Digestive Health Institute

Endoscopic Sleeve Gastroplasty

Process | Treatments| Ideal Patients 

What is this procedure?

Endoscopic Sleeve Gastroplasty (ESG) is a cutting-edge, minimally invasive weight loss procedure in which the stomach is reshaped using an endoscope inserted through the mouth. By placing internal sutures, the stomach’s volume is significantly reduced—without any external incisions or removal of tissue.

Unlike surgical sleeve gastrectomy, ESG is non-surgical and reversible, offering a safer and more flexible alternative for patients with lower BMI who are seeking long-term weight management.

The procedure is performed under anesthesia, typically completed within a few hours, and patients can return home the same day. ESG is emerging as a preferred option in India, especially in Mumbai, due to its safety profile, effectiveness, and lack of visible scarring.

Key Benefits of ESG

Effective Weight Loss

Reduces stomach capacity to limit food intake, supporting weight loss of 10–20 kg over time.

No external incisions; performed entirely via endoscope for reduced surgical risk.

ESG does not involve permanent changes to anatomy, allowing future modification or reversal if necessary.

Patients typically return to daily activities within a few days, with minimal downtime.

Conducted entirely internally, leaving no visible scars.

All ESG procedures at the Digestive Health Institute are performed under expert supervision by trained specialists.

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

Pre- and Post-Procedure Nutrition Protocol

  • Pre-Surgery: Patients are placed on a 7-day liquid diet, prescribed by bariatric nutrition specialists, to optimize the stomach environment for the procedure.
  • Post-Surgery: A structured reintroduction of food is followed:
    Week 1–2: Clear liquids and protein-rich fluids
    Week 3: Soft and semi-solid foods
    Week 4 onwards: Transition to a customized solid diet plan

ESG is a non-surgical procedure where stitches are placed in your stomach endoscopically (through the mouth) to reduce its size, limiting food intake.

Patients typically lose 15-20% of their total body weight. Lasting results depend heavily on long-term diet and exercise changes.

Mild nausea and pain are common, resolving in a few days. Recovery is quick; most return to activities in 2-3 days, following a liquid diet initially.

Untitled design (66)

Transform lives through
world-class bariatric care!

Follow us on Social Media

© 2025 DHI All rights reserved | Powered by PepMedia