Expert Insights: What to Expect from Endoscopic Sleeve Gastroplasty

Nov 04, 2025By Murat Üstün
Murat Üstün

Understanding Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty (ESG) is an innovative, minimally invasive weight loss procedure that has gained popularity in recent years. Unlike traditional bariatric surgeries, ESG involves no incisions, which significantly reduces recovery time and potential complications. This procedure is particularly appealing for individuals seeking an effective weight loss solution without undergoing major surgery.

endoscopic procedure

How ESG Works

During the ESG procedure, a flexible endoscope is inserted through the mouth into the stomach. Using specialized tools, the doctor sutures the stomach to create a sleeve-like shape. This reduces the stomach's volume by approximately 70-80%, which helps patients feel full more quickly and consume less food. The entire process typically takes about 60 to 90 minutes and is performed on an outpatient basis.

One of the key advantages of ESG is that it does not require any permanent alteration to the stomach or intestines. This makes it a reversible option compared to other bariatric procedures, such as gastric bypass or sleeve gastrectomy.

Benefits of ESG

The benefits of ESG extend beyond weight loss. Patients often experience improvements in obesity-related conditions, such as type 2 diabetes, hypertension, and sleep apnea. The procedure's minimally invasive nature means less pain, fewer risks, and a quicker return to daily activities.

weight loss journey

Moreover, ESG is suitable for individuals with a BMI of 30 or higher who have not achieved their desired weight loss through diet and exercise alone. It offers a viable alternative for those who do not qualify for or prefer not to undergo traditional bariatric surgery.

What to Expect During Recovery

Recovery from ESG is typically swift. Most patients can return home the same day and resume normal activities within a few days. A liquid diet is recommended for the first two weeks post-procedure, followed by a gradual reintroduction of solid foods.

Patients are usually advised to participate in a structured diet and exercise program to maximize their weight loss results. Regular follow-up appointments with healthcare providers ensure that the weight loss journey is safe and effective.

healthy lifestyle

Potential Risks and Considerations

While ESG is generally safe, it is important to be aware of potential risks. Some patients may experience nausea, vomiting, or abdominal pain, particularly in the initial days following the procedure. However, these symptoms are usually temporary and manageable.

Long-term success with ESG relies heavily on lifestyle changes, including a healthy diet and regular physical activity. Patients must be committed to maintaining these changes to achieve and sustain their weight loss goals.

Conclusion: Is ESG Right for You?

Endoscopic Sleeve Gastroplasty offers a promising solution for individuals seeking a less invasive weight loss option. It combines the benefits of reduced stomach capacity with the convenience of an outpatient procedure. However, it is essential to consult with a healthcare provider to determine if ESG is the right choice based on individual health needs and weight loss objectives.

With expert guidance and a commitment to lifestyle changes, ESG can be a powerful tool in the journey towards improved health and wellness.