Endoscopic Sleeve Gastroplasty (ESG) is an innovative, minimally invasive weight-loss procedure that has gained popularity among individuals looking for an alternative to traditional bariatric surgery. This article explores what ESG is, how it works, its benefits, risks, and suitability for those seeking long-term weight management solutions.

What is Endoscopic Sleeve Gastroplasty?

Gastroplastia endoscópica manga, also known as ESG, is a non-surgical weight-loss procedure. It involves reducing the size of the stomach using a special suturing device inserted through the mouth. This technique reshapes the stomach into a smaller, sleeve-like structure, limiting food intake and promoting significant weight loss.

Unlike traditional bariatric surgery, ESG does not require incisions or external scars, making it a less invasive option.

How Does ESG Work?

ESG is performed by a gastroenterologist in an outpatient setting under general anesthesia or sedation. The process typically involves the following steps:

1. Preparation: The patient is sedated, and a flexible endoscope equipped with a suturing device is introduced through the mouth.
2. Stomach Reshaping: The suturing device is used to place multiple stitches in the stomach, reducing its size and altering its structure into a narrow, tubular shape.
3. Completion: Once the stomach is reshaped, the endoscope is removed, and the patient is monitored during recovery.

The entire procedure usually takes 60–90 minutes, with patients typically returning home the same day.

Benefits of Endoscopic Sleeve Gastroplasty

1. Minimally Invasive Approach

• No incisions or scars.
• Reduced risk of complications compared to traditional surgery.
• Faster recovery time.

2. Effective Weight Loss

• ESG can help patients lose 15–20% of their total body weight within a year.
• Results improve when combined with dietary changes and regular exercise.

3. Outpatient Procedure

• No need for extended hospital stays.
• Patients can resume normal activities within a few days.

4. Reversible

• Unlike some surgical options, ESG is reversible if necessary.

Risks and Considerations

While ESG is considered safe, it is not without risks. Potential complications include:

• Temporary side effects: Nausea, vomiting, and abdominal discomfort.
• Rare risks: Bleeding or infection.
• Lifestyle commitment: Long-term success requires adherence to dietary and lifestyle changes.

It is essential to consult a healthcare provider to discuss individual risks and suitability.

Who is a Candidate for ESG?

Endoscopic Sleeve Gastroplasty is ideal for:

• Individuals with a Body Mass Index (BMI) of 30–40 who have not achieved weight loss through diet and exercise alone.
• Patients seeking a non-surgical alternative to bariatric surgery.
• Those willing to commit to a healthier lifestyle post-procedure.

ESG may not be suitable for individuals with certain medical conditions, prior gastrointestinal surgeries, or severe obesity requiring other surgical interventions.

Recovery and Post-Procedure Care

1. Immediate Recovery

• Patients can expect mild discomfort and nausea during the first 24–48 hours.
• A liquid diet is recommended for the first week.

2. Gradual Diet Progression

• Transition to soft foods over the next few weeks.
• Incorporate solid foods gradually under a dietitian’s guidance.

3. Lifestyle Adjustments

• Regular exercise and balanced nutrition are key to maintaining weight loss.
• Ongoing support from healthcare providers ensures long-term success.

ESG vs. Traditional Bariatric Surgery

Aspect	Endoscopic Sleeve Gastroplasty	Traditional Bariatric Surgery
Invasiveness	Minimally invasive	Involves incisions and scarring
Recovery Time	A few days	Several weeks
Weight Loss	Moderate (15–20% of body weight)	More significant weight loss
Risks	Lower	Higher
Reversibility	Yes	No

Success Stories and Outcomes

Many patients report improved quality of life, enhanced confidence, and better management of obesity-related health issues such as diabetes, hypertension, and sleep apnea. ESG is most effective when paired with a strong commitment to lifestyle changes.

Cost of ESG

The cost of Endoscopic Sleeve Gastroplasty varies depending on location and healthcare provider, ranging from $8,000 to $15,000. Many insurance plans do not cover ESG, as it is often classified as an elective procedure. However, financing options may be available.

Conclusion

Endoscopic Sleeve Gastroplasty is a promising option for individuals looking for a non-surgical solution to weight loss. With its minimally invasive nature, faster recovery time, and effective results, ESG is transforming the field of weight-loss treatments.

If you’re considering ESG, consult a qualified gastroenterologist or bariatric specialist to determine if it’s the right choice for your weight-loss journey.