Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic Sleeve Gastroplasty

What Is Endo Sleeve Gastroplasty?

Endo Sleeve Gastroplasty (also known as Endoscopic Sleeve Gastroplasty or ESG) is a non-surgical, minimally invasive procedure designed to help with weight loss. It involves reducing the size of the stomach using an endoscopic suturing device, which limits food intake and promotes a feeling of fullness.

Whom Endo Sleeve Gastroplasty Is Recommended?

ESG is recommended for individuals struggling with obesity who want an effective weight loss method without undergoing traditional bariatric surgery. It’s ideal for those who have not achieved desired results through diet and exercise alone and prefer a less invasive option with quicker recovery.

The Procedure of ESG

  1. The patient is sedated for comfort.
  2. A flexible endoscope through the mouth into the stomach.
  3. Using a specialized suturing device, the stomach is folded and stitched to reduce its volume.
  4. The procedure usually takes about 60 to 90 minutes.
  5. No external incisions are made, allowing for faster healing and minimal discomfort.

Benefits of Endo Sleeve Gastroplasty:

  • Minimally Invasive – No external cuts or major surgery; performed via endoscope.
  • Faster Recovery – Most patients return to normal activities within a few days.
  • Effective Weight Loss – Helps achieve 15–20% total body weight loss on average.
  • Improves Health Conditions – Reduces risks of diabetes, hypertension, fatty liver, and sleep apnea.
  • Preserves Anatomy – No removal of the stomach; procedure is reversible if needed.
  • Outpatient / Short Hospital Stay – Often performed as a day-care or single-night admission.
  • Boosts Lifestyle Change – Supports long-term weight management when combined with diet and exercise.

Dr. Neil Palkhiwala - Endo Sleeve Gastroplasty Specialist Doctor in Ahmedabad

Endo sleeve gastroplasty is an advanced, minimally invasive option for weight management that requires precise endoscopic expertise. Accurate patient selection, procedural skill, and long-term follow-up are essential for successful outcomes. Patients considering such advanced obesity interventions often prefer consulting the best Gastroenterologist near me in Ahmedabad, as expert guidance ensures both safety and effective weight loss management.

Schedule your Endo Sleeve Gastroplasty with Dr. Neil Palkhiwala, Director and Head at Aryav Multispeciality Hospital, Ahmedabad. Call us to book your appointment or ask any questions at +91 91069 95254.

Frequently Asked Questions

Endoscopic Sleeve Gastroplasty, also known as ESG, is a modern non surgical weight loss procedure. It reduces stomach volume by about 70 to 80 percent using endoscopic sutures passed through the mouth. This procedure helps patients feel full faster with smaller meals, supporting significant and sustained weight loss without traditional open or laparoscopic surgery.

ESG is recommended for adults with a Body Mass Index between 30 and 40 who have not achieved desired weight loss through diet and exercise alone. It is also suitable for patients who are not candidates for traditional bariatric surgery or prefer a less invasive treatment option with faster recovery.

The procedure is performed under sedation or general anesthesia. A gastroenterologist inserts a flexible endoscope equipped with an endoscopic suturing device into the stomach through the mouth. The doctor places full thickness sutures to fold and shorten the stomach into a narrow tube shape, restricting food capacity.

Most patients lose between 15 to 20 percent of their total body weight within the first 12 months following ESG. Results are optimized when combined with a structured nutritional plan, regular physical activity, and medical guidance from a specialized weight loss team.

Yes, because no portion of the stomach is surgically excised or removed, ESG can be revised or converted to other procedures if medically necessary. However, it is intended to function as a permanent lifestyle tool for long term weight control.

Most patients experience rapid recovery and return to normal daily activities within 3 to 5 days. Since there are no external abdominal cuts, postoperative pain is minimal. Temporary mild symptoms like nausea or stomach cramps usually resolve within a few days with medication.

Dietary progression begins with clear liquids for the first week, advancing to full liquids, smooth pureed foods, soft foods, and eventually solid foods over 4 to 6 weeks. This gradual transition allows the stomach sutures to heal securely while training the patient in healthy portion control.

Significant weight loss achieved through ESG helps improve or resolve obesity related health conditions such as type 2 diabetes, high blood pressure, fatty liver disease, joint pain, and obstructive sleep apnea, leading to better overall quality of life.