Dr. Reza Keshavarzi performs ESG himself and also offers the gastric sleeve, gastric bypass and gastric balloon, so the procedure he recommends is the one that fits your health and goals.
Endoscopic sleeve gastroplasty makes the stomach smaller from the inside, so you feel full on far less food.
A smaller stomach holds less and empties more slowly, which helps you eat smaller portions and stay satisfied longer. For patients in West Palm Beach, it is a shorter-recovery option planned by a surgeon who also performs every surgical alternative.
You are asleep while the endoscope is passed through the mouth. Nothing enters through the skin.
Full-thickness stitches are placed in a set pattern from the lower stomach toward the top.
Cinching the sutures folds the stomach into a narrow tube. No tissue is cut away.
ESG sits between medication and surgery, and Dr. K recommends it after reviewing your history and goals.
ESG is often called stomach tightening or a nonsurgical sleeve. Here is how it differs from the two options it is most often compared with, all three of which Dr. K performs.
| ESG | Gastric Sleeve | ORBERA Gastric Balloon | |
|---|---|---|---|
| How it is done | Endoscope through the mouth; sutures fold the stomach | Laparoscopic surgery through small abdominal incisions | A soft balloon is placed with an endoscope and filled |
| Incisions | None | Several small incisions | None |
| Stomach tissue | Kept in place and reshaped | Most of the stomach is removed | Unchanged; the balloon takes up space |
| How long it lasts | Designed to stay; sutures hold the new shape | Permanent | Temporary, removed after about six months |
| Relative weight loss | Moderate | Greatest of the three | Most modest |
Your own result depends on your starting point, your health and the habits you build afterward.
Dr. Keshavarzi, known to patients as Dr. K, is a board-certified bariatric surgeon with decades of experience in bariatric and minimally invasive surgery. Because he performs ESG, the gastric sleeve, the low BMI sleeve, gastric bypass and the ORBERA balloon, and oversees medical weight loss, his advice is not tied to a single procedure.
His SAGES membership reflects the endoscopic side of his work, the skill set ESG depends on.
Most of the preparation can happen close to home, so your trips south are kept to the visits that matter.
Dr. K reviews your weight history, medical conditions and goals, explains whether ESG or another option fits better, and you leave knowing the plan and its cost.
Medical clearances and an upper endoscopy are part of preparation. You can complete them with us or at a facility nearer West Palm Beach, and an endoscopy from the last five months is accepted. Procedure dates are often available within the same month once testing is done.
A short pre-procedure diet prepares the stomach. If you use weight-loss injections, they are stopped at least two weeks before your date.
The procedure is done entirely through the mouth, with no incisions to care for afterward. Many patients go home the same day.
Most patients return to work within 4 to 7 days and avoid lifting more than 20 pounds while healing. Dr. K and our team stay with you through follow-up as your eating plan advances.
The sutured stomach needs time to settle, so food is reintroduced in stages. Our team gives you the exact timing for each one.
Water, broth and sugar-free clear drinks in small, frequent sips during the first days.
Protein shakes and smooth, thin foods that help you reach protein goals.
Blended and soft proteins such as eggs, fish and yogurt, in small portions.
A balanced, protein-first diet in the portion sizes your new stomach is built for.
He has been there the whole process, provided his cell phone to make sure he could be reached at all hours.
The doctor was very straightforward and honest and extremely professional.
The entire team creates a welcoming and supportive environment.
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Your ESG price is confirmed after your consultation, once Dr. K has decided with you that ESG is the right procedure. Price information can also be sent to you by email.
We work with Cherry for patient financing, and our team walks you through the options during your consultation. You can review the details on our financing page.
No. Both create a narrower, sleeve-shaped stomach, but they get there differently. ESG folds and stitches the stomach from the inside through an endoscope, with no incisions and no tissue removed. A gastric sleeve is laparoscopic surgery that permanently removes most of the stomach.
ESG typically produces more moderate weight loss than a gastric sleeve, and your result depends on the eating plan, activity and follow-up that come after the procedure. Dr. K gives you a realistic expectation at your consultation based on your starting weight, health history and goals.
Coverage for ESG depends on your individual plan. Our team reviews your situation with you and explains your payment options, including financing through Cherry, so you know your costs before you commit.
ESG is performed entirely through the mouth with an endoscope, so there are no incisions on the abdomen and no external scars. The sutures that reshape the stomach sit on the inside.
ESG does not remove any part of the stomach, so other procedures stay on the table if your goals or health change. Because Dr. K performs the sleeve and gastric bypass as well, a later conversation about revision stays with the same surgeon who knows your history.
Find out whether ESG, a sleeve, a balloon or a medical plan is the right fit, from the surgeon who performs them all. Patients from West Palm Beach and across Palm Beach County are welcome.
7330 SW 62nd Pl STE 210
South Miami, FL 33143
Monday to Friday, 9:00am to 4:00pm
