Bariatric Surgery

Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty (ESG) is a new, non-surgical bariatric procedure that achieves a similar effect as gastric sleeve surgery. As it requires no incisions or cutting into the stomach, ESG is even less invasive than laparoscopic gastric sleeve surgery. The patient experiences little or no pain during the procedure and no scarring. An outpatient procedure, ESG is associated with an even quicker recovery time than minimally invasive surgical weight loss procedures.

During ESG the stomach is accessed using a flexible endoscope, a thin tube with a small camera allowing the surgeon to visualize your gastrointestinal tract. Although the procedure is in its early phases, ESG is considered safe and effective in treating conditions related to moderate obesity.

Like gastric sleeve surgery, ESG restricts food intake without altering your normal digestion process. ESG may provide the added benefit of reducing the hunger hormone ghrelin. The procedure is not reversible but can be repeated if needed. For some patients, ESG can be used as a bridge to a more invasive bariatric surgery, such as gastric bypass.

At the Weight Loss and Metabolic Institute at Baylor St. Luke’s Medical Center, we specialize in ESG. Our team is happy to offer this new procedure that uses no incisions, leaves no scarring, and has a faster recovery period to patients who qualify.

Benefits of the Endoscopic Sleeve Gastroplasty

A non-surgical procedure, ESG does not involve incisions, allowing same-day discharge and preventing scarring. While the procedure may reduce hunger, the natural digestion process is not altered. ESG also has a lower overall cost compared to gastric sleeve surgery.

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