Endoscopic Sleeve Gastroplasty

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At Transform Bariatrics and Aesthetics, Endoscopic Sleeve Gastroplasty (ESG) offers a minimally invasive solution for weight loss. ESG reduces stomach size using an endoscopic suturing device, helping patients feel full faster and eat less. Unlike traditional bariatric surgery, it does not involve incisions, making recovery quicker and less invasive while still delivering significant weight loss results.
What Is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty is a non-surgical weight loss procedure performed through the mouth using an endoscope. The stomach is sutured to create a smaller sleeve-shaped pouch, which reduces stomach capacity and slows digestion. This helps patients consume smaller meals, control appetite, and achieve sustained weight loss while avoiding the risks and recovery time associated with traditional surgery.
How Endoscopic Sleeve Gastroplasty Works
- Uses an endoscope to place sutures inside the stomach without external incisions.
- Creates a smaller, sleeve-shaped stomach pouch to limit food intake.
- Slows stomach emptying to prolong satiety and reduce hunger.
- Supports lasting weight loss when paired with diet and lifestyle changes.
Who Can Benefit from Endoscopic Sleeve Gastroplasty
Endoscopic Sleeve Gastroplasty is ideal for patients struggling with obesity who seek a less invasive alternative to surgical procedures. It is effective for managing weight and improving obesity-related conditions.
- Obesity (BMI ≥ 30 or higher)
- Type 2 diabetes or prediabetes
- High blood pressure or hypertension
- Sleep apnea and metabolic syndrome

How long does the Endoscopic Sleeve Gastroplasty procedure take?
The procedure typically takes 60–90 minutes and is performed under sedation.
How soon can I return to normal activities?
Most patients return to work and daily activities within 2–3 days.
Will I need follow-up care?
Yes, patients follow a structured diet plan and receive regular monitoring to maximize results.
How much weight can I expect to lose?
Patients usually lose 15–20% of total body weight within the first 6–12 months.

