Incisionless Weight Loss with Endoscopic Sleeve Gastroplasty (ESG)
A non-surgical, endoscopic procedure that helps you feel full sooner—without scars, without staple lines, and with a faster recovery.
If you’ve tried diets, medications, or coaching and the weight keeps returning, Dr. Abahy can evaluate whether ESG is the right next step.
- Minimally invasive, endoscopic approach
- Designed for sustainable behavior change
- Clear eligibility + safety screening
25,000 +
Successful Procedures
99%
Patient Satisfaction
60-70%
Excess Weight Loss
1-2
Days Hospital Stay
The “Lower Friction” Path to Sustainable Weight Loss
ESG is built for people who want a powerful reset without the intensity of traditional surgery. It’s minimally invasive, evidence-based, and designed to support behavior change.
No incisions, no scars
Performed through the mouth using an endoscope—there are no external cuts.
Faster recovery
Many patients return to normal routines quickly with less downtime than surgery.
Meaningful, steady weight loss
Helps reduce stomach volume to support portion control and long-term habits.
Metabolic health support
Weight loss can improve blood pressure, insulin resistance, and sleep quality.
Structured follow-up care
A plan that includes nutrition guidance, progress checkpoints, and accountability.
Confidence without extremes
Designed to lower “decision fatigue” and make consistency feel easier.
In your consultation, we’ll review your goals, health history, and options—then build a simple next-step plan.
How it works
Designed to Reduce Portions, Without Changing Who You Are
ESG reduces stomach capacity by placing sutures from the inside. That means you feel full sooner, cravings calm down over time, and you can rebuild eating habits with less “white-knuckling.”
We review your goals, medical history, prior weight-loss attempts, medications, and lifestyle—then confirm if ESG fits your situation.
Using an endoscope, the stomach is sutured internally to reduce volume. No external incisions; the anatomy remains intact.
Structured check-ins, nutrition guidance, and behavioral support help turn early momentum into long-term results.
Not sure if you qualify? Use this as a starting point—final eligibility is confirmed in a clinical evaluation.
- BMI typically 30–40, or 27+ with weight-related conditions (varies by case)
- Prefer a minimally invasive approach (no surgical incisions)
- Committed to follow-up and nutrition/behavior coaching
- Have struggled with weight regain after diets or medications
Results you can measure
Outcomes + Experience That Build Confidence
Great outcomes come from two things: a precise procedure and a follow-up system that makes consistency easier. That’s the core of Dr. Abahy’s ESG program.
Total Body Weight Loss
Typical range at 12 months when paired with follow-up care
Return Home
Many patients go home the same day (case-dependent)
Health Improvements
Faster procedure than traditional bypass
Incisionless Approach
Endoscopic technique—no external incisions or scars
Real Patient Stories
Frequently Asked Questions
What is Endoscopic Sleeve Gastroplasty (ESG)?
Mini Gastric Bypass (MGB), also called One Anastomosis Gastric Bypass (OAGB), is a simplified version of the traditional Roux-en-Y gastric bypass. The key difference is that MGB uses a single intestinal connection (anastomosis) instead of two, resulting in a shorter, simpler surgery with similar weight loss outcomes. This translates to reduced surgical time (45-60 minutes vs. 2-3 hours), fewer potential complications, and often a quicker recovery.
How is ESG different from surgical sleeve gastrectomy?
Ideal candidates typically have a BMI of 35 or higher with obesity-related health conditions (like Type 2 diabetes, hypertension, or sleep apnea), or a BMI of 40+ without such conditions. Candidates should have tried other weight loss methods without long-term success and be committed to lifestyle changes. During your consultation, we’ll evaluate your complete medical history to determine if MGB is the best option for you.
How much weight can I expect to lose?
Most patients lose 65-80% of their excess body weight within 12-18 months after Mini Gastric Bypass. For example, if you’re 100 pounds overweight, you can expect to lose 65-80 pounds. Weight loss typically begins immediately after surgery and is most rapid in the first 6 months. Long-term success depends on maintaining healthy eating habits and regular physical activity.
Who is a good candidate?
Recovery is typically faster than traditional gastric bypass due to the simpler surgical technique. Most patients stay in the hospital for 1-2 nights. You can usually return to light activities within 1 week and normal activities within 2-3 weeks. Full recovery takes about 4-6 weeks. We provide detailed post-operative guidelines and support throughout your recovery journey.
Is ESG safe?
Yes, Mini Gastric Bypass has excellent outcomes for Type 2 diabetes. Studies show that over 85% of patients experience significant improvement or complete remission of their diabetes, often before significant weight loss occurs. This is due to both the anatomical changes and the hormonal effects of the surgery. Many patients are able to reduce or eliminate their diabetes medications within weeks of surgery.
How long is recovery?
As with any surgery, there are risks to consider. Mini Gastric Bypass has a lower complication rate compared to traditional gastric bypass. Potential risks include bile reflux (acid reflux-like symptoms), nutritional deficiencies, ulcers, and standard surgical risks. The single anastomosis technique actually reduces some risks compared to traditional bypass. We’ll discuss all potential risks during your consultation and explain how we minimize them.
Will I need lifestyle changes after ESG?
Yes, one advantage of Mini Gastric Bypass is that it can be reversed or converted to other procedures if needed. However, reversal is rarely necessary as most patients experience excellent outcomes. If conversion is needed, it can be changed to a traditional Roux-en-Y gastric bypass or, in rare cases, reversed entirely. This flexibility provides additional peace of mind for patients.