How Endoscopic Sleeve Gastroplasty (ESG) Works

Endoscopic Sleeve Gastroplasty (ESG) is performed using a flexible endoscope that is passed through the mouth and into the stomach. Using this scope, a series of sutures are placed to reduce the size and volume of the stomach, typically by 70–80%. With a smaller stomach, patients feel full sooner, allowing them to eat smaller portions while still feeling satisfied. This supports effective, sustainable weight loss.

ESG is designed for gradual, lasting weight loss when paired with healthy lifestyle changes. It may be a suitable option for adults with a BMI between 30 and 50 who are seeking a minimally invasive, non-surgical weight-loss solution.