Endoscopic Gastroplasty

Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic sleeve gastroplasty (ESG) is a modern, minimally invasive procedure for treating obesity. It is performed through the mouth with an endoscope, without any incisions. The surgeon applies sutures to the inner wall of the stomach, reducing gastric volume by approximately 70% and giving it a narrow, banana-like shape. The patient feels full more rapidly, consuming less food and achieving gradual, stable weight loss.

How is the procedure performed?

• Performed endoscopically, without abdominal incisions.
• The endoscope is introduced through the mouth to the stomach.
• Approximately 8–12 internal sutures are applied, reducing gastric capacity by 60–70%.
• The procedure lasts 60–90 minutes.
• The patient can return home the same day or after 24 hours.

Ideal candidates

• Patients with BMI between 30 and 40 who do not want or cannot undergo traditional surgery.
• People with associated conditions (type-2 diabetes, hypertension, sleep apnoea).
• Patients motivated to change their lifestyle after the procedure.

Advantages of endoscopic gastroplasty

• No surgical incisions.
• Rapid recovery (1–2 days).
• Lower risk of complications compared to traditional surgery.
• No part of the stomach is removed.
• Does not alter vitamin and mineral absorption.
• Suitable for those who cannot undergo more invasive procedures.

Results and follow-up

Clinical studies show an average weight loss of up to 25% of total body weight within the first year, when combined with a balanced diet and physical activity. After the procedure a liquid diet is followed for several weeks, gradually progressing to soft and then solid foods. Periodic visits with a nutritionist and doctor (including blood tests and weight monitoring) support the journey.

Contraindications

• Large hiatal hernia.
• Previous gastric surgery.
• Serious liver or lung conditions that make the procedure risky.

Comparison with Gastric Sleeve