New Jersey Bariatric Center
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Non-Surgical Weight Loss

Weight Loss Goals Come In Many Sizes

Weight Loss Goals Come In Many Sizes

Endoscopic Sleeve Gastroplasty (ESG)
Endoscopic Sleeve gastroplasty (ESG) is a minimally invasive revisional weight loss procedure for patients who have previously had a sleeve gastrectomy. If a patient’s sleeve has stretched over time allowing them to consume larger amounts of food leading to weight gain, ESG might be a good fit for them. It involves using an endoscope, a flexible tube with a camera and surgical instruments, to reduce the size of the stomach. This procedure has been shown to allow for more weight loss than diet and exercise alone.

How it Works
The ESG procedure works by reducing the size of the stomach. By removing a portion of the stomach, the hunger hormone, ghrelin, is also reduced which leads to faster satiety or feelings of fullness. Patients also consume fewer calories following an ESG due to the reduced size of the stomach.
Who Qualifies for ESG?
To qualify for endoscopic sleeve gastroplasty, patients should have a BMI (body mass index) between 30 and 40. For patients who have a higher BMI but are not good candidates for surgery such as the laparoscopic gastric sleeve or gastric bypass, the ESG might be a good fit for them.

To calculate your BMI, click here.
Benefits & Risks
The ESG procedure can help patients lose between 12 and 20% of excess body weight. Getting to and maintaining a healthy weight can not only increase lifespan but also helps patients to control or eliminate obesity related issues like type 2 diabetes, high blood pressure and sleep apnea. As with any weight loss procedure or even medication, best results are obtained when also paired with a healthy diet, regular exercise program and support.

The ESG procedure is also reversible. The surgeon changes the shape of the stomach using sutures that safely remain in the body but can also be removed, if needed, to reverse the procedure.

As with any surgical procedure, there are also risks. Because the procedure is minimally invasive, the risk of having a serious complication is very small. Complications can include bleeding, infections, leaks and more.
Recovery & Follow-Up
Most patients who undergo an endoscopic sleeve gastroplasty can go home the same day as the procedure. For the first week, patients will follow a liquid diet that includes protein shakes while the stomach heals. Following this, patients can then move on to soft foods and eventually work their way back to eating solid foods. 

Following the ESG, patients can expect to meet with your surgeon and dietitian 1 week postoperatively and then every month following that. This is important not only to track progress and healing but also to offer support and guidance throughout the weight loss journey.
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