fbpix Skip To Main Content

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.

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.*


Reduces the size of the stomach without removing the stomach.


Leaves no visible scarring, as no external incisions are made.

What Happens During the Procedure?

During the Endoscopic Sleeve Gastroplasty, Dr. Doucette or Dr. Foreman 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.

Post Procedural Care

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.

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.

Planning Your ESG Procedure

Covered by Insurance: No
Financing Available: Yes
Self Pay Cost: $8,995
Minimally Invasive: Yes
Non-Surgical: Yes
Avg. Procedure Time: 1 hour
Typical Hospital Stay: Out-Patient
Typical Recovery Time: 24 to 48 hours
Contact Us

Self Pay Pricing


Endoscopic Sleeve Gastroplasty pricing includes:

  • Surgeon’s professional fees
  • Anesthesia
  • Hospital 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.

Schedule Your Consultation

If you would like to know more about the Endoscopic Sleeve Gastroplasty, schedule an appointment with Dr. Doucette or Dr. Foreman. 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.

1 Clinical Gastroenterology and Hepatology January 2017 Volume 15, Issue 1, Pages 37–43.e1