Digestive Health Institute
by Dr. Muffi
Digestive Health Institute
by Dr. Muffi
Endoscopic Sleeve Gastroplasty (ESG)
What is ESG?
Endoscopic Sleeve Gastroplasty (ESG) is a revolutionary, incision-less weight-loss procedure. It is performed by using an endoscope passed through the mouth to place internal sutures that reduce the size and volume of the stomach. By creating a smaller, sleeve-shaped pouch, the ESG procedure limits the amount of food the stomach can hold and slows down gastric emptying. This mechanism helps individuals feel satisfied faster and for longer, supporting significant, long-term weight management.
Who is ESG Recommended For?
ESG is ideal for individuals who:
- Have a BMI of 30–32 or BMI ≥28 with associated co-morbidities (e.g., diabetes, PCOS, hypertension)
- Have not achieved sustained weight loss despite lifestyle interventions
- Are looking for non-surgical options with minimal recovery time and lower risk
Key Benefits of ESG
- Effective Weight Loss : Reduces stomach capacity to limit food intake, supporting weight loss of 10–20 kg over time.
- Minimally Invasive : No external incisions; performed entirely via endoscope for reduced surgical risk.
- Reversible & Adjustable : ESG does not involve permanent changes to anatomy, allowing future modification or reversal if necessary.
- Faster Recovery : Patients typically return to daily activities within a few days, with minimal downtime.
- Scar-Free Procedure : Conducted entirely internally, leaving no visible scars.
- Supervised & Safe : All ESG procedures at the Digestive Health Institute are performed under expert supervision by trained specialists.
Pre- and Post-Procedure Nutrition Protocol
Before ESG :
Patients are placed on a 4 to 5 days liquid diet, prescribed by bariatric nutrition specialists, to optimize the stomach environment for the procedure.
After ESG:
A structured reintroduction of food is followed:
- Week 1-2: liquids and protein-rich fluids
- Week 3-4: Soft and semi-solid foods
- Week 4 onwards: Transition to a customized solid diet plan
This phased approach ensures healing, minimizes complications, and supports sustainable weight loss.
Is Endoscopic Sleeve Gastroplasty considered permanent?
While ESG is not permanent in the same way as traditional surgical procedures (like a surgical sleeve gastrectomy), the sutures are durable and designed to remain in place for the long term. The procedure can be repeated or revised if necessary, but the goal is long-lasting weight management through lifestyle change.
What is the expected weight loss with the ESG procedure?
Patients typically lose 15% to 20% of their total body weight within 12 months following the Endoscopic Sleeve Gastroplasty. Success depends heavily on adherence to the post-procedure dietary and lifestyle guidelines provided by the specialized team at the Digestive Health Institute.
Is the ESG procedure reversible?
Unlike traditional weight loss surgery, Endoscopic Sleeve Gastroplasty is considered technically reversible, as the sutures can potentially be removed endoscopically. However, the procedure is generally intended to be a long-term weight loss solution.
How does ESG compare to Gastric Balloon or Surgical Sleeve Gastrectomy?
ESG offers results that are often better than the temporary Gastric Balloon, but with less invasiveness than a surgical Sleeve Gastrectomy. It is an intermediate, non-surgical option that achieves stomach restriction using internal sutures rather than external incisions or tissue removal.
