Endoscopic Sleeve Gastroplasty

Suture the stomach smaller — no surgery, no cuts

Endoscopic Sleeve Gastroplasty (ESG) uses a specialised endoscopic suturing device to place a series of full-thickness sutures through the stomach wall from the inside — reducing gastric volume by approximately 70% without any skin incisions.

ESG produces weight loss and metabolic improvements comparable to surgical sleeve gastrectomy for carefully selected patients, with significantly lower risk and a faster return to normal activities — making it an increasingly popular option.

Key Benefits

No incisions — entirely endoscopic procedure
Reduces gastric volume by approximately 70%
Lower risk profile than surgical sleeve gastrectomy
Return to normal activities within days

Is This Treatment Right For You?

Patients with BMI 30–40 wanting effective weight loss without surgery
Those who want an endoscopic alternative to surgical sleeve gastrectomy
Patients who are poor surgical candidates due to medical comorbidities

What to Expect

Sedation

The procedure is performed under deep sedation or general anaesthesia.

Endoscopic Suturing

A suturing device is passed through the endoscope and full-thickness sutures are placed in a running pattern along the stomach.

Gastric Volume Reduction

The stomach is cinched into a tubular shape, reducing its capacity by approximately 70%.

Post-Procedure Diet

A structured liquid-to-soft-to-normal dietary progression is followed over 6–8 weeks.

Recovery & Aftercare

Return to light activity within 2–3 days; full recovery in 1–2 weeks; dietary restrictions for 6–8 weeks.

Frequently Asked Questions

Is ESG permanent?

The stomach modification is durable, though some gradual relaxation of the sutures can occur over time; results are maintained with dietary adherence.

How does ESG compare to surgical sleeve?

Weight loss is slightly less than surgical sleeve; however, the absence of incisions, lower complication rate and faster recovery are significant advantages.