ESG with Dr. Reza Keshavarzi, a board-certified bariatric surgeon who also performs the gastric sleeve, gastric bypass and gastric balloon, so you can weigh ESG against every option at one consultation.
ESG makes the stomach smaller from the inside. Your doctor passes a flexible endoscope through the mouth, so there are no incisions on the abdomen.
A suturing device on the tip of the endoscope places a row of stitches along the stomach wall. Pulling them tight folds the stomach into a narrow, sleeve-shaped tube. The smaller stomach holds less food, and food stays in it longer, so you feel full sooner and for longer.
No part of the stomach is removed. That is the key difference from a surgical gastric sleeve, and it is why many patients choose ESG as a middle path between diet changes and surgery. The procedure is done under anesthesia and is usually outpatient.
Patients come from Miramar to our South Miami office for every visit, and Dr. K performs the procedure himself.
ESG suits adults who need more help than diet and exercise can give but are not looking for surgery. Dr. K reviews your history and goals before recommending it.
ESG may not be your match. Patients with a larger amount of weight to lose often do better with the gastric sleeve or gastric bypass, which Dr. K also performs. Your consultation covers every option.
Book a ConsultationFew practices offer all three. Dr. Keshavarzi performs each one, so he has no reason to steer you toward any of them.
| ESG | Gastric Sleeve | ORBERA Balloon | |
|---|---|---|---|
| How it is done | Endoscope through the mouth | Laparoscopic surgery through small incisions | Endoscope through the mouth |
| What changes | The stomach is stitched into a narrow sleeve | Most of the stomach is removed | A filled balloon takes up space in the stomach |
| Stomach tissue removed | No | Yes | No |
| How long it lasts | The stitches stay in place | Not reversible, since tissue is removed | Temporary, removed after a set period |
| Often chosen when | You want lasting change without surgery | You have more weight to lose and want the largest change | You want a short-term program with a clear end date |
MD, FACS, FASMBS. Board-certified bariatric surgeon
Dr. Keshavarzi, known to patients as Dr. K, is our lead surgeon and has decades of experience in bariatric and minimally invasive surgery. He conducts every consultation himself and performs ESG alongside the gastric sleeve, the Mini Sleeve, the teen sleeve, gastric bypass and the ORBERA balloon.
That range matters when you are choosing ESG. Because he offers the surgical and nonsurgical options, he can tell you which one fits your goals, and he stays reachable on his own cell phone while you recover.
Our team supports you through preparation. Your procedure date moves as quickly as your testing does.
Dr. K reviews your weight history, health conditions, medications and goals. You leave knowing whether ESG fits, how it compares with your other options and what it costs.
Our team arranges the medical clearances you need, at our clinic or an outside facility. Results from our recommended doctor come back within 48 hours, and dates are often available within the same month.
Dr. Keshavarzi performs ESG through the mouth under anesthesia. Most patients go home the same day to rest.
Your diet moves from liquids to soft foods in stages. Many patients return to work within 4 to 7 days, and lifting more than 20 lbs stays off limits early on.
Personalized plans from our weight loss specialists guide your meals and activity. Dr. K keeps seeing you as the weight comes off, because ESG depends on the habits you build.
Your ESG quote depends on your health, the testing you still need and where it is done. Dr. K gives you an exact figure at your consultation, before you commit to anything.
Our team walks you through financing during your consultation.
"From the moment I walked into his office my life changed for the better."
Glorivee Gonzalez, Google review
"Extremely knowledgeable, responsive, and genuinely committed to patient care."
Jeff De La Cruz, Google review
"The doctor was very straightforward and honest and extremely professional."
Pat Cutting, Google review
Our office is at 7330 SW 62nd Pl, Suite 210, in South Miami, and patients from Miramar come to us there. Your consultation, preparation and follow-up visits all happen with the same doctor. Dr. K also stays reachable by cell phone between visits.
No. ESG is done entirely through the mouth with a flexible endoscope, so there are no incisions on the abdomen. The stitches are placed inside the stomach and stay there to hold its new shape.
Results depend on your starting weight, your health and how closely you follow the diet and activity plan afterward. ESG generally leads to less weight loss than gastric sleeve surgery and more than diet changes alone. At your consultation Dr. K gives you a realistic estimate for your own situation.
Your ESG quote depends on your health, the testing you still need and where it is done, so Dr. K gives you an exact figure at your consultation. Financing through Cherry is available, including 24 months at 0% interest and monthly payments as low as $320.
These are weight loss treatments done through the mouth with an endoscope, so no incisions are needed. Dr. Keshavarzi performs two of them: ESG, which stitches the stomach into a smaller sleeve, and the ORBERA gastric balloon, which fills space in the stomach for a set period before it is removed.
Many patients return to work within 4 to 7 days. Lifting more than 20 lbs is off limits early on, so a physical job may need more time. Dr. K confirms the timeline that fits your work.
Yes. Many patients move from injections to a procedure for a longer-term result. Injections have to be stopped ahead of your procedure date, and Dr. K plans that timing with you.
Sit down with Dr. K, compare ESG with every option he performs and leave with a plan, a quote and a clear timeline.
