Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty (ESG) is a modern, incision-free weight-loss procedure that uses an endoscope, which is a thin, flexible tube with a suturing device, to reduce the stomach’s size. Rather than removing or cutting the stomach, the doctor places internal sutures to reshape it into a smaller, tube-like form.

With this new stomach shape, you feel full sooner and eat smaller portions because it holds less food and slows down digestion. Since ESG does not require external cuts or changes to the digestive tract, recovery is faster, and the risk of complications is lower than with surgeries like gastric sleeve or gastric bypass.

The ESG procedure takes approximately 60 to 90 minutes and is performed under sedation or general anesthesia. Most patients go home the same day or after a short observation period.

During endoscopic sleeve gastroplasty in Dubai, the doctor performs the procedure through your mouth, so there are no external cuts. A flexible endoscope with a suturing system goes into your stomach, and the specialist places stitches to create folds in the stomach wall, making it about 70 to 80 percent smaller.

The smaller stomach capacity leads to:

• Early satiety: You feel full sooner after eating.
• Reduced calorie intake: Smaller portions help reduce total calories consumed.
• Improved metabolism: Changes in stomach structure affect hunger hormones, helping regulate appetite naturally.
• Gradual, steady weight loss: Most patients lose 15–25% of their total body weight within a year.

Since ESG keeps the stomach and intestines intact, your body absorbs nutrients as usual, and the risk of deficiencies is much lower than with more invasive procedures.

Endoscopic sleeve gastroplasty Dubai is suitable for individuals who meet specific medical criteria to ensure the best possible results and safety.

• BMI 30 and above: Suitable for people with a body mass index (BMI) of 30 or higher who also suffer from obesity-related conditions such as diabetes, hypertension, high cholesterol, fatty liver, polycystic ovary syndrome (PCOS), sleep apnea, gout, infertility, or arthritis.
• BMI 35 and above: Also effective for individuals with a BMI of 35 or higher, even without comorbidities, as this level of obesity increases the risk of long-term health issues.
• Revision surgery eligibility: Patients who have previously undergone ESG and experienced weight regain may be eligible for a revisional (correction) procedure to restore their results.

Before ESG, you will have a full medical assessment, including blood tests, nutrition counseling, and a psychological evaluation. This helps make sure you are ready for the procedure and committed to a healthier lifestyle.

Many people choose ESG in Dubai because it is effective, has a quick recovery, and causes little discomfort. The main benefits are:

• Non-surgical and incision-free: No cuts, scars, or removal of stomach tissue.
• Fast recovery: Patients resume their activities within a few days.
• Minimal risk: Significantly fewer complications than surgical bariatric procedures.
• Reversible and repeatable: ESG can be revised or reversed if required.
• Same-day discharge: Typically performed as an outpatient procedure.
• Gradual, sustainable weight loss: Helps you lose 15–25% of total body weight in the first year.
• Improved health: Reduces or eliminates obesity-related conditions like diabetes, sleep apnea, and joint pain.

Preparation:

Before the procedure, patients undergo a full medical check-up, including nutritional and psychological assessments, to confirm eligibility.

Anesthesia:

The patient is placed under general anesthesia or deep sedation for comfort and safety.

Endoscopic suturing:

The specialist inserts the endoscope through the mouth and into the stomach. Using a specialized suturing device, several internal folds are created to reduce stomach volume by up to 80%.

Completion:

Once the desired shape is achieved, the endoscope is carefully removed.

Observation and recovery:

Patients are monitored for a few hours and typically discharged on the same day.

Recovery after endoscopic sleeve gastroplasty Dubai is usually quick and easy. Most people can get back to light activities in 3 to 5 days.

Post-procedure care includes:

• Dietary progression: Start with liquids for a few days, then gradually move to pureed, soft, and solid foods under guidance.
• Hydration: Drink plenty of fluids but avoid carbonated beverages.
• Nutritional guidance: Work with our dietitian to develop sustainable eating habits.
• Follow-up visits: Regular appointments help track progress, ensure healthy weight loss, and adjust lifestyle plans as needed.

People who follow the recommended diet and lifestyle changes usually see significant and lasting results.

ESG is considered very safe, but as with any medical procedure, potential risks include:

• Temporary nausea or bloating
• Mild abdominal discomfort
• Acid reflux or indigestion
• Rarely, internal bleeding or infection

Most side effects are mild and temporary. Choosing an experienced bariatric specialist and following post-procedure care instructions significantly reduces these risks.

The endoscopic sleeve gastroplasty cost in Dubai depends on various factors, including:

• The experience and qualifications of your bariatric specialist
• Hospital or clinic facilities and equipment
• Type of anesthesia and medications used
• Preoperative assessments and postoperative care
• Follow-up appointments and nutritional support

At CosmeSurge, we provide clear pricing and treatment packages that fit your needs and goals. During the initial consultation, our experts will explain the costs and what you can expect from the treatment.