Endoscopic Sleeve Gastroplasty (ESG)
Endoscopic Sleeve Gastroplasty (ESG), also known as the Accordion procedure, or the incision-less gastric sleeve, is an innovative, non-surgical, minimally invasive weight loss procedure that we are excited to offer for patients in Huntsville, Alabama.
Endoscopic Sleeve Gastroplasty (ESG)
Endoscopic Sleeve Gastroplasty (ESG), also known as the Accordion procedure, or the incision-less gastric sleeve, is an innovative, non-surgical, minimally invasive weight loss procedure that we are excited to offer for patients in Huntsville, Alabama.
What is Endoscopic Sleeve Gastroplasty (ESG)?
Endoscopic sleeve gastroplasty, also known as ESG, the
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Endoscopic sleeve gastroplasty
Mayo Clinic
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non-surgical sleeve
, or an accordion procedure, is a weight loss procedure that involves reducing the size of the stomach. Unlike gastric sleeve surgery, no part of the stomach is removed during this procedure. Instead, sutures are used to make the stomach smaller.
ESG leaves no external scarring or external sutures because it is performed via an endoscope inserted through the mouth. The procedure helps patients lose weight by reducing the size of the stomach, which therefore reduces the amount of food that patients need to feel full.
Benefits of ESG
Better Health
ESG may improve weight-related conditions including Type 2 Diabetes, joint pain, high cholesterol, hypertension and sleep apnea.
Faster Recovery
Patients may heal faster and experience less discomfort than traditional surgical procedures.
Reversible
Reduces the size of the stomach without removing the stomach.
Incisionless
Leaves no visible scarring, as no external incisions are made.
Preparing for ESG
As a patient with Alabama Surgical Associates, our team will work extensively with you to help you prepare for the endoscopic sleeve gastroplasty. You’ll undergo a thorough medical evaluation to determine whether you are a good candidate for an ESG. You will also be educated about all aspects of the procedure and recovery process, as well as your ongoing journey to a more healthy lifestyle. Members of your care team will also help you learn about healthy eating, exercise, and coping with the emotional factors that often accompany obesity.
The Endoscopic Sleeve Gastroplasty Procedure
During the Endoscopic Sleeve Gastroplasty, Dr. Doucette will use an endoscope to carry out the procedure. The endoscope is a camera within a long flexible tube which provides a visual of inside the stomach. Using an endoscopic suturing device, the surgeon reduces the size of the stomach without removing any part of the stomach. The patient is able to feel full with less food, and may digest food more slowly, resulting in weight loss.
Recovery After ESG
Most patients resume normal activities and light exercise within one day after having the Endoscopic Sleeve Gastroplasty. After the procedure, patients will follow provided dietary guidelines and work closely with our registered dietitian to ensure ongoing success.
Endoscopic Sleeve Gastroplasty Results
Studies show that patients may lose
Trusted Source
Endoscopic Sleeve Gastroplasty Alters Gastric Physiology and Induces Loss of Body Weight in Obese Individuals
Abu Dayyeh BK, Acosta A, Camilleri M, Mundi MS, Rajan E, Topazian MD, Gostout CJ
Go to Source
more than 50%
of excess body weight within a year after the Endoscopic Sleeve Gastroplasty procedure. Significant weight loss following bariatric surgery often helps improve Type 2 Diabetes, sleep apnea, high blood pressure, joint pain, and other conditions that accompany obesity.*
Who is a Candidate for ESG?
If you have struggled to lose weight and have a Body Mass Index (BMI) of 30 or above, you may be a candidate for Endoscopic Sleeve Gastroplasty or another weight loss procedure.
You Can Afford this Life Changing Procedure!
Inclusive Self-Pay Package $8,995
$215*
PER MONTH
*estimated monthly payment for those who qualify
Endoscopic Sleeve Gastroplasty pricing includes:
- Surgeon’s professional fees
- Anesthesia
- Facility fees
- 1 year routine follow-up appointments
- 1 year routine Dietitian visits
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Gastric Balloon
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Non-Invasive
20-40lbs
Slow
Less than 30 minutes
Out-patient
No
Yes
$5,995
ESG
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Non-Invasive
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$8,995
Gastric Banding
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$8,995
Gastric Sleeve
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$9,995
Gastric Bypass
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 2 hours
Out-patient
Yes
Yes
$11,995
DS/SADI-S
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
*Call for Pricing
Frequently Asked Questions About ESG
What are the risks of endoscopic sleeve gastroplasty?
Endoscopic sleeve gastroplasty is a relatively new bariatric surgery procedure, but has shown a favorable safety profile. Some patients do experience
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Endoscopic sleeve gastroplasty
Mayo Clinic
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pain and nausea
for a few days following the procedure, but these are well managed with medications.
Will insurance cover my ESG procedure?
Medical insurance does not cover the cost of endoscopic sleeve gastroplasty. However, we offer some of the most competitive self-pay ESG pricing in the country to help make weight loss surgery affordable for any budget. Our friendly staff can help you learn more about the cost of endoscopic sleeve gastroplasty surgery and get information on payment options we offer our patients.
How much does endoscopic sleeve gastroplasty cost?
For many of our patients who struggle with obesity, ESG for weight loss is a life-changing procedure. At Alabama Surgical Associates, we believe that better health should be within reach for all of our patients. We offer highly competitive pricing for endoscopic sleeve gastroplasty. The total cost for the procedure, anesthesia, facility fees, 1 year of routine follow-up appointments and 1 year of routine dietitian visits is $8,995. This can be broken down into low monthly payments with qualified financing. Learn more about the self-pay cost of ESG here.
Step into Wellness: Your Path to a
Lighter, Brighter Future Starts Now
Connect with Alabama Surgical Associates to take a proactive step towards your weight loss
goals. With our expert team and comprehensive approach, you’ll find the guidance and
support you need to achieve lasting results and improved well-being.
Dr. Darrell Doucette has either authored or reviewed and approved this content.
Page Updated:
1 Mayo Clinic. Endoscopic sleeve gastroplasty. Available: https://www.mayoclinic.org/tests-procedures/endoscopic-sleeve-gastroplasty/about/pac-20393958. Accessed March 22, 2022.
2 Abu Dayyeh BK, Acosta A, Camilleri M, Mundi MS, Rajan E, Topazian MD, Gostout CJ. Endoscopic Sleeve Gastroplasty Alters Gastric Physiology and Induces Loss of Body Weight in Obese Individuals. Clin Gastroenterol Hepatol. 2017 Jan;15(1):37-43.e1. doi: 10.1016/j.cgh.2015.12.030. Epub 2015 Dec 31. PMID: 26748219. Available: https://pubmed.ncbi.nlm.nih.gov/26748219/. Accessed March 22, 2022.
3 Mayo Clinic. Endoscopic sleeve gastroplasty. Available: https://www.mayoclinic.org/tests-procedures/endoscopic-sleeve-gastroplasty/about/pac-20393958. Accessed March 22, 2022.
