TreatmentsGeneral

What is Endoscopic Sleeve Gastroplasty (ESG)?

If you are looking for a non-surgical weight loss procedure, Endoscopic Sleeve Gastroplasty for weight loss might be the right option for you. It is a minimally invasive procedure that helps people lose weight by reducing the size of the stomach.

Unlike traditional weight loss surgeries, ESG does not require large incisions or cutting parts of the stomach. Instead, it is done through the mouth using an endoscope—a flexible tube with a camera. The procedure is safe, effective, and helps people achieve long-term weight loss.

How Does ESG Work?

Endoscopic Sleeve Gastroplasty works by making the stomach smaller. Here’s how the process happens:

  1. A doctor inserts an endoscope through the mouth into the stomach.
  2. Using special sutures (stitches), the stomach is folded and tightened, making it about 70% smaller.
  3. This reduces the amount of food the stomach can hold, helping you feel full faster.

Because the procedure does not involve cutting or removing any part of the stomach, it is reversible and has a faster recovery time compared to traditional weight loss surgeries.

Who is a Good Candidate for ESG?

ESG is a great option for people who:

  • Have a BMI between 30 and 40 (moderate obesity)
  • Have struggled with weight loss despite diet and exercise
  • Are not eligible for or do not want weight loss surgery
  • Are looking for a safe and effective non-surgical solution

It is important to note that ESG is not for everyone. It is not recommended for people who have severe acid reflux, stomach ulcers, or previous stomach surgeries. A consultation with a doctor will determine if you are a good candidate.

The ESG Procedure: Step-by-Step

The Endoscopic Sleeve Gastroplasty procedure is simple and takes about 60 to 90 minutes. Here’s what happens:

  1. Preparation: You will be given sedation or anesthesia so you won’t feel any pain.
  2. Endoscopy: A thin, flexible tube (endoscope) is inserted through your mouth and into your stomach.
  3. Stomach Reshaping: The doctor places stitches inside your stomach to create a smaller, tube-like shape.
  4. Completion: The endoscope is removed, and the procedure is finished!

Since there are no cuts or incisions, the recovery is quick and easy. Most people go home the same day and return to normal activities within a few days.

Recovery After ESG

The recovery from Endoscopic Sleeve Gastroplasty is much faster than traditional weight loss surgeries like gastric sleeve or gastric bypass. Here’s what to expect:

  • First 24 Hours: You may feel mild pain, nausea, or bloating. Clear liquids are allowed.
  • First Week: Stick to a liquid diet and rest as much as possible. Avoid solid foods.
  • Weeks 2-4: Gradually introduce soft foods like mashed vegetables and yogurt.
  • After 1 Month: You can start eating normal foods in small portions.

Following your doctor’s diet plan is important for successful weight loss and avoiding complications.

How Much Weight Can You Lose with ESG?

On average, people lose 15-20% of their total body weight within 12 to 18 months after ESG. However, results depend on:

  • Following a healthy diet
  • Exercising regularly
  • Making long-term lifestyle changes

While ESG helps reduce hunger, it is not a magic solution—patients must commit to healthy habits to keep the weight off.

How Much Does ESG Cost?

The cost of Endoscopic Sleeve Gastroplasty depends on where you get the procedure and the doctor’s experience. Here are estimated prices in different countries:

  • USA: $8,000 – $15,000
  • UK: £6,000 – £10,000
  • Turkey: €3,000 – €5,500
  • Mexico: $4,000 – $7,000

Some insurance plans may cover part of the cost, but many people pay for Endoscopic Sleeve Gastroplasty out of pocket. Some clinics also offer financing or payment plans.

Benefits of ESG

  • No surgery required – no cuts, no scars
  • Fast recovery – go home the same day
  • Safe and effective – long-term weight loss without major risks
  • Improves health – helps with conditions like diabetes and high blood pressure
  • Boosts confidence – enjoy a healthier body and lifestyle

Are There Any Risks?

Although Endoscopic Sleeve Gastroplasty is safe, there are some risks, including:

  • Temporary nausea or stomach pain
  • Bloating or difficulty swallowing
  • Stomach irritation from the stitches
  • Risk of weight regain if lifestyle changes are not followed

However, serious complications are very rare, and most side effects go away within a few days.

ESG vs. Gastric Sleeve Surgery: What’s the Difference?

FeatureESG (Endoscopic Sleeve Gastroplasty)Gastric Sleeve Surgery
Surgical or Non-Surgical?Non-SurgicalSurgical
Incisions?NoYes
Hospital Stay?No, same-day discharge1-2 nights
Recovery Time?2-3 days2-4 weeks
Weight Loss?15-20% of body weight25-30% of body weight
Reversible?YesNo

Endoscopic Sleeve Gastroplasty is a great option for those who want weight loss without surgery, while gastric sleeve is better for people who need more significant weight loss.

Is ESG Right for You?

If you want to lose weight without undergoing surgery, Endoscopic Sleeve Gastroplasty is a fantastic choice. It is safe, effective, and helps with long-term weight management.

Before deciding, consult with a qualified doctor to see if you are a good candidate. If you commit to a healthy lifestyle, ESG can help you achieve your weight loss goals and improve your quality of life!

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