ESG with Dr. Reza Keshavarzi, a fellowship-trained bariatric surgeon who also performs the gastric sleeve and gastric balloon, so the option you choose is the one that fits you.
Endoscopic sleeve gastroplasty makes the stomach smaller from the inside. Dr. K guides a flexible endoscope through the mouth while you are under general anesthesia, then uses a suturing device to fold the stomach wall into a narrow, sleeve-shaped tube. There are no abdominal incisions and nothing is removed.
A smaller stomach holds less food, so you feel full on smaller portions and stay satisfied longer. That fullness is what makes it easier to keep the calorie intake a lasting weight loss plan needs.
ESG fills the space between medication and surgery. It suits patients who want more than diet changes or injections have delivered, but who are not ready for, or are not a fit for, a laparoscopic procedure.
A thin camera passes through the mouth into the stomach, so Dr. K sees the stomach lining on screen throughout.
Rows of full-thickness stitches gather the stomach's outer curve and draw the walls together.
The stomach is left as a narrow tube with a much smaller capacity, and the scope is withdrawn.
Candidacy comes down to your weight history, your health and how much weight you need to lose. Dr. K reviews all three at your consultation.
Dr. K performs every procedure in this table, so the comparison comes from one surgeon with no reason to steer you toward a single answer.
| ESG | Gastric Sleeve | Gastric Balloon | |
|---|---|---|---|
| How it is done | Endoscope through the mouth; sutures fold the stomach into a sleeve | Laparoscopic surgery that removes most of the stomach | Endoscope places a saline-filled ORBERA balloon in the stomach |
| Incisions | None | A few small abdominal incisions | None |
| Stomach tissue removed | None | Yes, the larger portion of the stomach | None |
| How long it stays | Long-term | Permanent | Temporary; removed after about six months |
| Typical fit | Patients who want lasting help without surgery | Patients who need the most weight loss | Patients who want a defined, short program |
Your health history decides which column is right for you. Dr. K walks you through each one before you choose.
Dr. K performs ESG himself, from the first scope to your follow-up visits. Because he also performs the gastric sleeve, gastric bypass, low BMI Mini Sleeve and ORBERA balloon, and oversees medical weight loss, he can recommend ESG only when it is the right tool.
Patients from Fort Lauderdale see Dr. K at our South Miami office, a drive south on I-95. Our team supports you through every step of preparation.
Dr. K reviews your weight history, health conditions and goals, compares ESG with your other options and explains what results depend on. You leave knowing whether ESG fits and what comes next.
An EGD and medical clearances come first. An EGD done within the last five months is accepted, and tests can be done at our clinic or at a facility closer to home, with results from our recommended doctor in about 48 hours.
A short pre-procedure diet prepares your stomach. If you use weight loss injections, Dr. K tells you when to stop them.
ESG is performed under general anesthesia and typically takes about 60 to 90 minutes. Most patients go home the same day or the next morning with a liquid diet plan.
Many patients return to desk work within a few days to a week, with lifting limits Dr. K sets for you. Follow-up visits keep your eating plan, progress and questions on track.
The new stomach shape needs time to settle, so food is reintroduced in stages. Our team gives you a written plan; the timing below is a typical outline that Dr. K adjusts for you.
Water, broth and sugar-free clear drinks in small sips during the first days.
Protein shakes and smooth, thin liquids that start meeting your protein needs.
Blended and soft protein foods such as eggs, yogurt and flaked fish in small portions.
Balanced meals led by protein, eaten slowly and stopped at the first sign of fullness.
Slow pacing matters at every stage. Taking about 20 minutes per meal and chewing each bite well helps your smaller stomach signal fullness before you overeat.
Dr. Keshavarzi explained every detail of the surgery from getting prepared, to the actual day of surgery, and beyond.Hannah Standiford, Google review
He has been there the whole process, provided his cell phone to make sure he could be reached at all hours.Yesi, Google review
3 years ago I had my gastric sleeve and since then he has continue with his care and professionalism, guiding me so that the surgery continues to be a success.Glorivee Gonzalez, Google review
Rated 4.9 from 80 Google reviews by patients of Dr. K
Your price depends on your health history and the plan Dr. K builds with you, so you receive a written quote after your consultation rather than a one-size estimate.
We offer financing through Cherry, and debit and credit cards are accepted for the remaining balance. Our team reviews your financing options with you during your consultation.
Straight answers to what patients ask us most about ESG. Anything not covered here, Dr. K will answer at your consultation.
No. Both leave you with a narrower, sleeve-shaped stomach, but a gastric sleeve removes most of the stomach through small abdominal incisions. ESG folds and stitches the stomach from the inside with an endoscope passed through the mouth, so no tissue is removed and there are no incisions. Dr. K performs both and will tell you which one fits your goals.
Your price depends on your health history and the plan Dr. K builds with you, so we give you a written quote after your complimentary consultation. Financing through Cherry offers 24 months at 0% interest, with monthly payments as low as $320.
There is no single answer, because the right procedure depends on your weight, your health conditions and how much weight you need to lose. ESG is the least invasive of the stomach-reduction options we offer because it uses no incisions and removes no tissue. Dr. K reviews your history and explains how each option suits you before you decide.
It is a common pacing guideline: take about 20 minutes for a meal, chew each bite around 20 times and pause between bites. Eating slowly helps a smaller stomach signal fullness before you overeat. Our team gives you a written eating plan for each stage after ESG.
Your consultation, procedure and follow-up visits are coordinated through our South Miami office, a drive south on I-95. Pre-procedure tests can be done at our clinic or at a facility closer to home, and an EGD performed within the last five months is accepted.
ESG is designed for long-term weight loss, and it is not a temporary device the way a gastric balloon is. How well results last depends on the eating and activity habits you build afterward, which is why follow-up visits are part of your plan.
Weight loss injections need to be stopped before your procedure. Dr. K will tell you exactly when to pause them, and he can also discuss whether medication alongside ESG makes sense for you later on.
Book a complimentary consultation and find out whether ESG, a sleeve, a balloon or medical weight loss is the right fit. Patients from Fort Lauderdale make the trip to our South Miami office for one surgeon who handles every option.
7330 SW 62nd Pl STE 210, South Miami, FL 33143
Monday to Friday, 9:00am to 4:00pm
