Endoscopic Sleeve Gastroplasty

An innovative, minimally invasive, non-surgical weight loss procedure that leads to lasting results.

Endoscopic sleeve gastroplasty (ESG), also known as incisionless gastric sleeve or the accordion procedure, reduces the size of the stomach without making any permanent changes to the digestive system. The result is enhanced appetite control that leads to lasting weight loss.

With ESG, there is no external scarring, no long recovery period, and no synthetic device left in the stomach. By reducing the size of the stomach, this procedure promotes lasting weight loss by reducing the amount of food necessary to feel full. Most people will begin experiencing weight loss immediately following the ESG procedure.

How it Works

The E in the ESG procedure stands for endoscopic. Endoscopic procedures are performed orally with a long flexible tube that reaches from the throat into the stomach. Using an endoscopic suturing device, your weight loss surgeon will reduce the size of the stomach by creating a small pouch where food will enter. This prevents the need to actually remove any part of the stomach, and therefore reduces the level of recovery necessary following the procedure.


Most people are able to return to normal activity just 24 hours after the ESG procedure. Following the dietary guidelines and exercise recommendations provided by your weight loss surgeon will improve weight loss results and lead to lasting, positive health changes and ongoing weight loss success.

The Benefits of ESG

There are many types of weight loss surgery available, but ESG provides enhanced results thanks to its highly effective but minimally invasive nature. The ESG procedure is proven to help you achieve better health with a short recovery period. It is also reversible, making no permanent changes to you digestive system, and thanks to its incisionless procedure there are no visible scars.

Further benefits include:

  • ESG is proven to help patients lose more than 50% of their excess body weight within one year.
  • ESG is proven to improve health in association with obesity-related disease, particularly type-2 diabetes, high cholesterol and hypertension.
  • Enhanced weight loss through ESG is proven to improve joint pain associated with obesity
  • ESG is proven to enhance sleeping patterns, especially sleeping patterns that are disrupted due to sleep apnea and other obesity-related illnesses.

If you are struggling with obesity and have been unable to lose weight through traditional diet and exercise, then the endoscopic sleeve gastroplasty procedure may be recommended for you.