Endoscopic Sleeve Gastrectomy (ESG)

ESG is a minimally invasive procedure that uses stitches to reduce the size of the stomach.
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ESG is only effective when combined with a program that includes behavioural therapy, exercise and dietary changes. This is available through Adelaide Bariatric Centre. Please discuss with your surgeon at your first appointment to see if an endoscopic sleeve gastropasty is appropriate for you.

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure that uses an endoscopic suturing (stitching) device to reduce the stomach’s size and volume by about 70%.


When your stomach holds less volume, you can feel full with less food, absorb fewer calories and lose weight over time. ESG also shortens and re-shapes the stomach, which helps it empty into the intestines slower. This helps you feel fuller longer.


For the right candidate, ESG may be a less invasive alternative to laparoscopic sleeve gastrectomy. Both procedures reduce the stomach size, but the surgical approach does so by removing part of the stomach, while ESG uses stitches to bring folds of the stomach together.


The endoscopic sleeve gastroplasty procedure may be an option for adults who:


  • Have a body mass index (BMI) of 30 or higher
  • No success with lifestyle modifications such as diet and exercise
  • Are looking for an alternative to more invasive bariatric surgery
  • Are prepared to make a commitment to a healthier lifestyle
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