{"id":2488,"date":"2024-11-11T13:14:11","date_gmt":"2024-11-11T18:14:11","guid":{"rendered":"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/?page_id=2488"},"modified":"2025-04-15T09:23:30","modified_gmt":"2025-04-15T13:23:30","slug":"multidiscliplinary-weight-management-program","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/multidiscliplinary-weight-management-program\/","title":{"rendered":"Multidiscliplinary Weight Management Program"},"content":{"rendered":"<h2><span style=\"color: #4b9cd3\">Endoscopic Sleeve Gastroplasty (ESG):<\/span><\/h2>\n<p>ESG is a non-surgical weight loss procedure that is performed using a small suturing device and camera that is passed down the patient\u2019s esophagus into the stomach. ESG reduces the size of the stomach by up to 80% helping patients eat less, feel full faster and stay full longer. This results in fast, safe and durable weight loss.<\/p>\n<ul>\n<li>ESG is organ-sparing and reversible if needed.<\/li>\n<li>ESG is performed without incisions or scars.<\/li>\n<li>ESG is safe and less invasive than other interventions.<\/li>\n<li>ESG is done as outpatient where most patients go home the same day and return to work in 2-3 days.<\/li>\n<li>ESG is effective in helping patients lose almost 50% of their excess body weight within one year.<\/li>\n<li>ESG is effective in improving medical conditions like type 2 diabetes and high blood pressure for the majority of patients.<\/li>\n<\/ul>\n<h3><span style=\"color: #4b9cd3\">Learn More<\/span><\/h3>\n<p><a href=\"https:\/\/bostonscientific.showpad.com\/share\/xdiIvlcWXySWLxLdxa9cs\">Watch this Video <\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2496\" src=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-1-300x169.jpg\" alt=\"\" width=\"517\" height=\"291\" srcset=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-1-300x169.jpg 300w, https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-1.jpg 360w\" sizes=\"auto, (max-width: 517px) 100vw, 517px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2497\" src=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-2-300x300.jpg 300w, https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-2-150x150.jpg 150w, https:\/\/www.med.unc.edu\/surgery\/hillsborough\/wp-content\/uploads\/sites\/627\/2024\/11\/ebs-pic-2.jpg 360w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<h3><span style=\"color: #4b9cd3\">Frequently Asked Questions<\/span><\/h3>\n<p><strong>Is ESG an FDA approved procedure?<\/strong><br \/>\nYes! The suturing device used to perform ESG is FDA approved to facilitate weight loss in adults with Body Mass Index (BMI) between 30-50 kg\/m2.<\/p>\n<p><strong>How does ESG work?<\/strong><br \/>\nThe procedure reduces stomach capacity and slows gastric emptying. This translates into eating less, feeling full faster and staying full longer.<\/p>\n<p><strong>Is ESG a reversible procedure?<\/strong><br \/>\nESG is an organ-sparing procedure meaning that it keeps the stomach intact without removing any part of it. The procedure can be reversed endoscopically if needed.<\/p>\n<p><strong>How is ESG different from traditional bariatric surgery?<\/strong><br \/>\nESG is less invasive than bariatric surgery since it is performed endoscopically, meaning there are no incisions or scars. Most patients can go home the same day and return to work in 2-3 days.<\/p>\n<p><strong>How much weight do patients lose?<\/strong><br \/>\nIn recent studies, patients undergoing ESG lost over 50% of their excess body weight and over 20% of their total body weight at one year.<\/p>\n<p><strong>What are some potential positive health impacts of ESG?<\/strong><br \/>\nIn a US randomized trial, 70% of patients with Type 2 Diabetes showed improvement in their diabetes and 64.3% of patients with hypertension showed improvement in their blood pressure. Other positive health impacts include improvement of cholesterol levels and improvement in sleep apnea.<\/p>\n<p><strong>How many ESG procedures have been done?<\/strong><br \/>\nOver 250 publications and abstracts have reported outcomes in &gt;10,000 patients receiving ESG in the US and worldwide.<\/p>\n<p><strong>Who is a candidate for ESG?<\/strong><br \/>\nESG is indicated for adults with Body Mass Index (BMI) between 30-50 kg\/m2 who have not been able to lose weight or maintain weight loss through more conservative measures.<\/p>\n<p><strong>Are there any side effects to ESG?<\/strong><br \/>\nAll procedures have risk. Patients should talk with their doctor and understand all risks before having any procedure. That being said, major complications after ESG are extremely rare (&lt; 1%).<\/p>\n<p><strong>Is ESG covered by insurance?<br \/>\n<\/strong>ESG is a relatively new procedure, so insurance coverage may vary. Insurance coverage for ESG is expected to become more widely available soon. We also offer ESG for self-paying patients with a reasonable and flexible payment plan.<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #4b9cd3\">For More Information\u00a0<\/span><\/h3>\n<ul data-editing-info=\"{&quot;applyListStyleFromLevel&quot;:false,&quot;unorderedStyleType&quot;:2}\">\n<li><a href=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/directory\/raghid-bitar-md\/\">Learn more<\/a> about Dr. Raghid Bitar<\/li>\n<li>\n<div class=\"x_elementToProof\"><a href=\"https:\/\/youtu.be\/6BFfiKPJJyI\">Watch<\/a> Dr. Raghid Bitar talk about ESG<\/div>\n<\/li>\n<li>\n<div class=\"x_elementToProof\">Contact information and next steps:<\/div>\n<p>FOR REFERRING PROVIDERS:<br \/>\n&#8211; Use EPIC to place a referral to Dr. Raghid Bitar (黑料网 general surgery \/ Siler City) and note that this is a referral for ESG.<\/li>\n<li>For Patients, please call\u00a0<a href=\"tel:919-799-4050\">919-799-4050<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endoscopic Sleeve Gastroplasty (ESG): ESG is a non-surgical weight loss procedure that is performed using a small suturing device and camera that is passed down the patient\u2019s esophagus into the stomach. ESG reduces the size of the stomach by up to 80% helping patients eat less, feel full faster and stay full longer. This results &hellip; <a href=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/multidiscliplinary-weight-management-program\/\" aria-label=\"Read more about Multidiscliplinary Weight Management Program\">Read more<\/a><\/p>\n","protected":false},"author":112629,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2488","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Multidiscliplinary Weight Management Program - 黑料网 Surgery at Hillsborough, Siler City and Pittsboro<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/surgery\/hillsborough\/multidiscliplinary-weight-management-program\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multidiscliplinary Weight Management Program - 黑料网 Surgery at Hillsborough, Siler City and Pittsboro\" \/>\n<meta property=\"og:description\" content=\"Endoscopic Sleeve Gastroplasty (ESG): ESG is a non-surgical weight loss procedure that is performed using a small suturing device and camera that is passed down the patient\u2019s esophagus into the stomach. ESG reduces the size of the stomach by up to 80% helping patients eat less, feel full faster and stay full longer. 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