Endoscopic sleeve gastroplasty (ESG)
Endoscopic sleeve gastroplasty (ESG) is a non-surgical option for weight loss. This minimally invasive procedure reduces the size of the stomach up to 70% — about the size of a banana — which helps you feel full faster.
Unlike traditional bariatric surgery, ESG requires no incisions. Instead, a specially trained doctor performs the procedure by inserting a small, flexible scope into the stomach through the mouth, leaving no surgical scars.
ESG is performed in a state-of-the-art endoscopy lab, equipped with specialized tools and imaging systems. Patients typically return home the same day.
Frequently asked questions
National guidelines recommend ESG for individuals with a body mass index (BMI) between 30 and 50, who haven't achieved weight loss success with diet and exercise. ESG is also an option for people who don’t qualify for — or don’t want — bariatric surgery.
On average, people lose 15 to 20% of their total weight by the first year. Lifestyle modifications, including exercise and a balanced diet, can help support longer-term success.
Both procedures reduce the size of the stomach to support weight loss.
Endoscopic sleeve gastroplasty is a non-surgical procedure performed with a flexible scope that is inserted into the stomach through the mouth. Since ESG is not a surgery, patients usually don’t require a hospital stay, and they return to daily activities quickly. Patients can expect to lose 15 to 20% of their weight by one year.
Sleeve gastrectomy is traditional bariatric surgery performed with incisions in an operating room. A short hospital stay is required, and overall recovery time is longer than an ESG. Surgical sleeve gastrectomy generally leads to greater weight loss overall and may lead to longer-lasting weight loss. Patients also tend to lose weight more quickly from sleeve gastrectomy than ESG.
ESG is currently available at Sharp Grossmont Hospital in La Mesa. Find a physician who specializes in ESG.
Locations of endoscopic sleeve gastroplasty (ESG) services in San Diego
We offer ESG services at the following Sharp location.
