What is endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty is a minimally invasive weight loss procedure that uses an endoscopic suturing (stitching) device to reduce the stomach’s size and volume by about 70%.

When your stomach holds less volume, you can feel full with less food, absorb fewer calories and lose weight over time. ESG also shortens and re-shapes the stomach, which helps it empty into the intestines slower. This helps you feel fuller longer.

For the right candidate, ESG may be a less invasive alternative to laparoscopic sleeve gastrectomy. Both procedures reduce the stomach size, but the surgical approach does so by removing part of the stomach, while ESG uses stitches to bring folds of the stomach together like an accordion (similar to sewing a dart to tailor clothing). Endoscopic sleeve gastroplasty is reversible for most patients.