Service Description

Endoscopic Gastric Sleeve (ESG) The Endoscopic Gastric Sleeve, also known as Endoscopic Sleeve Gastroplasty (ESG), is a non-surgical, incisionless weight loss procedure that reduces the size of the stomach using a flexible endoscope equipped with a suturing device. It offers a safe and effective alternative for patients who are not candidates for, or prefer to avoid, traditional bariatric surgery. How Does ESG Work? - ESG is performed through the mouth (transorally) using an endoscope. - A series of internal sutures are placed to fold the stomach into a narrow, tube-like shape, reducing its volume by up to 70–80%. - No external cuts or stapling are involved, which reduces recovery time and surgical risks. - The reduced stomach capacity leads to earlier satiety (feeling full sooner), helping patients significantly lower caloric intake. Key Features of ESG - Minimally invasive: No incisions, no scars - Outpatient or same-day discharge: Most patients go home within 24 hours - Reversible and repeatable: No cutting or permanent alteration of anatomy - Short recovery time: Return to normal activity in 2–5 days - Preserves normal digestion: No intestinal rerouting or malabsorption - Can be converted to surgery later: Safe starting point in stepwise treatment plans Results and Effectiveness Clinical studies show that ESG can result in: - 15–20% total body weight loss (TBWL) at 12 months - Improvements in: · Type 2 diabetes · Hypertension · Fatty liver disease · Sleep apnea · Enhanced quality of life and mobility ESG is especially effective when combined with nutritional counseling, lifestyle coaching, and ongoing follow-up. ✅ Ideal Candidates - BMI 30–40 kg/m² - Patients who prefer a less invasive option - Individuals not ready or not eligible for surgery - Those seeking quicker recovery and lower risk Note: ESG is not ideal for patients with severe reflux (GERD), large hiatal hernia, or prior gastric surgery. ⚠️ Risks and Considerations - Nausea or vomiting: Common in first 1–3 days - Rare complications: Bleeding, infection, or suture line issues (<1–2%) - Requires commitment: Best results with lifestyle change - Limited long-term data: 5-year outcomes are promising but still being studied 🧠 Summary The Endoscopic Gastric Sleeve (ESG) is a cutting-edge, non-surgical weight loss procedure that bridges the gap between medication and bariatric surgery. With minimal risk, no inc