Endoscopic sleeve gastroplasty (ESG)

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Endoscopic sleeve gastroplasty is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery.

Surgical Technique

 Endoscopic sleeve gastroplasty (ESG) is done in the endoscopy unit as an outpatient procedure. General anesthesia is used for the procedure, so you'll be unconscious.

The procedure is done using an endoscope, a flexible tube with a camera and an endoscopic suturing device attached. The endoscope is inserted down your throat into the stomach. The tiny camera allows the doctor operating the endoscope (endoscopist) to see and operate inside your stomach without making incisions in your abdomen.

Using the endoscope, the doctor places approximately 12 sutures in the stomach. The sutures change the structure of your stomach, leaving it shaped like a tube. This restricts the amount of calories your body absorbs.

The procedure takes about 90 minutes. After the endoscopic sleeve gastroplasty, you'll awaken in a recovery room, where medical staff monitors you for any complications.

Before/After Procedure

After the procedure, you generally won't be allowed to eat for about eight hours. Then, you'll be allowed to start a liquid diet, which you need to continue for at least two weeks. Over four weeks, you'll move on to semi-solid foods, and then to a regular healthy diet.

You'll also have medical checkups and meet with a nutritionist and psychologist frequently after your procedure.


Is it a permanent procedure?-- Yes, it is considered a permanent procedure.  Typically when weight loss procedures are reversed the majority of patients gain a large amount of the weight they lost back.

Is it covered by insurance?-- Unfortunately, no most health insurance providers to do not cover this procedure yet.

Who is eligible for the procedure?-- Typically patients with a BMI of 30-40 who have been unable to lose weight with non-invasive methods

Procedure Cost

The cost for the procedure is based on a variety of factors, and can only be determined after an in-office consultation. We work with several companies that offer patients financing options.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.