Admin September 26, 2025

Endoscopic Sleeve Gastroplasty (ESG)

A Scarless, Minimally Invasive Approach to Weight Management

Obesity is one of the leading health concerns globally, linked to conditions such as type 2 diabetes, high blood pressure, and heart disease. While lifestyle modifications like diet and exercise remain essential, some individuals require medical interventions for sustainable weight loss. Among the newer advancements in weight-loss treatments is Endoscopic Sleeve Gastroplasty (ESG)-a scarless and minimally invasive procedure now available at advanced centers, including Narayana Hospital Gurgaon.

This article provides an easy-to-understand yet medically accurate overview of ESG, its procedure, benefits, risks, and role in obesity management.

What is Endoscopic Sleeve Gastroplasty?

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure performed using an endoscope-a flexible tube with a camera and suturing device. Unlike traditional bariatric surgery, ESG does not involve removing any part of the stomach. Instead, a doctor uses sutures inside the stomach to reduce its size by about 70%.

With a smaller stomach, patients feel full sooner, eat less food, and gradually lose weight. Because no incisions are made, the procedure leaves no scars, making ESG both minimally invasive and cosmetically appealing.

How the ESG Procedure Works?

• Anesthesia: The procedure is performed under general anesthesia.
• Endoscopic Suturing: A flexible endoscope is inserted through the mouth into the stomach. Using a suturing device, the doctor places stitches along the stomach wall to create a sleeve-like pouch.
• Duration: The entire process takes about 1-2 hours.
• Hospital Stay: Most patients can return home the same day or after an overnight observation.
• Recovery: Initial recovery is usually a few days, after which normal activities can resume. Patients start with a liquid diet, gradually transitioning to soft foods before returning to a balanced diet plan.

Advantages of Endoscopic Sleeve Gastroplasty

1. Scarless and Minimally Invasive
   Since ESG requires no abdominal incisions, there are no visible scars. This also lowers the risks associated with traditional surgery.
2. Effective Weight Loss
   Studies show that patients typically lose 15–20% of their total body weight within the first year after ESG. Weight reduction also improves associated conditions like diabetes, high cholesterol, and sleep apnea.
3. Fewer Risks Compared to Surgery
   ESG avoids complications often linked to surgical options such as bleeding, infections, or leakage. Most side effects, like nausea or abdominal discomfort, are mild and temporary.
4. Reversible and Repeatable
   Unlike surgical sleeve gastrectomy (where part of the stomach is permanently removed), ESG does not alter anatomy irreversibly. The procedure can be adjusted or repeated if needed in the future.
5. Quicker Recovery
   Patients generally return to their regular routine within a few days, making ESG a convenient option for those seeking minimal downtime.

Who is Eligible for ESG?

Endoscopic Sleeve Gastroplasty in Gurgaon is suitable for:

• Adults with a Body Mass Index (BMI) of 30 or above who have struggled to lose weight through lifestyle measures.
• Individuals with obesity-related health conditions such as type 2 diabetes, hypertension, or fatty liver disease.
• Patients who do not qualify for or wish to avoid traditional bariatric surgery.

Endoscopic Sleeve Gastroplasty in Gurgaon is suitable for:

• Patients with prior stomach surgeries.
• Individuals with large hiatal hernias, severe acid reflux, or untreated stomach ulcers.
• Those unable to commit to long-term lifestyle changes.

A thorough evaluation with a qualified Endoscopic Sleeve Gastroplasty doctor in Gurgaon is necessary to confirm eligibility.

Risks and Considerations

While ESG is considered safe, no medical procedure is entirely risk-free. Possible complications may include:

• Mild abdominal pain or nausea in the first few days.
• Rare risks like stomach perforation, bleeding, or infection.
• The possibility of regaining weight if lifestyle changes are not maintained.

Long-term success requires commitment to a healthy diet, physical activity, and regular medical follow-ups. ESG should be viewed as a tool that supports, not replaces, lifestyle transformation.

Endoscopic Sleeve Gastroplasty in Gurgaon

With the growing need for effective obesity management, several leading hospitals have introduced ESG as part of their advanced gastroenterology and bariatric care programs. Narayana Hospital Gurgaon is among the centers equipped with the technology and expertise required to perform this minimally invasive weight-loss procedure safely.

Patients seeking Endoscopic Sleeve Gastroplasty in Gurgaon can consult experienced gastroenterologists and bariatric endoscopy specialists who assess suitability, explain the procedure, and provide comprehensive follow-up care.

Lifestyle After ESG

The procedure’s success depends largely on lifestyle changes adopted afterward. Key recommendations include:

• Following a nutrient-rich, portion-controlled diet.
• Engaging in regular physical activity.
• Attending follow-up consultations to monitor progress.
• Avoiding smoking, alcohol excess, and highly processed foods.

By combining ESG with these changes, patients can achieve long-term weight management and improved health.

Conclusion

For individuals in Delhi NCR, particularly those considering Endoscopic Sleeve Gastroplasty in Gurgaon, centers like Narayana Hospital Gurgaon offer access to this advanced procedure under expert medical care. While ESG is not a quick fix, it is a valuable tool for those committed to long-term health and weight management.

For many, ESG bridges the gap between lifestyle changes and major surgery, enabling significant weight loss when coupled with ongoing healthy habits. As with any medical intervention, it’s important to discuss with your doctor whether Endoscopic Sleeve Gastroplasty is the right choice for you.

 

Disclaimer
This article is for informational purposes only and should not be considered a substitute for professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.