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	Comments on: Introducing Endoscopic Sleeve Gastroplasty	</title>
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		By: Upper GI Surgery		</title>
		<link>https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-33</link>

		<dc:creator><![CDATA[Upper GI Surgery]]></dc:creator>
		<pubDate>Wed, 13 Feb 2019 00:41:34 +0000</pubDate>
		<guid isPermaLink="false">https://uppergisurgery.com.au/?p=5276#comment-33</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-32&quot;&gt;Mary chakti&lt;/a&gt;.

Hi Mary

Thanks for reaching out. If you can please send us your details tp info@uppergisurgery.com.au then we can see what we can do to help.

Thanks]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-32">Mary chakti</a>.</p>
<p>Hi Mary</p>
<p>Thanks for reaching out. If you can please send us your details tp <a href="mailto:info@uppergisurgery.com.au">info@uppergisurgery.com.au</a> then we can see what we can do to help.</p>
<p>Thanks</p>
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		<title>
		By: Mary chakti		</title>
		<link>https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-32</link>

		<dc:creator><![CDATA[Mary chakti]]></dc:creator>
		<pubDate>Tue, 29 Jan 2019 07:32:37 +0000</pubDate>
		<guid isPermaLink="false">https://uppergisurgery.com.au/?p=5276#comment-32</guid>

					<description><![CDATA[inquiring about ESG procedure costs for uninsured patients]]></description>
			<content:encoded><![CDATA[<p>inquiring about ESG procedure costs for uninsured patients</p>
]]></content:encoded>
		
			</item>
		<item>
		<title>
		By: Upper GI Surgery		</title>
		<link>https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-31</link>

		<dc:creator><![CDATA[Upper GI Surgery]]></dc:creator>
		<pubDate>Wed, 16 May 2018 02:50:15 +0000</pubDate>
		<guid isPermaLink="false">https://uppergisurgery.com.au/?p=5276#comment-31</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-30&quot;&gt;Brenda Wilkes&lt;/a&gt;.

For any person with weight regain after a bariatric procedure the reasons for weight regain need to be established. If someone is eating large meals then adding a degree of ‘restriction’ to their original surgery may help, but often its snacking rather than big meal eating that leads to weight regain in which case restriction won’t really work.

The ESG can be used to add restriction to a sleeve, however the restriction won’t be permanent as the sutures will fall out eventually. What most people need isn’t just an operation but a discussion about what barriers exist to achieving and maintaining weight loss and then a tailored and individualised approach.

Many people are able to lose weight with combination of “getting on track” and some of the new weight loss meds, others will need/want surgery and then the options vary between creating a lower volume sleeve, a gastric or mini-bypass or a loop duodenal switch.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-30">Brenda Wilkes</a>.</p>
<p>For any person with weight regain after a bariatric procedure the reasons for weight regain need to be established. If someone is eating large meals then adding a degree of ‘restriction’ to their original surgery may help, but often its snacking rather than big meal eating that leads to weight regain in which case restriction won’t really work.</p>
<p>The ESG can be used to add restriction to a sleeve, however the restriction won’t be permanent as the sutures will fall out eventually. What most people need isn’t just an operation but a discussion about what barriers exist to achieving and maintaining weight loss and then a tailored and individualised approach.</p>
<p>Many people are able to lose weight with combination of “getting on track” and some of the new weight loss meds, others will need/want surgery and then the options vary between creating a lower volume sleeve, a gastric or mini-bypass or a loop duodenal switch.</p>
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		<item>
		<title>
		By: Brenda Wilkes		</title>
		<link>https://bariatric.uppergisurgery.com.au/introducing-endoscopic-sleeve-gastroplasty/#comment-30</link>

		<dc:creator><![CDATA[Brenda Wilkes]]></dc:creator>
		<pubDate>Wed, 25 Apr 2018 05:16:16 +0000</pubDate>
		<guid isPermaLink="false">https://uppergisurgery.com.au/?p=5276#comment-30</guid>

					<description><![CDATA[If you’ve already had the sleeve gastrectomy I this new procedure an option?]]></description>
			<content:encoded><![CDATA[<p>If you’ve already had the sleeve gastrectomy I this new procedure an option?</p>
]]></content:encoded>
		
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