Endoscopic Sleeve Gastroplasty (ESG)

GI Surgical Specialists is Southwest Florida’s first practice to offer an Endoscopic Bariatric program. Our highly specialized surgeons perform endoscopic primary (ESG, Gastric Balloon) and revisional (TORe) bariatric procedures

Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic Sleeve Gastroplasty (ESG) is a purely endoscopic procedure with no incisions or stomach stapling that reconstructs your stomach into a smaller chamber. It is an outpatient procedure that offers significant weight loss results with lower risks of complications and shorter recovery time. A large study was able to demonstrate excellent weight loss and resolution of medical comorbidities.

How Is ESG Performed?

ESG is performed using an endoscope placed through the mouth that works in conjunction with a suturing device.  The large portion of the stomach is sutured, or plicated, creating a much smaller chamber for food to be stored (see image above). This makes patients feel full faster and slows down gastric motility.

Who Is ESG For?

The ESG procedure is performed on patients looking to kick-start their weight loss journey.  Dietary changes and lifestyle modifications will need to be made in order for sustained weight loss in the long term.  This procedure can often be “adjusted” in the long term to re-instill the feeling of restriction that the patient felt immediately following their initial procedure if needed.