About Endoscopic Sleeve Gastroplasty

Dr. Cohen discussing Bariatric Sleeve Procedure

Endoscopic sleeve gastroplasty (ESG), also known as the "accordion" procedure, reduces the size of your stomach without the need for surgery or incisions. BIDMC was one of the first centers in New England to perform this procedure.

During the procedure, your doctor will use an endoscope, a small flexible tube with a camera and suturing device attached, to pass down the mouth into the stomach. The tiny camera allows the doctor to see and operate inside your stomach without making incisions in your abdomen. Your doctor will place multiple sutures in your stomach. The sutures change the structure of your stomach, leaving it shaped like a banana or sleeve. This restricts the amount of food you can eat making you feel full faster and learning portion control.

Like other weight loss programs, your commitment to a healthier lifestyle will help to ensure long-term success. Studies show that the average total body weight loss after ESG ranges between 15% and 20%.