The IFSO Bariatric Endoscopy Committee endorses Endoscopic Sleeve Gastroplasty (ESG) as an effective and valuable treatment for obesity.1
ESG is a minimally invasive procedure designed to support gradual, lasting weight loss when combined with lifestyle changes.
It is particularly beneficial for patients with class I and II obesity, as well as for those with class III obesity who are not suitable candidates for metabolic bariatric surgery.1
How the ESG procedure is performed
ESG reduces stomach size using sutures placed through the mouth during a simple outpatient procedure. It is performed under general anesthesia by a trained gastroenterologist or surgeon that uses the OverStitch™ System to create 6-8 plications along the greater curve of the stomach.
Curious to learn more about ESG? Here’s how it works:
Sustainable results
Clinical evidence
Download our leaflet for a concise, evidence-based overview of ESG, showcasing the latest clinical data and insights that support its safety and efficacy.
Key Resources
Adopting ESG – Interview with Dr. Lubbe
Dr. Lubbe shares what led her to adopt the endoscopic approach in her bariatric department, with a focus on the role of ESG.
Resources for Patients
Discover comprehensive resources tailored for ESG patients across the UK, Italy, Germany, Spain, and France.
Patient Perspective: Joanna’s ESG Journey
Listen to Joanna’s story as she shares her transformative weight loss journey with ESG.
Alternative bariatric procedures
- Laparoscopic sleeve gastrectomy (LSG), also referred to as vertical sleeve gastrectomy, is a restrictive bariatric procedure predominantly performed via laparoscopy. During LSG, approximately 75-85% of the stomach is resected along the greater curvature. This procedure induces significant neurohormonal and bile signaling modifications, contributing to its metabolic efficacy.3
- Roux-en-Y gastric bypass (RYGB) involves the exclusion of a portion of the stomach and proximal intestine, with the distal intestine reconfigured into a Y-configuration. This allows for the passage of ingested food from the upper gastric pouch through the Roux limb, facilitating both weight loss and metabolic benefits, independent of weight reduction.3
