If you’ve been researching weight loss solutions but aren’t ready for traditional surgery, you may be leaning towards less invasive options. If so, Endoscopic Sleeve Gastroplasty (ESG) might be the perfect fit for you.
This innovative, non-surgical weight loss procedure is helping patients lose significant weight without incisions, scars, or a lengthy recovery. Below, we break down ESG: What it is, how it works, and the benefits.
What Is Endoscopic Sleeve Gastroplasty (ESG)?
Endoscopic Sleeve Gastroplasty is a minimally invasive, non-surgical weight loss procedure that reduces the stomach size using an internal suturing technique. It is performed with an endoscope—a thin, flexible tube with a camera—that is placed through the mouth. No external incisions are made.
By folding and suturing the stomach internally, its volume is reduced by about 70%. This makes patients feel full more quickly, eat less, and lose weight over time—all without having to undergo traditional bariatric surgery.
ESG vs Traditional Bariatric Surgery
So how does ESG compare to surgeries like gastric bypass or sleeve gastrectomy?
Unlike those procedures, ESG does not involve cutting, stapling, or removing any part of the stomach. There are:
- No incisions
- No surgical scars
- No extended hospital stay
The procedure typically takes 60–90 minutes and is performed under sedation or general anesthesia. Most patients go home the same day and resume normal activities within 24–48 hours.
That means fewer risks, less downtime, and a quicker return to your routine—all while still achieving meaningful, long-term weight loss.
Who Is a Candidate for ESG?
ESG is ideal for adults with a BMI of 30–50 as indicated by the FDA who have struggled with weight loss through diet and exercise alone. It’s especially appealing to people who:
- Don’t qualify for traditional bariatric surgery
- Are concerned about the risks of invasive procedures
- Want to avoid permanent changes to their anatomy
If you’re looking for a minimally invasive weight loss option that fits into your lifestyle, ESG may be worth exploring.
What to Expect After ESG
One of the biggest advantages of ESG is the rapid recovery timeline. Most patients are able to go home the same day and resume light activities within 24 to 48 hours. Compared to traditional bariatric surgery, the recovery experience is far more manageable—no hospital stay, no large incisions, and less post-operative pain.
Symptoms After Endoscopic Sleeve Gastroplasty
That said, some individuals could experience mild side effects like nausea, bloating, or fatigue in the first few days.
These typically resolve on their own and can be managed with hydration, rest, and medication if needed.
Nutrition After Endoscopic Sleeve Gastroplasty
To support healing and help the stomach adjust, patients follow a structured post-procedure nutrition plan:
- Week 1-4: Clear and full liquids
- Weeks 4–6: Pureed or soft foods
- Week 6 and beyond: Slow advancement to regular diet
Ongoing support from a nutritionist or care team is crucial during this transition. Patients are also encouraged to engage in regular physical activity and behavior coaching to reinforce long-term success.
Results After Endoscopic Sleeve Gastroplasty
In terms of results, patients can expect to lose an average of 15–20% of their total body weight within 12 to 18 months. Weight loss may vary depending on adherence to dietary guidelines and lifestyle habits, but many patients also see improvements in:
- Blood sugar regulation
- Blood pressure levels
- Sleep quality
- Joint pain and mobility
- Emotional well-being and confidence
Because ESG preserves the natural anatomy of the stomach, it’s also considered reversible—offering added peace of mind.
Endoscopic Sleeve Gastroplasty in Birmingham
Endoscopic Sleeve Gastroplasty is transforming the way people approach weight loss. It offers a safe, effective, and minimally invasive alternative to traditional bariatric surgery—with fewer risks and a faster path to recovery. And while it’s not for everyone, it can be life-changing for the right candidate.
If you’ve been struggling with weight and feel stuck between dieting and major surgery, ESG could be the middle ground you’ve been looking for. It’s a tool—not a quick fix—that works best when paired with commitment, support, and lifestyle changes.
At Advanced Surgeons, P.C., we offer:
- Advanced ESG techniques backed by years of bariatric experience
- Personalized nutritional guidance
- Ongoing behavioral and emotional support
- A team that cares deeply about your success
Curious if ESG is right for you?
Contact Advanced Surgeons, P.C. today to schedule a consultation or attend one of our monthly educational seminars! We’ll help you explore your options, answer your questions, and take the first step toward a healthier, more confident you.
