Endoscopic Sleeve Gastroplasty (ESG)

A Minimally Invasive, Incision-Free Approach to Sustainable Weight Loss

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure performed entirely through the mouth using an endoscope. It reshapes and reduces the functional volume of the stomach without any external incisions, enabling patients to feel full sooner, reduce overall food intake, and support long-term weight management.

ESG has become one of the most trusted non-surgical weight-loss procedures for individuals who want meaningful results with significantly less downtime and a lower risk profile compared to traditional bariatric surgery.
Performed by Dr. Gurneet Bedi, a board-certified gastroenterologist specializing in advanced endoscopic procedures, ESG offers a safe, evidence-based option for patients seeking control, clarity, and long-term change.

Clinically Recognized

Pioneered at Harvard Medical School by Dr. Christopher C. Thompson, ESG has been performed in tens of thousands of patients globally. It is recognized by Journal of the American Medical Association as the most effective endoscopic bariatric therapy and endorsed by American Society for Metabolic and Bariatric Surgery as safe and effective.

What Is ESG & How It Works?

Endoscopic Sleeve Gastroplasty reduces the stomach’s capacity by placing internal sutures that fold and narrow the stomach into a sleeve-like shape. This modification decreases how much food the stomach can hold and slows the rate at which food empties, creating earlier and more sustained feelings of fullness.

Key points about the procedure:

No External Cuts or Surgical Incisions

No removal of stomach tissue

Performed under sedation

Stomach volume reduced by approximately 70–80%

Outpatient procedure — most patients go home the same day

Does not alter intestinal anatomy

By limiting intake and improving appetite control, ESG supports steady and sustainable weight loss when paired with proper follow-up care and lifestyle modifications.

Who Is a Good Candidate for ESG?

Endoscopic Sleeve Gastroplasty may be suitable for individuals who:

Have a BMI typically above 30

Have struggled to lose weight through diet, exercise, and medications

Do not qualify for, or prefer to avoid, traditional bariatric surgery

Seek a minimally invasive weight-loss option with a lower risk profile

Are committed to ongoing lifestyle adjustments, nutrition changes, and follow-up care

ESG is not appropriate for individuals with certain stomach conditions, bleeding disorders, or untreated GI diseases. A consultation with Dr. Bedi ensures appropriate evaluation and safe candidacy.

Benefits of Endoscopic Sleeve Gastroplasty

Patients choose ESG because it provides meaningful weight-loss support without the invasiveness of surgery. Benefits commonly include:

No Scars:

All suturing is internal, leaving the abdomen completely untouched.

Lower Risk:

ESG avoids risks associated with surgical incisions and stapling.

Faster Recovery:

Most patients return to daily routines within a few days.

Reduced Hunger:

The smaller stomach capacity promotes early satiety.

Metabolic Improvements:

Many individuals see improvements in blood sugar, blood pressure, and cholesterol.

Same-Day Discharge:

ESG is performed on an outpatient basis.

A Balanced Option:

Ideal for people who need more than medical weight-loss therapy but want to avoid surgical procedures.

While outcomes vary, clinical studies consistently show that motivated patients achieve significant weight reduction within the first year.

The ESG Experience:
What Patients Can Expect?

Before the Procedure

Thorough consultation with the patient
Review of complete medical history
Discussion of treatment goals and expectations
BMI evaluation and detailed procedure explanation
Nutritional guidance and preparation instructions provided in advance

During the Procedure

Performed under sedation
A flexible endoscope enters through the mouth
Internal sutures are placed to reduce stomach size
Typical procedure duration: 60–90 minutes
No incisions, cuts, or external scars

Recovery and Follow-Up

Temporary diet progression (liquids → soft foods → regular diet)
Mild soreness or nausea may occur during early recovery
Most people resume normal activities within several days
Scheduled follow-up visits reinforce lifestyle support, nutrition guidance, and progress tracking
Long-term success relies on consistent, healthy habits

Why Patients Choose
Dr. Gurneet Bedi

Dr. Gurneet Bedi is a board-certified gastroenterologist with advanced training in therapeutic endoscopy and minimally invasive weight-loss interventions. He is part of Gastro Florida, a leading GI care network recognized for exceptional digestive health services.

Patients value his approach because it is:

Evidence-based

Technically precise

Direct, honest, and medically responsible

Focused on long-term success

Supported by high-quality tools, including Endura-associated technology through Boston Scientific

Dr. Bedi’s goal is to provide a clear, structured pathway for patients who want a safe, non-surgical method to manage their weight and overall health.

Frequently Asked Questions

We’ve got answers. Learn everything you need to know about the endoscopic sleeve gastroplasty (ESG) procedure.

Is ESG reversible?

ESG does not remove any stomach tissue, but the sutures are designed to be durable. In some cases, they may loosen naturally, but the procedure is not intended as a reversible option.

How long is recovery?

Most patients return to regular activities within a few days.

How soon will I see results?

Weight loss often begins within the first few weeks. Results vary, but many patients experience steady loss over 6–12 months.

Will I have scars?

No. ESG is performed without any external incisions.

How long do sutures last?

The sutures are engineered to be long-lasting, though natural loosening can occur over time.

Schedule Your Consultation

To learn whether Endoscopic Sleeve Gastroplasty is the right option for you, schedule a consultation with Dr. Gurneet Bedi.
Your visit will focus on your goals, your health profile, and whether ESG is the most effective path toward the future you want.