For those who are suffering from obesity, Endoscopic Sleeve Gastroplasty ESG is a minimally invasive technique that gives hope. This cutting-edge method has become well-known as a successful non-surgical weight-loss option. Let’s delve into the details of ESG, including how it works, its benefits, and what to expect from the procedure.

Understanding ESG

  • What is ESG? The “accordion procedure,” or endoscopic sleeve gastroplasty, is a surgery in which an endoscopic suturing tool is used to reduce the size of the stomach. This creates a sleeve-like shape in the stomach, limiting its capacity to hold food and promoting feelings of fullness with smaller meals.
  • How Does ESG Work? During the ESG procedure, a flexible endoscope is inserted through the mouth and into the stomach. Using sutures, the endoscopist gathers and secures folds of stomach tissue, effectively reducing the size of the stomach. This results in a smaller stomach volume, which helps patients feel satisfied with smaller portions of food.

Benefits of ESG

  • Minimally Invasive: In contrast to conventional weight reduction procedures like sleeve gastrectomy or gastric bypass, endoscopic sublingual gastric surgery (ESG) is conducted through the mouth alone and does not require any abdominal incisions. This less intrusive method speeds up healing and lowers the chance of problems.
  • Effective Weight Loss: Research has demonstrated that ESG can help obese people lose weight in a meaningful and long-lasting way. By reducing stomach capacity and promoting early satiety, ESG helps individuals achieve their weight loss goals and improve their overall health.
  • No Implants or Foreign Devices: Unlike some other weight loss procedures that require the placement of gastric bands or implants, ESG does not involve the use of any foreign devices. The procedure relies solely on suturing techniques to reshape the stomach, making it a safer and more natural option for weight loss.

Who is a Candidate for ESG?

  • BMI Criteria: For those with a body mass index (BMI) between 30 and 40 who have not had success with traditional weight loss techniques like diet and exercise, ESG is usually advised.
  • Health Conditions: Candidates for ESG should be in generally good health and free from significant medical conditions that may complicate the procedure or increase the risk of complications.
  • Commitment to Lifestyle Changes: Success with ESG, like any weight reduction program, demands a dedication to healthy lifestyle modifications, such as embracing a balanced diet and doing regular exercise.

What to Expect During and After ESG

  • Procedure Duration: The ESG procedure typically takes between 60 and 90 minutes to complete and is performed on an outpatient basis under sedation.
  • Recovery: Most patients can return home the same day following ESG and resume normal activities within a few days. Some temporary dietary restrictions may apply, and patients will be advised to follow a specific post-procedure diet plan.
  • Follow-Up Care: Scheduling routine follow-up sessions with the healthcare team is crucial for tracking progress, addressing issues, and offering support for maintaining weight control over the long term.


Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, safe, and successful alternative for those who want to lose a large amount of weight and get healthier. By reducing stomach capacity and promoting feelings of fullness, ESG empowers patients to take control of their weight and embrace a healthier lifestyle. If you’re considering ESG as a weight loss solution, consult with a qualified healthcare provider to determine if you’re a suitable candidate and explore your treatment options.