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Endoscopic sleeve gastroplasty in Maryland, Virginia, and Washington DC

What is Endoscopic Sleeve Gastroplasty (ESG) procedure?

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, outpatient, non-surgical, incision-less weight loss procedure. The endoscopist sutures the stomach from the inside to reduce its size, which results in long-lasting weight loss. The procedure is very well tolerated. The patients are not admitted to the hospital, and they return to their normal routine after a few days.

Who is a candidate for Endoscopic Sleeve Gastroplasty?

ESG is most suited for patients who were unable to achieve the desired weight loss with diet and lifestyle changes. It is also suited for patients who do not want to undergo surgery or who do not meet the criteria for traditional bariatric surgery such as sleeve gastrectomy or gastric bypass.

The perfect candidate for ESG is a patient with a BMI between 30 and 50 who is committed to the weight loss program and willing to adapt to a healthier lifestyle.


How is ESG performed?

The ESG procedure also referred to as the accordion procedure, is done endoscopically, so no incisions are needed. The endoscopist advances an endoscope (a flexible tube with a camera and a light on its tip) through the mouth to the stomach. The scope is equipped with an endoscopic suturing device that allows us to suture the stomach from the inside. This way, we can decrease the size of the stomach by about 70-80%. The stomach can accommodate smaller meals; but also the rate by which the food empties from the stomach is decreased, so a smaller meal lasts for a much longer period of time. After the ESG procedure, the patient can follow a low-calorie diet without feeling hungry all the time. Unlike standard weight loss surgery, such as laparoscopic sleeve gastrectomy, ESG reduces the size of the stomach without making any incisions. Patients go home the same day and they return to work after a 2-3 day recovery time.


How much weight would I lose with ESG?

Most people lose around 18 to 20 percent of their total body weight at 1 year after the procedure. Most of the ESG weight loss occurs early on but it is maintained. Five years after the procedure, people have maintained a 15% total body weight loss. The amount of weight loss may vary, and greater weight loss can be achieved in patients who follow the diet and and increase their physical activity and follow up regularly with our team of weight loss experts. The key is to understand that ESG is a tool and to adopt a healthier lifestyle in the long run.


What are the health benefits of ESG?

In addition to weight loss patients who undergo an ESG see an improvement in their weight-related health problems such as blood sugar, blood pressure as well as mood and obstructive sleep apnea. Patients also see a decrease in their risk of serious health events with significant excess weight loss.


Is Endoscopic Sleeve Gastroplasty covered by insurance?

At this point, the ESG procedure is not covered by insurance. ESG is a relatively new non-surgical weight loss procedure. It will take time for the appropriate billing codes to become available, then we may start seeing ESG and other endoscopic bariatric procedures covered by insurance with certain conditions and restrictions that depend on the insurance plans.


How much does the ESG procedure cost?

The average self-pay ESG cost in the US is around $12,000. This varies depending on the practice, hospital or outpatient surgery center setting, and location. We offer competitive self-pay ESG pricing. Please check out our ESG package pricing here.