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Endoscopic Sleeve Gastroplasty


Endoscopic sleeve gastroplasty (ESG) is a minimally-invasive weight loss procedure that uses an endoscopic suturing device to reduce the size of the patient’s stomach. The procedure achieves similar results as a surgical sleeve gastrectomy but without the need for surgery.

Patients with a body mass index of 30 or higher may benefit from an endoscopic sleeve gastroplasty. If diet and exercise alone have not brought sufficient results, an ESG could support long-term weight loss.

Like other weight loss programs, patients will need to make a commitment to living a healthier lifestyle to ensure long-term and permanent weight loss.

The procedure can also provide other health benefits, such as lowering blood sugar and reducing the risk of developing other weight-related illnesses.


Benefits of Endoscopic Sleeve Gastroplasty

  • No incisions or scarring
  • No overnight hospital stay
  • May reduce feelings of hunger
  • Natural digestion procession is not altered
  • Less expensive than gastric sleeve surgery

What to Expect During Surgery

The procedure is performed with the patient under general anesthesia.

The physician will insert an endoscope, which is a flexible tube with a camera at the tip, and an endoscopic suturing device down the patient’s throat and into their stomach.

The tiny camera allows the physician to visualize the patient’s stomach and place the sutures without making any abdominal incisions.

Approximately 12 sutures will be placed in the stomach to change the structure of the patient’s stomach, leaving it tube-shaped. This restricts calorie absorption and reduces the amount of food a patient can eat.

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    ESG, also referred to as an accordion procedure, takes approximately 90 minutes. Most patients are able to go home the same day. Some patients, however, might need to stay for one day at the hospital for observation after the procedure.

    Recovery Process

    Patients will need to refrain from eating for eight hours after the procedure.

    After the initial eight hours, the patient will begin a liquid diet that will last one week.

    Approximately two weeks after the procedure, the patient will add semisolid foods to their diet. Once they’ve adjusted to eating semisolid foods, they can begin a normal, healthy diet.

    Weight Loss Results

    Endoscopic sleeve gastroplasty (ESG) reduces the size of the stomach, supporting immediate and long-term weight loss. Patients can expect to lose 15% to 20% of total body weight at 12 to 24 months after the procedure.

    Like other bariatric procedures, ESG is only effective if the patient commits to a healthy lifestyle that includes a nutritious diet and regular exercise.

    Potential Risks of Surgery

    Compared to traditional bariatric surgical procedures, endoscopic sleeve gastroplasty is much safer with fewer complications. The potential risks of surgery include leaks, bleeding, pulmonary embolism, ulcers, nutritional deficiencies, and gastroesophageal reflux disease.


    Health Benefits After Surgery

    • Feeling full after eating smaller meals
    • Relief from joint pain
    • Improved mood and energy level
    • Improvement of obesity-related health conditions, such as type 2 diabetes and heart disease

    Contact Riverside Weight Loss Surgery to learn more about the procedure and to schedule an appointment.