10 Benefits of Endoscopic Sleeve Gastroplasty – Dallas, TX

Benefits of Endoscopic Sleeve Gastroplasty

What is endoscopic sleeve gastroplasty?

What is endoscopic sleeve gastroplasty
What is endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty is a weight loss procedure that involves removing a portion of the stomach through the mouth. The stomach is then stapled to create a smaller stomach pouch. This procedure is less invasive than other weight-loss procedures, such as gastric bypass surgery, and has a shorter recovery time.

Endoscopic sleeve gastrectomy (ESG), also known as Roux-en-Y gastric bypass, is a type of weight-loss procedure. the procedure is performed with a thin, lighted tube inserted into your body. Gastroplasty, or stomach stapling, is a joint procedure  in which a part or all of the stomach is removed. Roux-en-Y gastric bypass is one of the general gastric procedures. In this procedure, part of the stomach is removed, and the remaining stomach is stapled to create a small pouch.

Endoscopy is the test of the body’s interior, both superficial and deeper structures of the body, by inserting a tube called an endoscope to enable assessment of the internal organs and tissues. Endoscopy is a method of examining the body that requires no incisions or only tiny incisions, thus avoiding the use of general anesthesia and possible complications.

Benefits of endoscopic sleeve gastroplasty

There are some benefits of endoscopic sleeve gastroplasty. They are:

Benefits of endoscopic sleeve gastroplasty
Benefits of endoscopic sleeve gastroplasty

Minimally invasive

This type of gastric sleeve procedure is considered the most minimally invasive of the procedure. It is performed through a couple of small incisions. Instead of extracting a portion of the stomach like in the gastric bypass, the doctor will make a small incision around the size of a quarter on the upper part of the stomach, insert a laparoscope, and then make a small pouch out of a portion of the stomach. The doctor will then use the amount of the stomach that was not turned into a small pouch as a bypass to allow food to bypass the small pouch.

Outpatient procedure

Gastric sleeve procedure has had a significant impact on the medical fraternity as a weight loss procedure for people suffering from morbid obesity. Endoscopic sleeve gastroplasty is similar to the open procedure, except that the surgeon does not make a large incision. The procedure is also known as laparoscopically assisted sleeve gastrectomy.

No change in the digestion process

During ESG, the natural digestion process is not altered in any way, which reduces the risk of nutritional deficiencies. The procedure involves stitching together a part of the stomach wall to reduce stomach volume, reducing the amount of food a person can eat.

Quick recovery

Endoscopic Sleeve Gastroplasty has become famous as a weight loss procedure as it is a non-invasive procedure. The procedure is highly effective in reducing stomach size and is relatively rapid. The recovery time is also much faster than the usual gastric bypass surgery.


Weight loss is difficult, as difficult as it can get. People have attempted all sorts of diets and exercise routines, all to no avail. Some even resort to surgical procedures to attain their desired weight. But people are now discovering that a procedure is known as endoscopic sleeve gastrectomy or “sleeve gastrectomy” is now considered one of the most effective procedures to counter obesity. The procedure involves removing part of the stomach and shrinking the size of the remaining stomach.

Zero surgical incisions

Zero surgical incisions mean no cuts are made to the skin during the procedure. This procedure is less invasive and often has a shorter recovery time than traditional procedure.

Reduction in hunger

The added benefit of ESG is that it reduces the hunger hormone ghrelin, which limits how much food you consume and how quickly you eat it. With a smaller stomach, you’ll feel fuller faster and won’t need to eat as much.

No scars

The process is performed through a small incision and does not require an extended hospital stay. The body does not create a pouch for the stomach. Instead, it is shrunk to about the size of a banana. The newly formed stomach limits the amount of food a person can consume. Therefore, the patient eats smaller amounts but more frequently.

Relief from obesity-related health conditions

ESG may help you to lose weight and potentially reduce your risk of developing obesity-related health problems.

  • Gastroesophageal reflux disease
  • Heart disease and stroke
  • High blood pressure
  • Sleep apnea
  • Type 2 diabetes

No overnight hospital stay

The process only takes 90 minutes to complete, and you can go home the same day! You can resume normal activities and enjoy light exercise within a day after the procedure.

How Should You Prepare For Endoscopic Sleeve Gastroplasty?

This is a minimally invasive weight loss procedure. It is performed by making small incisions in the stomach and then using a thin, lighted tube (endoscope) to guide the procedure. The surgeon will then extract a portion of the stomach, which will help you feel full sooner and eat less. Endoscopic sleeve gastroplasty is generally safe and has a low risk of complications. However, as with any procedure, there are some risks involved. These include bleeding, infection, and a slight chance of stomach rupturing. Before having endoscopic sleeve gastroplasty, you will need to meet with a surgeon to discuss the risks and benefits of the procedure. You will also need to

Key points regarding endoscopic sleeve gastroplasty

  • Endoscopic sleeve gastroplasty (ESG) is a minimally invasive weight loss procedure  that involves removing a portion of the stomach through the mouth.
  • Requires overnight fast before procedure but no bowel preparation
  • ESG is a safe and effective weight loss procedure that effectively treats obesity and related conditions such as type 2 diabetes and sleep apnea.
  • ESG is a minimally invasive procedure performed through the mouth, so there are no external scars.
  • ESG is a relatively new weight loss procedure, so long-term data is not yet available. However, early data shows that ESG is safe and effective, with patients losing an average of 20-30% of their excess body weight.
  • Commonly, a one to two-hour outpatient process with an extended recovery to treat pain or nausea

Does insurance cover the ESG procedure?

Yes, if the procedure is performed at a hospital with in-house orthopedic services.

No, if the procedure is performed at a hospital with in-house orthopedic services, and the patient goes to another hospital for the same procedure, or the procedure is performed at an outpatient procedure center.

How much does a non-surgical gastric sleeve cost?

The average cost of a non-surgical gastric sleeve is around $5,000. However, the total cost will vary depending on the individual’s insurance coverage and the specific procedure being performed. Additionally, there may be additional costs such as anesthesia, facility fees, and post-operative care.


How long does endoscopic sleeve gastroplasty last?

It depends on factors, including the individual’s health, weight, and lifestyle. However, most people who have the procedure done report positive results for years to come.

The procedure takes about 60 to 90 minutes.

Is endoscopic sleeve gastroplasty permanent?

Sleeve gastrectomy (sleeve) is a permanent procedure that removes 95% of the stomach. It is performed laparoscopically (through small incisions). The abdomen is stapled closed. The stomach pouch measures 2 1/2 to 3 inches and is approximately the size of a banana. The pouch is surgically made smaller.

How effective is endoscopic sleeve gastroplasty?

How effective is endoscopic sleeve gastroplasty
How effective is endoscopic sleeve gastroplasty

Endoscopic sleeve gastroplasty is effective at treating obesity and is considered the gold standard for the non-operative treatment of obesity. A systematic review of the 33 clinical trials found that average weight loss was 13% at one year and 7% at two years.

  • Less invasive than bariatric surgery
  • Shorter recovery time
  • Ability to return to normal activities almost immediately
  • Easier weight loss maintenance
  • Best for people who have approximately 30% of weight loss following gastric sleeve procedure
  • Minimal to no scarring
  • Affordable

How much weight will I lose?

Patients who have the ESG weight loss procedure typically lose 15 to 20 percent of their starting total body weight. Most cases show average weight loss of between 15-20% of total weight.

Will I need to follow a specific diet following the procedure?

Yes. The Patients should adhere to a limited diet, similar to the diet followed after traditional bariatric procedures. This commonly consists of 2-3 weeks of liquid diet, then soft foods. Your doctor will review this with you during your consultation visit, & you will be delivered detailed recovery diet guidelines to follow after the process. Our weight loss professionals can guide you during this recovery and your long-term diet changes.

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