ESG Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure performed through the mouth with an endoscope and internal suturing.

ESGEndoscopic sleeve gastroplastyNon-surgical weight lossWeight reduction
No abdominal incision

Performed endoscopically through the mouth

Reduced capacity

Helps selected patients feel full sooner

Long-term care

Nutrition, behavior, and weight follow-up

ESG is not stomach cutting. It uses endoscopic suturing from inside the stomach to reduce capacity and support portion control. Strong outcomes require follow-up for nutrition, habits, and metabolic health.

Who it may suit

ESG may suit selected patients with overweight or obesity who want an option before major surgery. The doctor reviews BMI, related conditions, prior weight-loss attempts, and readiness for follow-up.

How it works

A flexible endoscope is passed through the mouth. Internal sutures narrow the stomach, helping patients feel full sooner without removing stomach tissue.

After the procedure

Diet advances step by step. Hydration, protein intake, medication review, and regular monitoring are part of the long-term plan.

  1. Health, weight, and metabolic assessment
  2. Choose ESG, medication, or surgery when appropriate
  3. Procedure plus post-ESG diet planning
  4. Ongoing weight, nutrition, and behavior follow-up
  • Patients wanting a non-surgical weight-loss option
  • Weight regain or difficulty sustaining weight loss
  • Readiness for long-term nutrition and behavior care

ESG Endoscopic Sleeve Gastroplasty

How is ESG different from sleeve surgery?
ESG sutures the stomach from inside without removing tissue. Sleeve gastrectomy surgically removes part of the stomach and has a different risk and benefit profile.
Can ESG work without lifestyle changes?
ESG should not be viewed as a standalone shortcut. Results depend on diet, habits, follow-up, and metabolic health.
Is hospital stay required?
This depends on the treatment plan and patient health. Preparation and aftercare are discussed before any decision.