Endoscopic Sleeve Gastroplasty
Discover how Endoscopic Sleeve Gastroplasty (ESG) can help you achieve your weight loss goals with no cuts, no bypass – just results.
Minimally Invasive, Big Results
ESG is a minimally invasive, non-surgical weight loss procedure.
How It Works
A flexible endoscope reduces stomach volume by over 50% through internal sutures.
No Cuts, No Bypass
The procedure is performed entirely through the mouth — no incisions or stomach removal.
Quick and Comfortable Procedure
Performed under general anesthesia in just 30 to 50 minutes.
Who Is It For?
A Gentler Alternative
Ideal for those seeking a less invasive option than traditional bariatric surgery.
A Bridge to Surgery
Suitable for patients with high BMI or medical conditions that prevent standard surgery.
Personalized Assessment Required
Each case is evaluated individually to determine eligibility.
Starting at $7,095
A minimally invasive weight loss procedure that reshapes your stomach using internal sutures — no cutting, no removal.
Preparation Before ESG
Simpler pre-op diet than traditional surgeries:
24 hours of liquid diet
2 weeks of proton pump inhibitors (e.g., Omeprazole)
8 hours fasting prior to procedure
Instructions on medications like blood thinners will be provided.
What to Expect on the Day of ESG
Hospital Stay
The procedure is done under general anesthesia, with just one night spent in the hospital.
Recovery
Mild pain or nausea may occur for 6–18 hours and is manageable with medication. Safe to travel after 3–4 days.
Hotel Rest
Recovery continues at the EOC Hotel after your hospital stay, with most patients feeling fully recovered within one week.
Post-Op Diet
Follow our standard post-op diet, designed for sustainable results and recovery.
Expected Weight Loss
What you can expect to lose with the endoscopic gastric sleeve – based on real results from people like you.
Steady Weight Loss
Lose 15–20% of your total body weight over time with ESG.
Proven Results
84% of patients saw positive outcomes in a 2-year follow-up study.
Shed Excess Weight
Say goodbye to 50–60% of your excess weight through a non-surgical approach.
Just Like Surgery
Enjoy similar long-term results to traditional gastric sleeve surgery—without the invasiveness.
Safety & Complications
Our endoscopic procedure offers fewer complications than traditional laparoscopic surgeries.
- Less than 1% complication rate at EOC.
- Backed by research: only 2–2.5% overall complication rate in published studies.
- Rare risks like bleeding or perforation are typically managed without surgery.
Is ESG a surgery?
No, it is a medical procedure because it does not involve external incisions as it is performed via the mouth. Sutures are used to reduce the size of stomach instead of using a cutting instrument to physically remove part of the stomach.
History of the Procedure
- Performed since 2012.
- Endoscopic suturing has been used since 2010.
Dr. Manoel Galvao Neto
Pioneer in Bariatric Endoscopy
With over 20 years of experience, our specialist has helped shape the field of bariatric endoscopy. From developing ESG procedures to intragastric balloons and non-surgical treatments for complications, their contributions have advanced care worldwide.
Global Leader & Educator
- Trained 1,000+ doctors around the world.
- Published hundreds of scientific works.
- Developed industry-standard techniques that set the bar in modern bariatric treatment.
Recognized Authority
- Head of Bariatric Endoscopy, EOC (Mexico).
- Surgical Innovation Award – ASBMS, USA.
- Director of Innovation, International Bariatric Club (Oxford).
- Editorial Board Member, Obesity Surgery and other journals.
Start Your Weight Loss Journey, Today.
You’re not alone, coordinators are here to walk you through every step of the process.