Endoscopic Sleeve
Gastroplasty (ESG)
We want you to fully understand what this procedure entails to help you make a solid decision as to which procedure best meets your goals.
You are not alone, we are always here to answer your questions. We will be there throughout the process and after to make certain that you feel well and healthy.
What is ESG?
Endoscopic Sleeve Gastroplasty (ESG), also known as EndoSleeve, is a minimally invasive weight-loss procedure designed to help individuals achieve substantial weight loss and improve their overall health. This innovative technique involves the use of an endoscope—a flexible tube with a camera—inserted through the mouth into the stomach. The procedure reduces the size of the stomach by creating a sleeve-like structure, which limits food intake and promotes a feeling of fullness.
Minimally Invasive
ESG is performed without the need for major surgery. It does not require any incisions, leading to reduced pain and a quicker recovery time compared to traditional weight-loss surgeries.
No Permanent Alteration
Unlike some surgical weight-loss options, ESG does not involve permanent changes to the digestive system. This means that if necessary, patients can revert to their original anatomy.
Improved Quality of Life
Beyond weight loss, ESG can lead to improvements in obesity-related conditions such as diabetes, hypertension, and sleep apnea. Many patients report enhanced energy levels and overall well-being after the procedure.
We utilize the latest advanced equipment to perform all our procedures. To perform ESG’s we use the Apollo ESG™ System. Dr. Bustamante is highly trained in the use of this amazing new technology.
The video below explains how we use the Apollo ESG™ System. Please watch it and let us know if you have any questions.
How is Endoscopic Sleeve Gastroplasty performed?
After placing four to six endoscopic sutures in a specific pattern, the stomach will be reduced and shortened to approximately 60 to 70% of its original capacity.
How does Endoscopic Sleeve Gastroplasty work?
The stomach remodeling will create a smaller stomach and will slow down the gastric motility. The result is that you will feel full faster and for a longer period of time, therefore you will eat less and LOSE WEIGHT!
Where is Endoscopic Sleeve Gastroplasty performed?
The procedure is done in an endoscopy suite under general anesthesia and takes 40-60 minutes to complete.
What happens after Endoscopic Sleeve Gastroplasty?
After the procedure you will go to the recovery area where you will be monitored for 2 to 3 hours and then you can go home the same day! However, if you feel more comfortable you can be admitted for observation overnight and discharged home the next day.
Is Endoscopic Sleeve Gastroplasty safe?
ESG is SAFE. The risk of adverse events is very low (<1%) and these events are usually minor or uncomplicated. No deaths have been reported.
How effective is Endoscopic Sleeve Gastroplasty?
ESG is EFFECTIVE. On average, patients lose 20% of their total body weight, but the majority of patients lose more weight when following the Be Better post-ESG plan.
How does Endoscopic Sleeve Gastroplasty compare to Laparoscopic Sleeve Gastrectomy?
To view all data in this chart scroll to the right.
|
Endoscopic Sleeve Gastroplasty |
Laparoscopic Sleeve |
|
| Type of Procedure |
Non-surgical, endoscopic |
Surgical |
| Is Hospitalization Required? |
No; same-day procedure |
Yes; 1-3 days |
| Return to Work |
2-3 days |
1-2 weeks |
| Average Excess Weight Loss |
50-60% |
60-70% |
| Average Total Body Weight Loss |
20% |
20-30% |
| Major Complications |
Rare (<1%) |
2-6% (0.11% mortality) |
| Reversible? |
No |
No |
| Covered By Insurance? |
No |
Yes (if eligible) |
Frequently Asked Questions
Frequently Asked Questions
Who is a good candidate for ESG?
Answer: Good candidates for ESG typically include individuals with a body mass index (BMI) of 30-40 who have not had success with traditional weight loss methods. It may also be suitable for those who want to avoid more invasive surgical options.
What is the recovery like after ESG?
Answer: Recovery time is usually quick. Many patients can return to normal activities within a few days. A liquid diet is typically followed for the first few weeks, gradually transitioning to solid foods.
What are the benefits of ESG?
Answer: Benefits include minimal recovery time, reduced hospital stay, and a lower risk of complications compared to traditional bariatric surgery. Patients often experience significant weight loss and improvements in obesity-related conditions.
How is the procedure performed?
Answer: The procedure is performed under sedation using an endoscope, which is a flexible tube with a camera. The surgeon uses specialized suturing devices to fold and stitch the stomach, creating a sleeve shape.
What are the risks associated with ESG?
Answer: Risks may include bleeding, infection, and complications related to anesthesia. There may also be a chance of insufficient weight loss or weight regain over time.
How much weight can I expect to lose after ESG?
Answer: Patients can typically expect to lose 30-50% of their excess weight within the first year after the procedure, although results can vary based on individual factors such as diet and exercise.
Will I need to make lifestyle changes after ESG?
Answer: Yes, adopting a healthier diet and regular exercise is crucial for maximizing weight loss results and maintaining weight loss long-term.
Endoscopic Sleeve Gastroplasty Pricing
Base ESG Package
Base ESG package $10,000 (USA)
Initial consultation
Comprehensive medical and nutritional assessment
ESG procedure (including equipment, anesthesia, physician and facility fees)
Be Better post-ESG customized nutritional plan by a bariatric dietitian for 1 year (including unlimited communication via email)
Physician follow up on month: 1,3,6,9 and 12 (including unlimited communication via telephone, video call and/or email)
Enhanced ESG Package
Base ESG package plus:
Be Better back to physical activity and exercise program by a certified coach for 1 year: $500.00
90-day complication coverage insurance for up to $25,000: $510.00 (only applies in the USA)
Concierge ESG Package
Lodging and transportation arrangements: We facilitate reservations with our partnered providers.
*We do not charge for accommodations or transportation services
* We do not charge a commission over the mentioned services
* Our patients can always pick a hotel or transportation service of their choosing, ours is only a suggestion.
*Patients will pay directly to the provider of each service (hotel and/or transportation)