Endoscopic Sleeve Gastroplasty

A revolutionary, non-surgical alternative to the gastric sleeve.

What exactly is an Endoscopic Sleeve Gastroplasty?

The Endoscopic Sleeve Gastroplasty (ESG) involves the placement of internal stitches inside the stomach to lessen the volume and change the shape of the stomach, forming a tube.

The resulting tube-shaped stomach limits the amount of food it can accommodate, inducing a feeling of fullness with smaller meals. ESG offers a less invasive alternative to traditional surgical interventions, with potentially reduced recovery times and minimised postoperative discomfort. This procedure is often considered for individuals seeking weight loss solutions with a focus on non-surgical approaches.

How does the ESG work?

Portion Control

ESG significantly reduces the stomach’s volume, restricting the quantity of food intake.

Prolonged Satiety

The stomach empties more slowly, leading to a sustained feeling of fullness and helping individuals resist overeating.

Caloric Absorption Reduction

ESG diminishes the stomach’s ability to absorb calories, aiding in weight loss by creating a calorie deficit.

What does the procedure involve?

1

Endoscopic Insertion

The procedure begins with the insertion of a flexible tube equipped with a camera, known as an endoscope, through your mouth and into your stomach. This is done without the need for surgical incisions.

2

Stitch Placement

Using a specialised tool, your Bariatric Endoscopist places several rows of internal stitches within the stomach. These stitches effectively narrow the stomach, changing its shape and reducing its volume.

3

Volume Reduction

As the stitches are tightened, the stomach becomes significantly smaller, both in length and volume. This alteration restricts the amount of food the stomach can hold.

4

Same-Day Discharge

Following the completion of the ESG procedure, you will be discharged from the hospital on the same day. The absence of incisions contributes to a shorter recovery time compared to traditional surgical interventions.

Hear from Our Patients

Real Results: Cara’s ESG Journey

After struggling with her weight for years, Cara turned to ESG at The BMI Clinic—and it changed her life. In just 8 months, she lost 53kg and regained her health, energy, and confidence.

This life changing surgery has not just given me my confidence back but has taken away pain from my ankles, knees, hips and back. This has been the best decision I have ever made.

11th of Dec 2018, I took a life-changing step to have the ESG surgery. After the initial consultation with Dr Adrian Sartoretto and the team at BMI, I knew I was going to be in great hands.
5 months post-surgery, all is fantastic! I have hit all my goals a few months early with the help from the BMI team and my tailored program. My initial weight was 128 kg to now 95 kg and a massive 33+ cm lost (22%). I continue to keep with the BMI plan and with a light moderate fitness program with F45, I continue to smash the weight loss and strip fat and build muscle

– Walter

*Walter lost 33kg on the ESG Silver Program

I feel amazing and ME again.

I have struggled with my weight for as long as I can remember. Being a paramedic, the excess weight makes my job more difficult.
I chose ESG due to the recovery time and non-surgical benefits. I am 6kg away from my goal weight of 67 kg and have a total weight loss of 18 kg so far.

– Jemma

*Jemma lost 23kg on the ESG Silver Program

ESG at The Bariatric and Metabolic Institute: Danielle’s Story

Hear Danielle’s experience with the non-surgical Apollo ESG (Endoscopic Sleeve Gastroplasty) procedure from The BMI Clinic.

Investing in Your Health and Future

The BMI Clinic’s ESG programs, available at Silver, Gold, and Platinum levels, encompass the ESG procedure, OverStitch device, physician, hospital, and anaesthetist fees, along with bulk billed consultations with your Bariatric Physician.

ESG Silver

$18,650

ESG Platinum

$21,950

ESG Gold

$20,350

Weight Loss With The Endoscopic Sleeve Gastroplasty

What can I expect to achieve?

Anticipate achieving an impressive 20-25% Total Body Weight Loss, translating to approximately 20-25kg for a 100kg person. However, the key to optimising these outcomes lies in active engagement with your medical and allied health care team, emphasising that the more involved you are, the greater your potential for success in your weight loss journey.

At The BMI Clinic, pairing ESG with our Silver, Gold, or Platinum lifestyle programs enhances effectiveness. This dynamic approach, led by a team of dedicated weight loss specialists, correlates patient engagement with successful outcomes.

Is the ESG right for you?

Answer the questionnaire below to check your eligibility.

Frequently Asked Questions

Will I be able to feel the internal stitches after the ESG?

No, the internal stitches placed during ESG are not typically felt by patients as they are positioned within the stomach wall.

How long does the ESG procedure usually take?

ESG is a relatively quick procedure, often taking around 60 to 90 minutes, making it an efficient and minimally invasive option for weight loss.

Are there dietary restrictions after undergoing the ESG?

Yes, following ESG, patients are typically advised to adhere to a specific diet progression, gradually reintroducing various food textures to allow the stomach to adjust.

Can the ESG be performed on individuals who have had previous abdominal surgeries?

In some cases, previous abdominal surgeries may impact the feasibility of ESG. A thorough evaluation by a bariatric specialist is necessary to determine suitability.

Is the ESG suitable for individuals with certain medical conditions, such as diabetes or heart disease?

ESG may be considered for individuals with certain medical conditions, but a comprehensive evaluation by healthcare professionals is necessary to ensure safety and appropriateness.