Al Taie Center for laparoscopic and obesity surgery

Endoscopic Sleeve gastric (ESG)

What is Endoscopic Sleeve Gastroplasty (ESG) from a medical perspective?

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non surgical bariatric procedure performed using an endoscope passed through the mouth, without any external incisions.

During the procedure, internal sutures are placed inside the stomach to reduce its volume and reshape it into a narrower tube, limiting food intake and promoting early satiety.

FAQ

ESG works through restriction by reducing the functional capacity of the stomach.

 

By decreasing stomach volume, patients feel full after smaller meals, which supports gradual and controlled weight loss when combined with proper dietary habits and lifestyle changes.

 

No part of the stomach is removed, and the digestive tract remains intact without alteration.

No.

ESG is not suitable for all obesity cases and is offered only after careful medical evaluation.

 

It is generally not suitable for:

  • Severe or morbid obesity
  • Patients who require strong hormonal or metabolic effects

Cases where surgical bariatric procedures are medically more appropriate

ESG is particularly suitable for patients with moderate excess weight, such as:

  • Individuals with approximately 15 to 30 kg of excess weight
  • Patients who have not reached the stage of morbid obesity
  • Those seeking a less invasive option without surgery

Final eligibility is always determined based on a comprehensive medical assessment, not weight alone.

Endoscopic Sleeve Gastroplasty (ESG):

  • Reduces stomach volume through internal suturing
  • Is performed endoscopically without surgical incisions
  • Does not affect nutrient absorption
  • Relies significantly on patient adherence to dietary and lifestyle changes

 

Other bariatric procedures:

  • Involve surgical or anatomical changes
  • Provide stronger metabolic and hormonal effects
  • Often offer more durable long term outcomes in advanced obesity cases

Yes.

ESG can be revised or converted to a surgical bariatric procedure if needed, based on:

  • Weight loss response
  • Overall medical condition
  • Long term treatment goals

Any decision regarding revision or conversion is made after a thorough medical evaluation.

Endoscopic Sleeve Gastroplasty (ESG) is performed under general anesthesia and typically takes around 30 minutes when carried out by an experienced specialist.

The procedure is performed on an outpatient basis, and in most cases, patients are discharged on the same day after a short observation period once their condition is stable.

Patients are usually able to:

  • Walk and leave the facility on the same day
  • Resume light daily activities on the same day
  • Return to normal routines without a prolonged recovery period

At Al Taie Health Care Center, ESG is not considered a routine or quick solution.

 

Under the supervision of Dr Abdul Salam Al Taie, Consultant Bariatric, General, and Laparoscopic Surgeon, ESG is offered selectively within a structured bariatric care framework.

The approach focuses on:

  • Careful patient selection based on medical criteria
  • Ensuring ESG is chosen only when it is the most appropriate option
  • Establishing a clear long term plan, including follow up and alternative treatment options if needed

This ensures that:

  • ESG is used only in suitable cases
  • Procedures are guided by medical benefit rather than trends
  • Decisions prioritize long term health outcomes over short term solutions

Final perspective

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non surgical bariatric procedure used in carefully selected patients.

Its success depends on accurate medical evaluation, patient commitment, and structured follow up, rather than the procedure alone.

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