Endoscopic Sleeve Gastroplasty (No incision)

An ESG is an Endoscopic Sleeve Gastroplasty. An endoscope (a camera at the end of a long thin flexible tube), with special suturing equipment attached to it, is inserted through the mouth and then into the stomach and the stomach is sutured from the inside to approximate the shape created during traditional sleeve gastrectomy surgery, without the removal of any tissue. The advantage is that there is no incision and therefore much less discomfort. It is a day procedure done while completely asleep and typically takes about an hour to complete. Most people return to their normal activity within a day or just a few days. As there are no incisions, there are no restrictions on activity and you can return to exercising within just a few days. ESG patients will typically lose less weight than traditional sleeve surgery patients and therefore the ESG is typically performed on smaller patients who may not qualify for traditional bariatric surgery.

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(806) 687-5670

David Syn, M.D.


The Advanced Bariatric Surgery Center, P.A.


3805 22nd Place, Lubbock, TX 79410