Obesity treatments have evolved significantly over the years, offering both surgical and non-surgical options to help individuals achieve their weight loss goals. Two of the most popular procedures today are Endoscopic Sleeve Gastroplasty (ESG) and Gastric Sleeve Surgery (Laparoscopic Sleeve Gastrectomy).
Both methods aim to reduce the stomach size, leading to decreased food intake and weight loss. However, they differ in procedure, effectiveness, and recovery time. In this article, we will compare ESG vs. Gastric Sleeve to help you decide which option is best for you.
What Is Endoscopic Sleeve Gastroplasty (ESG)?
Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight loss procedure that reduces stomach size using an endoscope. This minimally invasive technique involves placing sutures inside the stomach to make it smaller, without any incisions or surgical removal of tissue.
How ESG Works:
- The procedure is performed under general anesthesia.
- A thin, flexible tube (endoscope) is inserted through the mouth into the stomach.
- Stitches are placed inside the stomach to create a smaller, sleeve-like shape.
- The procedure takes about 60-90 minutes.
- Patients are usually discharged the same day or within 24 hours.
Advantages of ESG:
✅ Non-surgical, no incisions, no scars
✅ Lower risk of complications compared to surgery
✅ Faster recovery, returning to normal activities within 2-3 days
✅ Reversible procedure (stitches can be removed if needed)
✅ Short hospital stay (same-day discharge or 1-night stay)
Disadvantages of ESG:
❌ Less weight loss compared to gastric sleeve surgery
❌ May not be covered by insurance
❌ The stomach may expand over time, reducing long-term effectiveness
What Is Gastric Sleeve Surgery?
Gastric Sleeve Surgery (Laparoscopic Sleeve Gastrectomy) is a surgical weight loss procedure that involves removing about 80% of the stomach, leaving behind a small, sleeve-shaped stomach.
How Gastric Sleeve Surgery Works:
- The procedure is performed laparoscopically (minimally invasive surgery)
- Small incisions are made in the abdomen, and part of the stomach is permanently removed
- The procedure takes about 45-60 minutes
- Patients typically stay 2-3 nights in the hospital for monitoring
Advantages of Gastric Sleeve Surgery:
✅ Higher weight loss results (patients lose about 60-70% of their excess weight)
✅ Permanent reduction in stomach size
✅ Reduces hunger hormones, leading to long-term appetite suppression
✅ Effective in improving obesity-related conditions like type 2 diabetes, hypertension, and sleep apnea
Disadvantages of Gastric Sleeve Surgery:
❌ Requires surgery, which carries risks (such as bleeding, infection, or leakage)
❌ Irreversible (once part of the stomach is removed, it cannot be restored)
❌ Longer recovery time, typically 2-3 weeks before returning to full activity
❌ Hospital stay of 2-3 days required
Comparison Table: ESG vs. Gastric Sleeve
| Feature | Endoscopic Sleeve Gastroplasty (ESG) | Gastric Sleeve Surgery |
|---|---|---|
| Procedure Type | Non-surgical (Endoscopic) | Surgical (Laparoscopic) |
| Stomach Reduction | ~70% | ~80-85% |
| Expected Weight Loss | Moderate (15-20% of total body weight) | High (60-70% of excess weight) |
| Hospital Stay | 0-1 day | 2-3 days |
| Recovery Time | 2-3 days | 2-3 weeks |
| Complication Risk | Low | Moderate (bleeding, leaks, infection) |
| Reversibility | Yes (sutures can be removed) | No (stomach permanently removed) |
| Insurance Coverage | Usually not covered | Often covered |
Who Is the Right Candidate for Each Procedure?
- ESG is ideal for patients who want a non-surgical solution with faster recovery and lower BMI (30-40).
- Gastric sleeve is recommended for patients with higher BMI (35+), seeking significant weight loss and long-term results.
- Patients with severe obesity-related health conditions (such as diabetes or sleep apnea) may benefit more from gastric sleeve surgery.
- If you prefer a temporary or reversible option, ESG is better.
Conclusion
Both Endoscopic Sleeve Gastroplasty (ESG) and Gastric Sleeve Surgery are effective weight loss options, but the best choice depends on your weight loss goals, health status, and lifestyle preferences.
If you are unsure which procedure is right for you, our experts are here to help! Contact us for a free consultation to discuss your options.
👉 Get in touch with us today to start your weight loss journey! 💬
