Endoscopic Sleeve Gastroplasty (ESG)

The endoscopic sleeve gastroplasty (ESG) is a novel procedure performed without surgical incisions and using an endoscope inserted through the mouth. A suturing device is used to stitch the stomach from the inside to effectively make its volume substantially smaller.


The weight loss following the ESG is around 10-15% of the total weight and is most suitable for patients with BMI of 27-35 kg/m2. It may not be suitable for patients with higher degrees of obesity. Such weight loss is often accompanied by major improvement in obesity related medical problems.

Risks and Side Effects

ESG is a very safe procedure and immediate risks are uncommon. These include bleeding, tear in the stomach wall, internal infections and breakade of the stitches. The risk of mortality related to the operation is extremely low. Long-term weight regain might occur if some of the sutures disrupt but this procedure can be repeated and the stomach can be re-sutured internally.

Life after the ESG

The average ESG procedure takes about 60 minutes and the average stay in the hospital is around 1 days. Nausea and vomiting may occur the first few days but will quickly subside. The phases of diet include clear fluids with advancement to thick fluids the soft food over 2-3 weeks. Thereafter food intake becomes normal. Most patients return to work within few days of the operation and resume exercise 2-3 weeks later.

Long-term commitment to healthy eating habits and regular activity are important to guarantee the success of the operation.

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