

basically, the procedure and reduction is performed according to your request (typically 70-85%), the result is almost likely to open surgery (gastric sleeve), but without scars and with a reservoir left at the top

no self-dissolving sutures are used, these sutures can remain in the body forever without any problems

due to the remaining stomach folds underneath the new endosleeve, digestive waves can be felt at the beginning and usually fade away short afterwards, can occur mild again during the start of nutrition and  contribute to small food portions

as there is no large internal scar (as with open surgery), you can and should gradually drink and eat small portions again and give the stomach some time to grow together in order to the best result possibe

most important are small fluid and nutrition portions in alternation, also on the long run

the diet is oriented towards open surgery, but without supplementation of e.g. vitamins and minerals

NO:  because of the continued function of the top of the stomach (fundus region), you won’t get into deficiencies afterwards and won’t need (lifelong) medical treatment (e.g. infusions).

can be used during the follow-up also in combination with a procedure to reduce appetite and increase weight loss