Endoscopic Sleeve Gastroplasty (ESG)

ESG (Endoscopic Sleeve Gastroplasty) is a non-surgical, endoscopic weight loss procedure that "tightens" or reshapes the stomach into a smaller, tube-like shape—similar in outcome to a surgical sleeve gastrectomy, but without removing any part of the stomach.

What “Stomach Tightening” Means in ESG:

  • During ESG, the endoscopist places a series of sutures inside the stomach using a scope inserted through the mouth.
  • These sutures fold and tighten the stomach, reducing its volume by up to 70–80%.
  • This smaller stomach:
    • Holds less food
    • Slows gastric emptying
    • Helps you feel full sooner and for longer

No incisions, stapling, or stomach removal is involved.

ESG Overview:

  • Performed under general anesthesia or deep sedation
  • Takes about 60–90 minutes
  • Outpatient
  • Recovery: most people resume normal activities in a few days

Benefits:

  • Minimally invasive
  • Lower risk than surgery
  • Shorter recovery time
  • Can result in 15–20% total body weight loss in a year
  • Reversible (in some cases)

Ideal Candidates:

  • BMI of 30 to 40, or higher if not eligible for surgery
  • Willing to commit to lifestyle and diet changes
  • Patients who have had a prior sleeve gastrectomy