Mastering Endoscopic Sleeve Gastroplasty: Techniques and Outcomes

Endoscopic Sleeve Gastroplasty outlooks
reducing weight through Endoscopic Sleeve Gastroplasty

(ESG) is revolutionizing how we approach weight loss. If you are going through a body weight gain problem or have issues or complications due to weight gain and need to maintain body mass index BMI, ESG is the best option. It is a procedure for effectively reducing weight. This procedure is becoming an effective alternative to traditional weight loss surgeries.

In this blog, we will provide a proper guide on the details of ESG, its benefits, health conditions, the whole procedure, recovery, and potential risks. Let’s have a thorough look…

What is Endoscopic Sleeve Gastroplasty?

Guide to Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty is also known as ESG. It acts as a bridge to bariatric surgery. It is a weight loss procedure designed non-surgically to reduce stomach size without requiring an incision. The process involves using an endoscope, a flexible tube equipped with a light, and a camera. This ensures that the entire operation is conducted without any incisions or cuts. The endoscope is inserted through the mouth and directed into the stomach, where the surgeon then reduces the stomach size by internal suturing. Since the narrow size allows small portions, it limits the amount of food you can eat.

What health conditions does the ESG procedure help manage?

manage Endoscopic Sleeve Gastroplasty

After this procedure is completed, it helps to overcome many conditions. These conditions include;

  • Type 2 diabetes
  • high blood pressure
  • High cholesterol
  • Heart disease
  • or even sleep apnea

Reducing the size of the stomach supports your health conditions and nourishes it.

Laparoscopic Sleeve Gastrectomy Procedure Further Details:

Guide to Endoscopic Sleeve Gastroplasty procedure

ESG and LSG are related to each other. For a better understanding of ESG, it’s also vital to understand laparoscopic sleeve gastrectomy (LSG). It’s also one of the related surgical procedures. LSG involves the surgical removal of a portion of the stomach to make it smaller, thereby promoting weight loss. This procedure reshapes the stomach into a smaller, sleeve-like structure, aiding in reducing food intake. The procedure involves inserting instruments that are small in size. It is performed through multiple small incisions to the upper side of the abdomen. This procedure leaves the stomach tube-shaped, just like the shape of a banana. 

What Happens Before ESG?

Before undergoing ESG, patients undergo a complete medical body checkup: physical examinations, body position, heart capability, blood tests, and imaging studies. Having a consultation with a nutritionist is helpful before ESG. They help establish dietary plans to benefit from the outcomes before the procedure.

What Happens During the Procedure?

The surgery or procedure depends on each individual’s situation and conditions. Some require large incisions in the abdomen, while most are typically performed laparoscopically. During the ESG procedure, an endoscope is inserted. It is inserted through the mouth into the stomach. Sutures are done internally to create a sleeve structure, reducing the stomach’s capacity. This procedure is performed with the help of general anesthesia. This ensures patient comfort throughout the process so they don’t feel much pain.

How long does endoscopic sleeve gastroplasty last?

The process depends on each person’s stomach capability. The procedure takes about 60 to 90 minutes approximately. After the procedure, you can go home as well. The duration of ESG relies on the amount of food intake, healthy lifestyle choices, and after-procedure guidance.

ESG may last for long-term weight loss depending on individual factors such as dietary following, physical activity, and metabolic factors.

How painful is endoscopic sleeve gastroplasty?

The pain felt during ESG varies according to the different body conditions of individuals. One of the advantages of ESG is its mild pain compared to traditional surgeries. Patients may experience slight discomfort for a while. This pain can be controlled by taking medications prescribed by surgeons.

Will I have to follow a special diet after the procedure?

Endoscopic Sleeve Gastroplasty diet after procedure

After ESG, patients are asked to follow a specific balanced diet and exercise. It helps them to recover quickly and maximize weight loss. The diet may involve eating a liquid diet, soft foods, and, eventually, a regular diet. Nutritionists play a crucial role in guiding patients through this dietary process. Consulting a nutritionist is essential to recover after ESG and to balance after procedure steps.

ESG After Laparoscopic Sleeve Gastrectomy or a Previous ESG

Considering ESG for individuals who have undergone Laparoscopic Sleeve Gastrectomy, they may need further involvement as well. ESG can result in restart weight loss after laparoscopic sleeve gastrectomy. It offers a negligible harmful option for excess weight regain or insufficient weight loss after post-surgery.

Endoscopic Sleeve Gastroplasty Versus Gastric Bypass

Endoscopic Sleeve Gastroplasty differs from gastric bypass in its approach and recovery time. While both aim for weight loss, ESG is less invasive and typically involves a quicker return to normal activities.


possible risks for Endoscopic Sleeve Gastroplasty

What are the benefits of ESG?

There are many benefits of going through the ESG procedure. Some of the benefits may include:

  • Sustained weight loss
  • Improvements in obesity
  • Improvement in health conditions
  • Minimally invasive scarring or cuts
  • No extensive operations.

What are the possible risks or complications of this procedure?

While ESG is considered a generally safe procedure, it has some potential risks. These include:

  • Bleeding
  • Infection
  • and rare instances of perforation.

A thorough discussion with the healthcare team or your surgeon will help to reduce these individual risks and complications.

Recovery and Outlook:

Endoscopic Sleeve Gastroplasty outlooks

What is the recovery time from ESG?

Recovery from ESG is faster and quicker if compared to other surgeries. Most patients can be discharged within the same day. They can perform and return to their everyday life activities within a week.

What are the typical outlooks from ESG?

Typical results from ESG procedures include tremendous effective weight loss in the first year. This helps lead to improved overall health conditions. Regular check-ups with healthcare providers and doctors help monitor overall progress and concerns.


Endoscopic Sleeve Gastroplasty is a minimally invasive and effective endoscopic weight loss intervention. In addition to sustained total body weight loss up to 24 months, ESG reduced markers of hypertension, diabetes, and hypertriglyceridemia. The most appropriate and preferable approach must be determined based on the individual circumstances as with any consultation with healthcare professionals. ESG procedures can be helpful and safe for living a healthy and disease-free life.

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