Endoscopic sleeve gastroplasty in 2020/2021 | Most asked questions

แชร์
ฝัง
  • เผยแพร่เมื่อ 16 พ.ย. 2024

ความคิดเห็น • 59

  • @AustinChiangMD
    @AustinChiangMD  4 ปีที่แล้ว +9

    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!

  • @spookygreg
    @spookygreg 4 ปีที่แล้ว +19

    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?

  • @farahfaruqi806
    @farahfaruqi806 4 ปีที่แล้ว +4

    Thank you for posting a detail information related to this! I was wondering about this procedure and you already answered many of my questions!

  • @runlolarunpunk
    @runlolarunpunk 4 ปีที่แล้ว +7

    Are there still side effects like dumping syndrome?

  • @HAI.1
    @HAI.1 3 ปีที่แล้ว +4

    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

  • @juliecaron6091
    @juliecaron6091 3 ปีที่แล้ว +2

    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?

  • @e.williams13
    @e.williams13 2 ปีที่แล้ว +3

    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
      @writejules 8 หลายเดือนก่อน +1

      This was exactly my question, are there pockets where food or fluid can get stuck and what happens then 🤷‍♀️

  • @nes8787
    @nes8787 4 ปีที่แล้ว +1

    LOVE THIS VID!! Such a concise and informative way of explaining this! 👏💓

  • @sintiaperalta1746
    @sintiaperalta1746 3 ปีที่แล้ว +1

    Great Video Doc! Cant wait to have my surgery with you!

    • @writejules
      @writejules 8 หลายเดือนก่อน

      Hi did you have this surgery? Curious of feedback from those who did it.

  • @dremtdream3841
    @dremtdream3841 4 ปีที่แล้ว

    Thank you! Could you do a video on what you think about other wls like vsg, rny and bypass

  • @manetthector506
    @manetthector506 ปีที่แล้ว

    Can this be done if you had gastric sleeve done in 2016 and gained all my weight back plus 5

  • @neilrosenberg4437
    @neilrosenberg4437 3 ปีที่แล้ว +1

    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 ?

  • @adriaevans8657
    @adriaevans8657 4 ปีที่แล้ว +1

    Which one gives the most weight loss?

  • @aaronbate282
    @aaronbate282 3 ปีที่แล้ว

    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.

  • @shanleyabhi
    @shanleyabhi 4 ปีที่แล้ว +1

    Great video sir!

  • @purplekat10000
    @purplekat10000 2 ปีที่แล้ว

    What would make insurance cover this procedure?

  • @sarahlamberston3109
    @sarahlamberston3109 4 ปีที่แล้ว +2

    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
      @AustinChiangMD  4 ปีที่แล้ว

      Unfortunately there's no CPT code for this :(

  • @terrialves7881
    @terrialves7881 4 ปีที่แล้ว +1

    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
      @AustinChiangMD  4 ปีที่แล้ว +3

      Great question, maybe I'll make a video on those medications!

  • @Mrlistenandlearn
    @Mrlistenandlearn 2 ปีที่แล้ว

    How effective is it for weight loss what if the stitches break?

  • @minervasoto-weisman5673
    @minervasoto-weisman5673 3 ปีที่แล้ว

    What are the stitches made of? Has this procedure proven to be successful for the long run or is it temporary???

  • @callmebutterfly1274
    @callmebutterfly1274 4 ปีที่แล้ว

    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?

  • @melindanoel8027
    @melindanoel8027 3 ปีที่แล้ว

    HI.. Great video. Do you have colleagues in Canada who offer this procedure?

  • @RS-ir1pe
    @RS-ir1pe 3 ปีที่แล้ว

    I weigh 145 kg how much weightloss can I expect after this esg.also also I don't have cholesterol diabetes hyper tension etc

  • @stephanyguerrero3220
    @stephanyguerrero3220 4 ปีที่แล้ว +1

    Thank you so much!!!! What happens to the sutures after years? Do they get absorbed?

  • @basilal-lawati2421
    @basilal-lawati2421 3 ปีที่แล้ว

    Hey Doc.. is this procedure reversible?

  • @juliecaron6091
    @juliecaron6091 3 ปีที่แล้ว

    Does ESG cause dumping syndrome?

  • @quettagirlsboutique7761
    @quettagirlsboutique7761 3 ปีที่แล้ว +1

    How do u book with you

  • @txpatriot7044
    @txpatriot7044 4 ปีที่แล้ว +1

    Food, Alcohol or medication restrictions?

  • @adriaevans8657
    @adriaevans8657 4 ปีที่แล้ว +1

    Which procedure is cheaper LSG or ESG

  • @alexandrakreiman2115
    @alexandrakreiman2115 2 ปีที่แล้ว

    Can you take nsaids after this procedure?

  • @Dheerudr
    @Dheerudr 3 ปีที่แล้ว

    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

  • @njjen3953
    @njjen3953 4 ปีที่แล้ว +1

    Can you do gastric bypass endoscopically?

    • @AustinChiangMD
      @AustinChiangMD  4 ปีที่แล้ว

      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
      @njjen3953 4 ปีที่แล้ว

      @@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
      @AustinChiangMD  4 ปีที่แล้ว +1

      Jen Werner ah I see....best of luck with that procedure!

    • @njjen3953
      @njjen3953 4 ปีที่แล้ว +1

      @@AustinChiangMD Thank you very much.

    • @chantaldelila8367
      @chantaldelila8367 2 ปีที่แล้ว

      Dear doctor how many layers of stitches you do for endoscopy sleeve?

  • @josueidani7539
    @josueidani7539 4 ปีที่แล้ว +1

    Nice vid!!

    • @AustinChiangMD
      @AustinChiangMD  4 ปีที่แล้ว +1

      Thank you!

    • @samson9609
      @samson9609 4 ปีที่แล้ว

      @@AustinChiangMD Does the stomach still produce gremlin after ESG?

  • @patriciafeagins2171
    @patriciafeagins2171 4 ปีที่แล้ว

    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
      @AustinChiangMD  4 ปีที่แล้ว +1

      No, but there's another endoscopic procedure to help with weight regain after gastric bypass surgery!

    • @patriciafeagins2171
      @patriciafeagins2171 4 ปีที่แล้ว

      Austin Chiang MD MPH how can I find out information about this?

    • @peachmelba9333
      @peachmelba9333 3 ปีที่แล้ว

      @@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!

  • @starchildaqua8590
    @starchildaqua8590 2 ปีที่แล้ว

    What’s the cost

  • @libra0arbil
    @libra0arbil ปีที่แล้ว +1

    What happens to the skin pinched in the sutures?

  • @so4real
    @so4real ปีที่แล้ว

    I like him

  • @purplekat10000
    @purplekat10000 2 ปีที่แล้ว

    I haven’t finished the video but I hope you will answer the question of $PRICE 🤞🏻🤞🏻

    • @purplekat10000
      @purplekat10000 2 ปีที่แล้ว

      Still not finished but I’m now wondering what kinds of complications are common with this procedure

    • @writejules
      @writejules 8 หลายเดือนก่อน

      @@purplekat10000he covered cost and potential complications in the video