Gastric Endosleeve - endoscopic plication
Are you looking for an effective solution to lose weight without invasive surgery? Gastric endosleeve in Tunisia is a mini-invasive technique that reduces the size of the stomach through endoscopic plication, without incisions or scars. With attractive prices starting from €3000, benefit from lasting weight loss and fast recovery.
What is gastric endosleeve?
The endosleeve technique (or endoscopic sleeve gastrectomy) consists of folding the inner wall of the stomach using an endoscopic approach. This mini-invasive method reduces the size of the stomach and promotes weight loss in obese patients. Endosleeve is also known as endoscopic gastric plication.
- No incision or scarring procedure
- Performed under general anesthesia
- Duration: 1 to 2 hours
- Hospitalization: outpatient or 24h
What are the criteria to be a good candidate?
Gastric endosleeve is indicated for patients with a BMI above 30, corresponding to moderate to severe obesity. Candidates must be over 18 years old. Previous diet failures are required. The absence of medical contraindications is necessary. Patients must be in good general health and non-smokers. Finally, realistic expectations regarding results are essential.
How is the procedure performed?
The procedure begins with general anesthesia to put the patient to sleep. An endoscope is introduced through the mouth to the stomach. Plication involves placing sutures to fold and reduce the size of the stomach. The gastric volume is reduced, transforming the stomach into a narrow tube. The surgery lasts 1 to 2 hours. Discharge from the clinic is planned the same day or the next day.
How does recovery proceed?
Recovery after endosleeve is rapid, with a return to activities the next day. Mild pain is controlled with painkillers. A liquid diet is recommended for the first few days. Soft foods are gradually introduced over 1 to 2 weeks. Normal eating resumes after 4 to 6 weeks. It is advisable to avoid fatty and sugary foods.
What are the advantages of endosleeve?
Gastric endosleeve is a mini-invasive technique without incisions or scars. Recovery is rapid, with return to work in 48 hours. Risks are reduced, with fewer complications than traditional surgery. The procedure is reversible, as sutures can be removed if necessary. It induces early satiety and reduces food intake. Weight loss is 15 to 20% of total weight.
What are the associated risks?
Several side effects may occur after endosleeve. Nausea and vomiting are common but transient. Mild abdominal pain is also possible. Minor bleeding is rare. Stomach perforation is exceptional, occurring in less than 0.5% of cases. Infection is very rare. Risks are low in experienced hands.
What are your BMI and IMG indexes ?
What examinations should be done before endosleeve?
The preoperative workup includes a complete blood test with CBC, electrolyte panel, creatinine, urea, protein, electrophoresis and lipid panel. A hormonal workup is performed with TSH, cortisol, FSH and LH. An esophagogastroduodenal endoscopy is performed. An electrocardiogram and cardiac ultrasound are prescribed. An abdominal ultrasound is also performed. Finally, a pre-anesthetic consultation is mandatory.
What is the price of a gastric endosleeve in Tunisia?
Gastric endosleeve in Tunisia is offered at very competitive prices. Our all-inclusive packages start from €3000. They include consultation with the digestive surgeon and preoperative examinations such as endoscopy, blood tests and ECG. The endoscopic gastric plication procedure is performed under general anesthesia. Hospitalization in a private room is planned for 24 hours. Post-operative care, medications, nutritional follow-up and control consultations are part of the package. The indicative price ranges from €3,000 to €6,000 depending on the complexity of the case. Do not hesitate to request your personalized quote.
Frequently asked questions about gastric endosleeve
1Is gastric endosleeve reversible?
Yes, endosleeve is a reversible procedure. The sutures placed during plication can be removed endoscopically if necessary. This reversibility is an advantage over definitive bariatric surgeries like traditional gastric sleeve.
2How much weight can you lose with an endosleeve?
Average weight loss is 15 to 20% of total initial weight over 6 to 12 months. Results are optimized by dietary follow-up and regular physical activity. Weight loss is progressive and sustainable.
3Is endosleeve less effective than surgical gastric sleeve?
Endosleeve allows slightly less weight loss than surgical sleeve (15-20% vs 25-30%). However, it offers faster recovery, less pain and no scarring. It is ideal for patients with a BMI between 30 and 35.
4What is the complication rate of endosleeve?
The complication rate is low (< 2%). The most common complications are nausea, vomiting and transient abdominal pain. Serious complications (perforation, bleeding) are exceptional (< 0.5%).
5Can endosleeve be performed on patients with BMI > 35?
Endosleeve is primarily indicated for patients with a BMI between 30 and 35. For BMI > 35, surgical gastric sleeve is often recommended, as weight loss is greater. A personalized evaluation is necessary.
6Are endosleeve results permanent?
Results are lasting if the patient adopts a healthy lifestyle (balanced diet, physical activity). Weight regain is possible if returning to poor eating habits. Nutritional follow-up is recommended for 12 to 24 months.
7Does endosleeve require hospitalization?
Endosleeve is performed on an outpatient basis or with a short 24-hour hospitalization. The patient can generally go home the day after the procedure and resume light activities after 48 hours.
Why choose Tunisia for a gastric endosleeve?
Our digestive surgeons are experienced, trained in Europe and specialized in interventional endoscopy. We use modern equipment with high-definition endoscopes and latest-generation suturing devices. Our prices are competitive, up to 50% cheaper than in Europe. Care is rapid, with appointments within 48 hours and surgery within 2 weeks. Personalized support is provided, including quality medical and nutritional follow-up.
In conclusion
Gastric endosleeve is a mini-invasive, effective and reversible solution for lasting weight loss. In Tunisia, Tunisie Esthetic offers you quality care, performed by experienced digestive surgeons, with modern equipment and competitive prices. Do not hesitate to contact us for a personalized quote.