Endoscopic Sleeve Gastroplasty

What is Endoscopic Sleeve Gastroplasty (ESG)?

Endoscopic Sleeve Gastroplasty (ESG) is an advanced, minimally invasive weight loss procedure in which the stomach is sutured from the inside using an endoscope passed through the mouth. Unlike traditional sleeve gastrectomy, ESG is reversible and does not require any external incisions. The procedure reduces the stomach’s size and capacity, helping patients achieve lasting weight loss. ESG is performed as a short, painless procedure, usually taking just a few hours, and patients can typically return home the same day. This procedure is gaining popularity in Mumbai as a safe, scarless option for those with a lower BMI, with potential weight loss of 10-20 kg.

Main Features of Endoscopic Sleeve Gastroplasty (ESG)

Significant Weight Loss: Helps reduce weight by limiting food intake.
Minimally Invasive: Reduces the risk of surgical complications due to the absence of external cuts.
Supervised Procedures: All ESG procedures at the Digestive Health Institute are performed under complete supervision and anesthesia to ensure patient safety.
Reversible: Unlike the Gastric Sleeve, ESG is a reversible procedure, offering flexibility for patients

Advantages of Endoscopic Sleeve Gastroplasty (ESG)

Non-Invasive: Performed endoscopically, eliminating the need for surgical incisions.
No Scars: Leaves no visible marks on the body.
Quick Recovery: Faster healing and return to daily activities.
Painless: Conducted under complete anesthesia for a comfortable experience.
Reversible: Offers flexibility compared to permanent surgical options.

 

Who is Endoscopic Sleeve Gastroplasty Recommended For?

ESG is ideal for individuals with a BMI of 30-32 or a BMI of 28 with co-morbidities. It is especially suitable for those who have struggled with significant weight loss despite trying dieting and exercising.

Dietary Requirements for Endoscopic Sleeve Gastroplasty
  • Pre-Surgery: A 7-day liquid diet is mandatory for all patients. This diet, prescribed by bariatric nutritionists, is also available from the SoulFuel Cafe at the DHI center.
  • Post-Surgery: A structured dietary transition is followed, moving from a liquid diet to semi-solid foods and finally to solid foods over 30 days.