Obesity is a growing health concern that increases the risk of diabetes, hypertension, heart disease, sleep apnea, and other chronic conditions. If diet, exercise, and medications have not helped you achieve sustainable weight loss, Endoscopic Sleeve Gastroplasty (ESG) in Vasant Kunj offers a minimally invasive, incision-free alternative to traditional bariatric surgery. Dr. Sanjay Verma provides advanced bariatric and endoscopic weight loss procedures, helping patients achieve healthier lives through personalized treatment plans.

Endoscopic Sleeve Gastroplasty (ESG) is an innovative weight loss procedure that reduces the size of the stomach without surgery. Using a flexible endoscope inserted through the mouth, the stomach is reshaped with specialized sutures, allowing patients to feel full after eating smaller portions while supporting gradual and sustainable weight loss.

What Is Endoscopic Sleeve Gastroplasty (ESG)?

Endoscopic Sleeve Gastroplasty is a minimally invasive endoscopic weight loss procedure performed without external incisions. During the procedure, a flexible endoscope equipped with a suturing device is passed through the mouth into the stomach. The stomach is then folded and stitched from the inside to create a smaller, sleeve-like shape.

Unlike laparoscopic sleeve gastrectomy, ESG does not involve removing any part of the stomach. This makes it an attractive option for eligible patients seeking effective weight loss with a shorter recovery time.

Who Is a Candidate for ESG?

You may be a suitable candidate if you:

• Have a Body Mass Index (BMI) generally between 30 and 40 kg/m².
• Have not achieved sufficient weight loss with diet and exercise.
• Want a minimally invasive alternative to bariatric surgery.
• Are committed to long-term lifestyle and dietary changes.
• Do not have medical conditions that prevent endoscopic treatment.

Dr. Sanjay Verma performs a comprehensive medical evaluation to determine whether ESG is the right treatment option based on your health status and weight loss goals.

Conditions That May Improve After ESG

Successful weight loss following ESG may help improve:

• Type 2 Diabetes
• High Blood Pressure
• High Cholesterol
• Fatty Liver Disease
• Obstructive Sleep Apnea
• Joint Pain
• Polycystic Ovary Syndrome (PCOS)
• Reduced Mobility
• Obesity-related fatigue

Many patients also report improved energy levels, confidence, and overall quality of life.

Benefits of Endoscopic Sleeve Gastroplasty

ESG offers several important advantages:

• No external incisions or scars
• Minimally invasive endoscopic procedure
• No removal of the stomach
• Shorter recovery period
• Reduced appetite through smaller stomach capacity
• Lower risk of complications compared to major surgery in appropriate patients
• Same-day or short hospital stay in many cases
• Significant and sustainable weight loss with lifestyle changes
• Improved obesity-related health conditions
• Faster return to daily activities

How Is ESG Performed?

The procedure is performed under general anesthesia or deep sedation.

Step 1: Pre-Procedure Evaluation

Patients undergo a detailed medical assessment, blood investigations, nutritional evaluation, and endoscopic examination when required.

Step 2: Endoscopic Sleeve Creation

A flexible endoscope is inserted through the mouth into the stomach. Using a specialized suturing system, internal stitches are placed to reduce the stomach's size and create a sleeve-like shape.

Step 3: Procedure Completion

Since there are no external cuts, patients usually experience less discomfort and minimal postoperative pain.

Step 4: Recovery

Patients are observed after the procedure and are typically discharged the same day or within 24 hours, depending on their condition.

Recovery After Endoscopic Sleeve Gastroplasty

Recovery is generally faster than traditional bariatric surgery.

Recovery usually includes:

• Returning home on the same day or the next day
• Liquid diet during the initial recovery phase
• Gradual progression to soft and regular foods
• Regular follow-up appointments
• Nutritional counseling
• Personalized exercise guidance
• Ongoing weight management support

Most patients return to normal daily activities within a few days, depending on individual recovery.

Lifestyle Changes After ESG

Long-term success depends on maintaining healthy habits.

Patients are encouraged to:

• Eat smaller, protein-rich meals
• Drink sufficient water
• Avoid sugary drinks and processed foods
• Exercise regularly
• Follow the recommended meal plan
• Attend regular follow-up visits
• Maintain a healthy lifestyle to sustain weight loss

These lifestyle changes are essential for achieving the best long-term results after ESG.

Why Choose Dr. Sanjay Verma for Endoscopic Sleeve Gastroplasty in Vasant Kunj?

Dr. Sanjay Verma offers advanced bariatric and endoscopic weight loss procedures with a focus on patient safety, personalized care, and long-term success. Each treatment plan is tailored to the patient's medical condition, lifestyle, and weight loss goals.

Why patients choose Dr. Sanjay Verma:

• Expertise in advanced bariatric and endoscopic weight loss procedures
• Comprehensive medical and nutritional evaluation
• Personalized obesity management plans
• Modern minimally invasive techniques
• Dedicated dietary counseling and follow-up
• Patient-focused care with emphasis on safety
• Long-term weight management support
• Evidence-based treatment approach

Frequently Asked Questions (FAQs)

1. What is Endoscopic Sleeve Gastroplasty (ESG)?

ESG is a minimally invasive endoscopic weight loss procedure that reduces the size of the stomach using internal sutures without making external incisions.

2. Is ESG a surgery?

No. ESG is an endoscopic procedure performed through the mouth and does not require surgical incisions or removal of the stomach.

3. Who is eligible for ESG?

Patients with obesity who have not achieved sufficient weight loss through lifestyle changes and meet the medical criteria after evaluation may be suitable candidates.

4. How long does the ESG procedure take?

The procedure generally takes about 60–90 minutes, depending on the patient's condition.

5. Will I have scars after ESG?

No. ESG is performed entirely through the mouth, so there are no external scars.

6. How long is the recovery period?

Most patients return to routine daily activities within a few days, depending on their recovery.

7. How much weight can I lose after ESG?

Weight loss varies among individuals, but many patients achieve significant and sustained weight loss when combined with healthy eating and regular physical activity.

8. Is hospitalization required?

Many patients are discharged on the same day or within 24 hours after the procedure.

9. Will I need follow-up care?

Yes. Regular follow-up visits, nutritional counseling, and lifestyle support are essential for long-term success.

10. How can I schedule a consultation?

You can book an appointment with Dr. Sanjay Verma in Vasant Kunj for a comprehensive assessment and personalized ESG treatment plan.