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home icon Weight Loss Surgery / Weight Loss Options / Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty (ESG), also known as the Accordion procedure, or the incisionless gastric sleeve, is an innovative, non-surgical, minimally invasive weight loss procedure.

Endoscopic sleeve gastroplasty, also known as ESG, the 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.1

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 Endoscopic Sleeve Gastroplasty*

 

*Individual Results May Vary

Better Health

ESG may improve weight-related conditions including Type 2 Diabetes, joint pain, high cholesterol, hypertension and sleep apnea.*

Quicker Recovery

Patients may heal faster and experience less postoperative 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.

Endoscopic Sleeve Gastroplasty: What to Expect

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.

Learn More About Preparing for Bariatric Surgery

The Endoscopic Sleeve Gastroplasty Procedure

During the Endoscopic Sleeve Gastroplasty, Dr. Doucette will use an endoscope to assist and carry out the procedure. There will be 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 more than 50% of excess body weight within a year after the Endoscopic Sleeve Gastroplasty procedure.2 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.*

Am I a Candidate for Endoscopic Sleeve Gastroplasty?

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.

Calculate My BMI
 

Gastric Balloon

Invasiveness
Non-Invasive
Excess Weight Loss*
20-40lbs
Rate of Weight Loss*
Slow
Average Procedure Time
Less than 30 minutes
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
No
Financing Available
Yes
Self Pay Cost
$5,995

Gastric Banding

Invasiveness
Minimal
Excess Weight Loss*
40%
Rate of Weight Loss*
Slower
Average Procedure Time
Less than 1 hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$8,995

ESG

Invasiveness
Non-Invasive
Excess Weight Loss*
50%
Rate of Weight Loss*
Fast
Average Procedure Time
Less than 1 hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
No
Financing Available
Yes
Self Pay Cost
$8,995

Gastric Sleeve

Invasiveness
Minimal
Excess Weight Loss*
65%-70%
Rate of Weight Loss*
Fast
Average Procedure Time
Less than 1 hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$9,995

Gastric Bypass

Invasiveness
Minimal
Excess Weight Loss*
65%-70%
Rate of Weight Loss*
Fast
Average Procedure Time
2 hours
Typical Hospital Stay*
1 night
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$11,995

Duodenal Switch

Invasiveness
Minimal
Excess Weight Loss*
80%
Rate of Weight Loss*
Fastest
Average Procedure Time
2-3 hours
Typical Hospital Stay*
1 night
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
*Call for pricing
Invasiveness Non-Invasive Minimal Non-Invasive Minimal Minimal Minimal
Excess Weight Loss* 20-40lbs 40% 50% 65%-70% 65%-70% 80%
Rate of Weight Loss* Slow Slower Fast Fast Fast Fastest
Average Procedure Time Less than 30 minutes Less than 1 minutes Less than 1 minutes Less than 1 minutes 2 hours 2-3 hours
Typical Hospital Stay* Out-patient Out-patient Out-patient Out-patient 1 night 1 night
Insurance Coverage Available* No Yes No Yes Yes Yes
Financing Available Yes Yes Yes Yes Yes Yes
Self Pay Cost $5,995 $8,995 $8,995 $9,995 $11,995 *Call for Pricing

Self Pay Pricing

SELF PAY PRICING $8,995 – PAYMENTS AS LOW AS $215 A MONTH WITH QUALIFIED FINANCING*

Endoscopic Sleeve Gastroplasty pricing includes:

  • Surgeon’s professional fees
  • Anesthesia
  • Facility fees
  • 1 year routine follow-up appointments
  • 1 year routine Dietitian visits

*Additional testing and fees may apply. Monthly payment is based on purchase price alone, excluding taxes and interest. Patients must qualify via an approved independent medical lender. Loan offers are given by independent lenders based on approved credit and not everyone will qualify. The lowest possible financing price is $215 per month for 60 months, with current lender terms and conditions for the advertised price for applicants with qualifying credit.

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 pain and nausea for a few days following the procedure, but these are well managed with medications.3

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.

Schedule Your Consultation

If you would like to know more about the Endoscopic Sleeve Gastroplasty, schedule an appointment with Dr. Doucette. They will be able to answer your questions and recommend the right weight loss options for you. We look forward to being part of your health transformation.

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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.