Endoscopic Sleeve Gastroplasty

About Endoscopic Sleeve Gastroplasty

This is a non-surgical, scarless, completely endoscopic weight-loss procedure done by using an endoscope with no external incision on the body. In this procedure, the large capacious stomach is converted into a narrow tube mimicking the laparoscopic sleeve gastrectomy endoscopically, thus decreasing the volume of the stomach.


This procedure called the Accordion procedure involves introducing a suturing device on a highly specialised flexible endoscope to place sutures in the stomach in order to reduce its size. It is done under anaesthesia. With the help of the suturing device, small accordion like folds are stitched inside the stomach to reduce the length and size. The reduced size of the stomach makes the patient feel full faster with decreased intake of food.


Once diagnostic endoscopy is done, areas on the inner part of the stomach are marked with diathermy. Sutures are then taken in a pre determined fashion, making sure they are full thickness. A device called the helix helps to pickup the stomach wall to take sutures. Depending on the length of the stomach, the number of stitches to be taken will vary. It could be between 5-7 stitches. Good number of sutures will ensure a secure approximation and construction of a good strong sleeve, adequate enough to induce weight loss.                                                                                         

Who is eligible for Endoscopic Sleeve Gastroplasty?

A person who is obese and unable to lose weight with diet and exercise with a BMI between 27-35 will get very good results after an ESG. Also a person who is morbidly obese, but scared of surgery, ESG can help for weight loss.

What are the benefits of Endoscopic Sleeve Gastroplasty?

  1. a) It is a scarless procedure
  2. b) Most of the time the patients can be discharged on the same day (24hour admission)
  3. c) Getting back to work is quicker

 What is the cost of Endoscopic Sleeve Gastroplasty?

Endoscopic Sleeve Gastroplasty in Bangalore/India can cost anywhere between 3 lakh to 5 lakh indian Rupees. The actual amount can vary from person to person depending on the number of sutures required to construct a good endoscopic sleeve as well as any comorbid conditions if present that need to be attended to.

What is the diet after ESG procedure?

Liquids can be started the same day. Clear liquids for the 1st week followed by pureed food and then soft food.  Avoid fried food, fast food, ice creams, and rice items.


.What is the role of exercise after ESG?

Exercise is a must in order to maintain muscle tone during weight  loss and should become a part of one’s lifestyle.

How much weight loss can one achieve after ESG?

Approximately 50-70% of excess body weight (EBW) can be achieved after ESG, once one complies with the diet and exercise program.

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