COVID-19 Protocol

Endoscopic Sleeve Gastroplasty


Endoscopic sleeve gastroplasty is a minimally invasive weight loss procedure that involves inserting a suturing device into the patient’s esophagus and down to their stomach. The endoscopist then places sutures in the stomach to make it smaller.

The procedure may be an option for significantly overweight patients who have a body mass index of 30 or more and who haven’t experienced results with diet and exercise.

Endoscopic sleeve gastroplasty is an effective weight loss treatment, helping patients lose weight by limiting how much they can eat. Because the procedure is minimally invasive, the risk of operative complications is minimal and patients are able to return to daily activities relatively quickly.

To see results, patients must commit to living a healthy lifestyle. They’ll need to make permanent changes to their diet and exercise regularly to ensure long-term weight loss after endoscopic sleeve gastroplasty.


Goals of Endoscopic Sleeve Gastroplasty

Though the procedure is performed to help patients lose weight, other benefits include potentially lowering the risk of serious weight-related health problems, such as:

  • Sleep apnea
  • Type 2 diabetes
  • High blood pressure
  • Osteoarthritis (joint pain)
  • Heart disease and stroke
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

Endoscopic sleeve gastroplasty and other weight-loss procedures are typically done only after conservative efforts, such as diet and exercise, have failed to produce results.


Who is a Candidate?

Endoscopic sleeve gastroplasty is an option for patients whose body mass index (BMI) is above 30, who haven’t been able to maintain weight loss with diet and exercise alone, and who don’t qualify for or wish to undergo traditional bariatric surgery.

However, endoscopic sleeve gastroplasty isn’t for all patients struggling with being overweight. Each patient will need to undergo a screening process to see if the procedure might be beneficial for them. The patient must also be willing to commit to living a healthy lifestyle, attend regular medical follow-up, and undergo behavioral therapy.

Endoscopic sleeve gastroplasty isn’t recommended for patients with a large hiatal hernia or a condition associated with gastrointestinal bleeding, such as peptic ulcer disease or gastritis.

What to Expect During The Procedure

The patient will be placed under general anesthesia and the physician will begin by inserting an endoscope down the patient’s throat and into their stomach. The tiny camera at the end of the endoscope will allow the physician to visualize the patient’s stomach and place sutures without making any incisions in the abdomen.

The sutures will alter the structure of the stomach, forming a tube shape that restricts the amount of food the patient can eat and aiding weight loss. The entire procedure will take between 60 and 90 minutes.

The Recovery Process

After the surgery, the patient will awaken in a recovery room, where they will be monitored for signs of complications.

Most patients are able to go home once they’ve recovered from the sedation. Some patients, however, might need to stay in the hospital for one day for observation.

After the procedure, patients will need to avoid eating for a few hours. They will then begin a liquid diet and continue the diet for at least two weeks.

Eventually, the patient will be able to consume semisolid foods, and then a regular healthy diet.