Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is an endoscopic weight loss procedure. It involves passing a suturing device through your throat into your stomach, where sutures are placed to reduce the size of the stomach. This treatment can be considered if you have a body mass index (BMI) between 28 to 35 and have not been successful in losing weight, with diet and exercise alone.

Significant weight loss can be achieved through endoscopic sleeve gastroplasty by restricting the amount of food you can consume. Additionally this procedure is minimally invasive which reduces the risk of complications during surgery and allows for a speedy recovery (24 hours) and return to activities the very next day.

Similar to weight loss procedures endoscopic sleeve gastroplasty requires a commitment to adopting a lifestyle. Making changes to your diet and engaging in exercise are crucial for ensuring long term success with this treatment.

Reasons for undergoing the procedure

Endoscopic sleeve gastroplasty is performed with the goal of helping you lose weight while potentially reducing the risk of health issues associated with weight  such, as heart disease, stroke, high blood pressure, sleep apnea, type 2 diabetes and osteoarthritis ( pain) are health concerns. If you’ve been struggling to lose weight through diet and exercise alone and are scared of conventional weight loss procedures, then you may consider endoscopic sleeve gastroplasty

Endoscopic sleeve gastroplasty is not suitable for everyone who is overweight. Doctors conduct a screening process to determine if the procedure would be beneficial for you.  Endoscopy is done as a regular screening procedure to rule out problems like hiatus hernia, gastric ulcers/ erosions, gastro intestinal bleeding disorders etc. 

Please note that insurance companies are covering Endoscopic Sleeve Gastriplasty.

As with any procedure  some  individuals may experience nausea for few days. These symptoms can usually be managed effectively with medications

If you’re interested in exploring endoscopic sleeve gastroplasty or have any questions about this procedure its recommended to schedule an appointment, with your healthcare provider.

Moreover while not originally intended as a measure endoscopic sleeve gastroplasty can be converted into types of bariatric surgery if needed.

When coupled with lifestyle modifications endoscopic sleeve gastroplasty typically leads to a weight loss of 15% to 20% of the body weight within a span of 4 to 8 months.

To adequately prepare for endoscopic sleeve gastroplasty your healthcare team will provide you with instructions. This may include undergoing lab tests and examinations to the surgery. Additionally you may need to adhere to restrictions, on eating, drinking and certain medications. It is also possible that you will be advised to initiate an activity program.

Here’s what you can anticipate during the procedure;

Endoscopic sleeve gastroplasty is performed in an outpatient setting within the endoscopy unit. The procedure requires anesthesia, which means that you will be unconscious throughout its duration.

During the procedure itself a flexible tube equipped with a camera and an endoscopic suturing device (known as an endoscope) is inserted through your throat and, into your stomach.

Using the endoscope the doctor places stitches in your stomach. These stitches alter the shape of your stomach making it resemble a tube. This modification limits the amount of food you can consume as it makes you feel full quickly.

The process of endoscopic sleeve gastroplasty typically takes between 60 to 90 minutes.


Weight loss of 15-20% of existing weight is what can be expected. Endoscopic sleeve gastroplasty has the potential to improve conditions often associated with being overweight such as heart disease,  high blood pressure, severe sleep apnea, type 2 diabetes, and osteoarthritis ( pain).

Dr.Tulip’s TODS in Bangalore is providing Endoscopic sleeve gastroplasty as an endoscopic  option for weight loss.

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