Endoscopic Sleeve Gastroplasty

A weight loss procedure that uses an endoscopic suturing device to reduce the size of your stomach. The procedure recreates what would occur at a surgical sleeve gastrectomy though without the need for surgery.

To qualify for the ESG procedure, you should:

  • Be 18 or older

  • Have a body mass index (BMI) from 28 to 40

  • Like other weight-loss procedures, Endoscopic Sleeve Gastroplasty requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success

Why weight loss with ESG requires your help?

  • It is important not to stretch the stomach during the first month after the procedure.

  • You must stay on liquid for 4 weeks

  • Recognize & respond to your body’s hunger & fullness signals

  • You would be able to stop eating even though you have had a small meal

  • You would reach fullness in an early stage of the meal

Endoscopic Sleeve Gastroplasty or (ESG) is a non-surgical gastric sleeve procedure that uses an endoscopic suturing device placed into the stomach through the mouth to reduce the size of the stomach.

This procedure is ideal for those with a body mass index from 28 to 40.

The endoscopic sleeve gastroplasty is a helpful procedure for those who want the benefits of weight loss surgery but from a less invasive, non-surgical procedure.

This means that unlike surgery the stomach remains intact but has been stitched from top to bottom, there is no cutting or stapling, no scarring and no wounds.

What to Expect:

Before the procedure, you will need to follow specific preparation instructions, which you will discuss with Dr. Tarek Saleh

Endoscopic Sleeve Gastroplasty (ESG) is performed in the hospital under general anesthesia.

The procedure takes approximately 30 minutes, and the majority of patients go home the same day. Some patients might require a short admission to the hospital for a day or less for observation after the procedure.

The procedure works by reducing stomach capacity and slowing down the speed at which food passes into the bowel.

After ESG:

  • You will not be allowed to eat the day of the procedure.

  • After the initial 24 hours you will be allowed to start a liquid diet, which you will continue for one month.

  • After you will move on to semisolid foods, and then to a normal, healthy diet.