ESG (Endoscopic Sleeve Gastroplasty)
ESG Explained
ESG, Endoscopic Sleeve Gastroplasty, is a type of surgery done by a gastroenterologist. It is non-invasive and does not have any incisions. With sedation, you can go home soon after the procedure. The patient will return to their normal routine a few days of at-home recovery.
Who is it For?
ESG is good for people who have been unsuccessful with diet and exercise and whose BMI is at least 30. ESG may be a solution for those who don’t want to have gastric bypass surgery or those who are not physically able. You need to be committed to this program and follow the instructions for the period of time that has been prescribed. ESG is good for people looking for a long-term weight loss solution.
How The Procedure Works
The process of ESG, or endoscopic sleeve Gastroplasty, is a quick and painless surgery that takes just 45-90 minutes. Your physician will insert an upper endoscope into your stomach from the mouth while you are under anesthesia and the stomach will be reduced in size by placing plicating sutures using a suturing device. By plicating the stomach it is reduced to 70-80% smaller than before – which means less food before feeling full and fewer calories absorbed during digestion.
How Much Weight Will I Lose?
ESG is a type of non-surgical weight loss procedure. It helps people lose weight and they usually lose 20% of their body weight at 1 year. In addition to weight loss, people will also have lower blood pressure numbers, better blood sugar control and improvement of fatty liver and sleep apnea will improve.
Why Choose Us for ESG?
Endoscopic Mastery
The complicated nature of endoscopic procedures demand a great amount of skill. Dr. Veera is a gastroenterologist with an expertise in weight loss and endoscopies. He travels all over to learn the lastest cutting edge procedures so that he can bring most advanced care to Upsate South Carolina.
Bariatric Prestige
Dr. Veera is a renowned gastroenterologist who performs endoscopic procedures at Anmed Hospital. AnMed Health Weight Loss Surgery was certified in 2016 by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a nationally accredited program that meets the highest standards for patient safety and quality of care. The MBSAQIP standards ensure that weight loss surgery patients receive a multidisciplinary program, not just surgery, which improves long-term success.
Physician Commitment
If you live in South Carolina, or are traveling from another state, we promise to provide the highest level of concierge care with direct access to your physician. We remain committed for your success throughout this weight loss journey because our goal is not just about losing pounds but also regaining health and happiness.
Pricing Plans (Cash Pay Only)
$11,650
- Initial Physician Consultation
- Pre-Surgery Comprehensive Bariatric Nutrition Consultation
- Pre-Surgery Psychiatry/Psychologist Evaluation
- ESG Procedures (inclusive of all Anmed facility, anesthesia, and physician fees)
- Physician Post Procedure Follow Up Visits
- 24/7 Medical Staff On-Call Access
Insurance does not currently provide coverage for non-surgical weight loss procedures
ESG FAQ:
ESG, or endoscopic sleeve gastrectomy is the new gold standard for non-surgical weight loss. It performs with an incisionless technique that reduces stomach size through internal suturing and by folding it like a surgical sleeve to reduce its original volume of 70%.
ESG is a non-surgical procedure that uses an endoscopic suturing system to reduce the size of your stomach. The surgery can be done on a same day, outpatient basis and does not involve any removal from the stomach like with other procedures such as gastric sleeve surgeries.
An average of 5-7 sutures are placed along the greater curve of the stomach. The exact number will vary based on the size and shape of the stomach.
Non-Surgical Endoscopic Procedure Comparisons
ESG
ORBERA
ORBERA
TORe
LSG (Do Not Offer)
Type of Procedure
Non Surgical (Endoscopic)
Non Surgical (Endoscopic)
Non Surgical (Endoscopic)
Surgical
Is Hospitalization Required
No
No
No
Yes; 1-3 days
Return to work
2-3 days
2-3 days
2 days
1-2 weeks
Average Excess Weight Loss
50 %
30-40 %
50-60 %
60-70 %
Average Total Body Weight Loss
20 %
15 - 20 %
25 %
20-30%
Major Complications
Rare <1%
Rare <1%
Rare <1%
2-6 % (0.11% mortality)
Reversible
No
No
Yes
No
Covered by insurance
No
No
No
Yes (if eligible)