Specialized Treatment

Weight Loss (ESG)
Endoscopic Sleeve Gastroplasty (Non-Surgical Weight Loss)

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical endoscopic weight loss procedure. A specialized suturing device inserted through the mouth reduces the capacity of the stomach without an outer incision. Results vary from person to person and depend on diet and lifestyle changes. Your doctor will discuss the benefits and risks with you.

In short: ESG (Endoscopic Sleeve Gastroplasty) is a non-surgical weight loss procedure that reduces stomach volume using internal sutures placed through the mouth. It requires no outer incisions, and recovery is usually quicker than after surgical bariatric procedures, though results vary.

When to seek help immediately:

  • BMI over 30 with weight-related health risks
  • Pre-diabetes or uncontrolled hypertension due to weight
  • Sleep apnea affecting your daily energy and safety
  • Joint pain making exercise or daily movement difficult
  • Struggling to maintain weight loss via diet alone
Call Specialist
Weight Loss (ESG)
Evidence-Based Care
Same-Day Discharge
Clinical Overview

Advanced Non-Surgical Weight Care

Endoscopic Sleeve Gastroplasty (ESG) is a newer type of weight-loss procedure. It reduces the size of your stomach using a specialized suturing device that is inserted down your throat—no abdominal incisions required.

This procedure is ideal for individuals with a BMI of 30 or higher who have not achieved their goals through diet and exercise alone but are not ready for major bariatric surgery.

Ideal Candidate

Adults with BMI 30-40, focused on weight loss for health improvements in diabetes, hypertension, or sleep apnea.

Is ESG Right For You?

Common indicators that you may require this treatment

BMI Over 30

Typically intended for those with Class I or II obesity.

Weight-Related Health

Improving conditions like pre-diabetes and joint pain.

Dietary Frustration

Struggling to maintain weight loss via traditional methods.

Surgery Concerns

Seeking a safer alternative to gastric bypass or sleeve.

ESG Transformation Path

A structured path from diagnosis to recovery

1

Comprehensive Screening

A metabolic and nutritional assessment to ensure you are a safe candidate for ESG.

2

Scarless Suturing

Using an accordion-style suture to reduce the stomach volume through a flexible scope.

3

Internal Healing

The stomach walls fuse into a narrow sleeve over 4-6 weeks without any external marks.

4

Nutritional Support

A 12-month guided program to help you transition to healthy, sustainable habits.

The ESG Advantage

How this treatment works and who it may suit

Safest Profile

Lower complication rates compared to invasive bariatric surgery.

Zero Scars

Entirely internal procedure with no evidence on your body.

Supports Weight Loss

Weight loss varies between patients and depends on diet and lifestyle changes.

Dr. Shruti Sagar - Consultant Gastroenterologist
10+Years of
Experience
About Dr. Shruti Sagar

Meet Dr. Shruti Sagar –
Gastroenterology Specialist

Dr. Shruti Sagar is a Consultant Gastroenterologist and Hepatologist with training in advanced therapeutic endoscopy. Currently associated with Yashoda Hospitals, she also consults at Krisara Gastro.

10+Years of Experience
DMQualification
ERCPArea of practice
EUSArea of practice

Areas of Clinical Practice:

Advanced Therapeutic Endoscopy
Endoscopic Sleeve Gastroplasty (ESG)
Anti-Reflux Mucosal Ablation (ARMA)
Third Space Endoscopy (POEM, ESD)
Complex IBD Management

Frequently Asked Questions

Clinical transparency for your peace of mind

How long do I stay in the hospital?
ESG is often a day-care or overnight procedure, allowing for a quick return home.
Is ESG permanent?
ESG is intended to be long-term, though it can be revised or reversed if medically necessary.
What is the average weight loss?
Results vary from person to person and depend on diet, exercise and follow-up. Your doctor will discuss realistic expectations with you.
How can I learn more about the procedure?
Please consult or book an appointment to know more about the procedure and we will assist you with an overview.
Can I eat out after ESG?
Yes, but your portion sizes will be significantly smaller, and you will learn to choose nutrient-rich foods.
Is ESG safer than sleeve gastrectomy?
Yes, because it is non-surgical, it avoids risks related to leaks and major abdominal infections.

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Weight Loss (ESG)Specialist: Dr. Shruti Sagar