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Types of Surgeries

Endoscopic Sleeve Gastroplasty

What is an Endoscopic Sleeve Gastroplasty Procedure?

Endoscopic sleeve gastroplasty (ESG), also known as the accordion procedure, is a new bariatric surgery designed to treat obesity. ESG reduces the size of the stomach so that the patient feels full faster while eating. The minimally-invasive procedure is performed endoscopically, using a camera in a flexible tube inserted through the mouth and esophagus and into the stomach. A specially designed stapler is used to bring the walls of the stomach together and decrease the overall volume of the stomach. 

Who is a Candidate for ESG?

Patients with a BMI (Body Mass Index) above 30 kg/m2 who have not been able to lose weight or achieve obesity management through nonoperative measures are candidates for endoscopic sleeve gastroplasty. Nonoperative measures to lose excess weight include diet, physical exercise, and sometimes the administration of certain medications. Speak to your doctor regarding these conservative measures before proceeding with surgical intervention.

Who is Not a Candidate for ESG?

Patients with gastric ulcers, congestive gastropathy or varices (enlarged veins in the stomach or esophagus), gastric polyps, or other significant uncontrolled diseases are not candidates for this weight loss procedure.

Advantages and Disadvantages


  • Performed endoscopically through the mouth, reducing the risk of external scars
  • Effectively reduces the stomach's size, helping to limit food intake
  • This weight loss surgery can be adjusted or reversed if necessary


  • Newer procedure, long-term data on its effectiveness and risks are less available
  • Not suitable for patients with certain gastrointestinal conditions
  • Complications include abdominal pain, bleeding, infection, and gastric reflux

Clinique Michel Gagner - Paving the way to a healthier future?

At Clinique Michel Gagner, we are dedicated to helping those dealing with body weight challenges overcome their challenges through specialized weight loss procedures. Whether you're in need of weight loss surgery or weight loss management strategies, our team will help you find a weight loss treatment that fits your needs and goals. Contact us today to get started!

Did you know we have a support group?

Your questions and concerns have most likely been asked and answered in our support group. Moderated by our dietitians, nurses, and staff. We provide you with reliable patient education and resources to help you throughout this life-changing process.