What is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Surgery – medically known as Endoscopic Sleeve Gastroplasty (ESG) – is a state-of-the-art non-surgical, incisionless weight loss procedure.
Unlike conventional sleeve gastrectomy (which requires keyhole abdominal cuts and permanently removes stomach tissue), ESG is performed entirely through the mouth using a flexible endoscope equipped with an advanced full-thickness suturing device. The surgeon places a series of durable, full-thickness sutures inside the stomach cavity, folding and stitching the gastric tissue to reduce stomach volume by approximately 70% to 75%. This converts the stomach into a narrow tube without making a single incision on the abdomen or removing any organ tissue.
Who May Benefit from Endoscopic Sleeve Surgery?
ESG is ideal for:
- Patients with BMI 30 to 40 kg/m²: Who have not achieved success with lifestyle changes and prefer an incisionless approach.
- Patients Unsuitable for Open or Laparoscopic Surgery: Due to abdominal adhesions or medical risk factors.
- Patients Desiring a Reversible Option: Stomach tissue is stitched rather than cut away, leaving natural anatomy intact.
Common Signs & Health Conditions That May Require Endoscopic Sleeve Surgery Consultation
Clinical Indications
- BMI 30 to 38 kg/m²
- Early Stage Type 2 Diabetes
- Mild Refractory Fatty Liver
Patient Preferences
- Desire for Zero External Abdominal Scars
- Fear of Permanent Organ Removal
- Need for Fast Recovery (1-2 Days off Work)
Our Endoscopic Sleeve Surgery Procedures Include
- Primary Endoscopic Sleeve Gastroplasty (ESG): Suturing the stomach internally via endoscopic route.
- Endoscopic Revision of Previous Sleeve: Tightening a stretched sleeve gastrectomy internally without revision surgery.
Benefits of Endoscopic Sleeve Surgery
- Incisionless Procedure: Zero abdominal cuts, zero visible scars.
- Organ-Preserving: No stomach tissue is cut or removed from the body.
- Low Risk Profile: Fewer post-operative complications compared to traditional open or laparoscopic procedures.
- Rapid Recovery: Most patients return to desk work within 48 hours.
- Effective Weight Loss: Patients typically lose 15% to 20% of total body weight within 12 months.
Meet Dr. Apurva Vyas – Robotic Bariatric & Metabolic Surgeon
Dr. Apurva Vyas is trained in advanced therapeutic GI endoscopy and endoscopic suturing platforms. At Ansh Obecure, ESG procedures are performed in dedicated, modern endoscopic suites.
Serving as the lead surgeon at Ansh Obecure, Ahmedabad, Dr. Vyas brings over 25 years of clinical experience and a track record of 18,000+ of successful metabolic and bariatric procedures.
- Advanced Surgical Expertise: Specialized training and fellowships in advanced laparoscopic and robotic bariatric techniques.
- Patient-Centric Approach: Focused on precise diagnostic evaluations, personalized surgical selection, and empathetic lifetime post-operative care.
- Innovator in Robotic Precision: Leveraging Da Vinci robotic surgical systems to deliver superior visualization, sub-millimeter tissue handling, and minimal patient recovery times.
- Multidisciplinary Leadership: Directs an expert team of bariatric dietitians, bariatric counselors, clinical cardiologists, and intensive care specialists at Ansh Obecure.
Endoscopic Sleeve Surgery Preparation & Evaluation
- Upper Diagnostic Endoscopy: Performed prior to the procedure to confirm gastric health.
- Pre-Procedure Fasting: Standard overnight fluid and food fast.
- Clearance Protocols: Cardiometabolic risk clearance prior to sedation.
Endoscopic Sleeve Surgery Recovery & Aftercare
- Hospital Stay: Outpatient or overnight 24-hour observation.
- Dietary Progression: Full liquid diet (Weeks 1–2) -> Soft pureed foods (Weeks 3–4) -> Normal healthy solids.
- Lifestyle Integration: Structured follow-ups with our bariatric dietitian to reinforce portion control habits.
