"The next day after my ESG I was able to do everything I normally do!"
- ‘G’ ESG patient from January 2017
At Healthier Weight we are the first UK clinic to offer the traditional surgical sleeve and a new non-surgical alternative, the endoscopic sleeve gastroplasty (ESG).
The ESG is an exciting development in obesity treatment that offers eligible patients a safe and effective alternative to the surgical weight loss options.
This page is designed to tell you all you need to know about the ESG and the surgical sleeve. We recommend you explore both options before deciding. As soon as you are ready please call us to ask your own personal questions and to arrange your free surgeon consultation. This is the best way to get the 1:1 attention needed to help you decide. Please call on 0800 313 4618 or request a consultation here.
ESG Success Story
We were contacted at the end of 2016 by a lady from Oxford who had battled her weight for many years. Her BMI was 34.1 and she weighed 14 stone. She was well researched and was interested in the ESG instead of a gastric band. She had her surgery in early 2017 and has enjoyed tremendous success. She has lost over 40 pounds and her BMI had reduced to 26.9. She is at a weight she is happy with and has dropped 3 dress sizes. The ESG was the perfect procedure for her. Read more about her success here.
Am I eligible for an endoscopic sleeve gastroplasty?
Your consultant will explain all of the options available to you at your 1:1 consultation. As a guide, you will be eligible for ESG if:
- Your body mass index is in the range 32-45 kg/m2 – check BMI
- You’ve tried and failed to lose weight through diet and lifestyle changes
- Your weight is having an impact on your health and/or your day to day life
Important: If you are living with weight related co-morbidities, such as type 2 diabetes, the surgical weight loss procedures are likely to be more beneficial for you.
These notes are for guidance only and your consultant will make an assessment based on the full picture presented at consultation.
What results can I expect?
It isn't possible to predict how much weight you will lose following an ESG as results vary according to many factors including your willingness to adapt your diet and your physical activity.
The evidence we have suggests people can expect to lose about half of their excess weight over a 12-18 month period*. At this stage, because this is still a new procedure, longer term weight loss results are not available.
The weight loss results in the chart below are the published results from a study of 248 ESG patients. They show average total body weight loss (TBWL) as a percentage of the starting weight. We’ve also shown how much weight this equates to assuming different starting weights.
In summary, based on the published data you can expect to lose just over half of your excess weight after 24 months after your procedure. This is similar to the weight loss with a gastric band and a little below the weight loss we’d expect with a surgical sleeve or gastric bypass.
| ||Weight loss (of starting weight) ||Weight loss assuming start weight of 16 stone ||Weight loss assuming start weight of 20 stone |
|At 6 months |
|15.2% * ||34lbs ||43lbs |
|At 18 months |
|18.6% * ||42lbs ||52lbs |
Based on a group of 248 patients with a mean starting BMI of 37.8