Metabolic & bariatric care · Austin, South Austin & Cedar Park
Endoscopic Gastric Sleeve is a groundbreaking weight loss procedure that uses advanced endoscopic technology to reshape your stomach, similar to traditional surgical procedures like sleeve gastrectomy. However, ESG is entirely non-surgical and minimally invasive, making it an appealing option for those who want to avoid surgery.
Are you ready to take control of your weight and embark on a journey towards your new self? Endoscopic Gastric Sleeve, also known as Endoscopic Sleeve Gastroplasty (ESG), offers a minimally invasive, non-surgical approach to significant weight loss and improved overall health. In this article, we'll explore the benefits and advantages of ESG and how it can help you achieve your weight loss goals.
Endoscopic sleeve gastroplasty uses internal sutures to reshape the stomach. It changes how the stomach accommodates a meal and can slow the emptying of solid food. For many patients, that means feeling satisfied sooner and staying satisfied longer while working on sustainable eating habits.
Although its name includes “sleeve,” ESG is different from surgical sleeve gastrectomy. The ghrelin-producing stomach tissue is not removed, and the intestines are not bypassed. We therefore do not describe it as removing hunger-hormone production or reproducing the hormonal effects of gastric bypass. Studies show changes in gastric function and metabolic health, but the mechanisms and expected results are specific to ESG.
Weight loss after ESG can improve markers such as blood sugar, blood pressure and liver health. Your individual response depends on several factors, including nutrition, activity, medications and follow-up. Your plan pairs the procedure with practical support for maintaining results, preserving muscle and monitoring health. If additional treatment becomes appropriate later, it can be discussed as part of your continuing care.
During an ESG procedure, a flexible endoscope is inserted through your mouth and into your stomach. Inside the stomach, the endoscope uses special suturing devices to create a series of permanent sutures. These sutures reduce the size of your stomach, effectively "sleeving" it into a smaller, banana-shaped pouch. The smaller stomach size helps control your appetite and restricts the amount of food you can consume.
ESG may be considered for adults with obesity who have not achieved lasting weight loss with conservative treatment and want an endoscopic approach. Eligibility depends on the device, BMI, medical history and evaluation; Apollo ESG’s FDA indication includes BMI 30–50. Your team will discuss the program, risks and ongoing nutrition support.
At NuSelf, we understand the challenges of weight loss, and we are committed to helping you achieve your goals safely and effectively. Our team of experienced healthcare professionals will work closely with you to create a personalized weight loss plan that aligns with your unique needs and aspirations.
Say goodbye to the limitations that excess weight imposes on your life and take the first step towards a brighter, healthier future. Contact us today to schedule a consultation and learn more if ESG weight loss journey is right for you.
Endoscopic sleeve gastroplasty uses internal sutures to reduce stomach volume without removing stomach tissue. FDA-authorized systems are available for eligible adults. Your consultation determines whether the procedure and the locally available program are appropriate for you.
ESG uses internal sutures without removing stomach tissue. It is a distinct treatment from sleeve surgery. Discuss reflux, bleeding, pain, nausea, rare serious complications and the possibility of further treatment.
MD, FACS, FRCS, FRCSI
Founder & President · Robotic General and Bariatric Surgeon · Board-Certified · Yale Fellowship-Trained
20+ years. More than 6,000 bariatric patients. Advanced metabolic surgery and complex revisions.
Meet Dr. GantaThe cost conversation starts early. Our Insurance Concierge helps review your benefits and the requirements for the proposed treatment. For self-pay, request a comprehensive, procedure-specific package quote. Financing may help spread eligible costs over time.
Arrange your secure portal access for records, results and private communication.
Make the proposed treatment and expected patient responsibility clear.
Review your health, compare suitable treatments and ask your questions.
Agree on preparation, timing, recovery and long-term follow-up.
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