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Flights are often fine after 2-3 days if fluids are tolerated."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check and diet stage progression, often with dietitian."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Weight, nutrition and dietary review at about 1-3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term weight and nutritional follow-up at 6-12 months."}}],"indications":["Obesity, BMI about 30-40 kg/m², inadequate response to lifestyle measures","Obesity-related comorbidities"],"main_risks":["Abdominal pain, nausea and vomiting","Sore throat","Gastrointestinal bleeding","Perforation or leak (rare)","Perigastric fluid collection or infection","Pneumoperitoneum or pneumothorax (rare)","Suture loosening with weight regain","Reflux symptoms","Anesthesia-related risks","Reintervention, conversion, or inadequate weight loss"],"pain":"Mild to moderate abdominal cramping and nausea for the first several days, managed with medication.","preparation":["Medical, nutritional and psychological evaluation","Pre-procedure blood tests and anesthesia assessment","Upper endoscopy or imaging as indicated","Fasting before the procedure as instructed","Pre-procedure dietary counselling","Review of current medicines with the treating team","Medication adjustments, including anticoagulants and diabetes medicines"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Observation or early discharge; nausea, cramping and sore throat are common.","restrictions":["Clear liquids only","Anti-nausea and pain medication as prescribed"]},{"phase":"Week 1-2","description":"Liquid diet with gradual progression as symptoms settle.","restrictions":["No solid food","Avoid heavy exertion"]},{"phase":"Weeks 2-6","description":"Progression from pureed to soft foods and then regular small meals.","restrictions":["Small portions","Avoid overeating and carbonated drinks"]},{"phase":"Months 2-12","description":"Ongoing dietary and lifestyle program with progressive weight loss.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery from nausea and cramping; dietary progression continues longer."},"result_longevity":"Durability depends on suture integrity, diet and lifestyle; some weight regain is possible and results require long-term lifestyle maintenance.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat endoscopic suturing or conversion to surgery for weight regain or suture loosening within about 2-5 years."},"scars":"No external incisions or scars; performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endoscopic procedure."},"stages":[{"code":"endoscopic_suturing","label":"Endoscopic suturing to reduce stomach volume","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically a single session; follow-up visits are not counted as treatment sessions."},"success":{"metric":"Total body weight loss (%TBWL)","value":16.5,"unit":"percent","horizon":"12 months","population":"Adults with obesity after primary ESG (mean BMI 36-38)","evidence_status":"limited"},"techniques":[{"name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","suits_whom":"Adults with obesity wanting a non-surgical, incisionless option.","recovery":"Usually 1-7 days to resume normal activity, with staged diet."},{"name":"Modified primary obesity surgery endoluminal (POSE 2.0) / other plication variants","suits_whom":"Selected adults with obesity at specialist centers.","recovery":"Similar short recovery with staged diet."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Procedure time for a single ESG; excludes preparation and recovery."},"initial_assessment_documents":["Previous gastroscopy report","Recent blood tests including HbA1c","Summary of diabetes and sleep apnea","Previous abdominal or stomach surgery report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endoscopic session; stay about 4-7 days including discharge and early recovery. Follow-up can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the operator has formal training in metabolic and bariatric endoscopy and ESG-specific techniques","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Performed by physicians with formal training in metabolic and bariatric endoscopy and ESG-specific techniques.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the team tracks outcomes, including weight loss, complications and revisions","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Prospectively tracking outcomes, including weight loss, comorbidities, complications, and revisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you 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