Endoscopic Sleeve Gastroplasty (ESG)
in Miami, FL

MiamiVIPSurgery offers endoscopic sleeve gastroplasty as part of a carefully coordinated approach to weight management that goes beyond traditional methods. This procedure is integrated into a broader framework emphasizing mind-body health and ongoing support tailored to each individual. Our team combines advanced techniques with a commitment to psychological well-being and lasting transformation.

What Is Endoscopic Sleeve Gastroplasty?

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure designed to support long-term weight loss by reducing the size of the stomach without surgery. It is performed endoscopically (through the mouth), meaning no external incisions are required. The procedure typically takes one to two hours and is done on an outpatient basis. ESG works by reshaping the stomach to limit food intake and promote a feeling of fullness. This approach helps individuals lose excess body weight as part of a broader commitment to healthier habits.

Preparation for Endoscopic Sleeve Gastroplasty

Preparation for ESG begins with a thorough consultation, during which our specialist evaluates the patient's medical history, weight loss goals, and overall health. This initial assessment helps determine if ESG is the appropriate option for the individual. Patients may undergo lab work, nutritional evaluations, and psychological screenings as part of the process. They are also guided through pre-procedure dietary changes to ensure optimal results. Clear communication with the care team ensures safety and long-term success.

ESG Procedure

Endoscopic sleeve gastroplasty is performed under sedation rather than general anesthesia. This allows the patient to remain comfortable and relaxed throughout the procedure without the risks typically associated with deeper levels of anesthesia. Our medical team monitors vital signs closely to ensure safety and responsiveness during the treatment.

The procedure begins with inserting a thin, flexible endoscope through the patient's mouth. This specialized instrument has a camera and surgical tools, allowing the physician to view the stomach lining and perform precise manipulations without external incisions. Since the approach is entirely internal, it avoids the need for any cuts or visible scars.

Using the endoscope's built-in tools, the physician places a series of sutures to fold and reduce the stomach's volume. These sutures reshape the stomach into a sleeve-like structure, limiting the capacity for food intake and supporting portion control. The sutures are durable and designed to hold the new shape long enough for lasting metabolic and behavioral adjustments.

Once the stomach has been properly sutured, the endoscope is carefully withdrawn through the patient’s mouth. The procedure typically takes one to two hours to complete and is performed in an outpatient setting, allowing for same-day discharge.

Recovery After Endoscopic Sleeve Gastroplasty

Recovery after ESG is typically brief, with most patients returning to normal activities within a few days. A structured post-procedure plan includes:

While the physical recovery is relatively fast, the overall process involves adopting new habits to maintain weight loss effectively. Follow-up appointments and lifestyle coaching are key components of the aftercare program. With consistent support, most patients can sustain healthy changes and achieve lasting improvements in weight and well-being.

Candidates for ESG Procedure

ESG is a non-surgical option that may be appropriate for individuals who meet specific health and weight criteria. Candidacy is determined by body mass index (BMI), medical history, and individual goals. The following groups are typically considered suitable candidates:

Benefits of Endoscopic Sleeve Gastroplasty

ESG offers a modern, incision-free approach for individuals seeking a comprehensive solution for managing excess weight. Its advantages make it an appealing alternative to traditional weight loss surgery for eligible patients.

Cost of ESG in Miami, FL

The cost of endoscopic sleeve gastroplasty in Miami ranges from $10,000 to $15,000. Pricing can vary based on the provider’s experience, the facility, and the scope of personalized care included in the treatment plan. As a minimally invasive alternative to traditional weight loss surgery, ESG may offer a cost-effective solution for those seeking long-term improvement in overall health.
Schedule a consultation at MiamiVIPSurgery for personalized prices and guidance.

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What Makes Our Bariatric Surgery Different From Others?

MiamiVIPSurgery integrates deep expertise in bariatric endoscopy with a profound understanding of obesity medicine, crafting an experience where the weight loss journey becomes a holistic transformation rather than a single procedure. Our approach extends beyond the operating room, combining advanced skills with behavioral health support to foster lasting change. Rapid access to treatment eliminates long waits, while personalized care ensures patients remain supported long after the initial procedure. This creates a uniquely comprehensive environment where science and empathy drive sustainable results.

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Frequently Asked Questions

ESG is a non-surgical procedure that promotes weight loss by reducing the stomach size using internal sutures without any external cuts. In contrast, gastric sleeve surgery entails surgical incisions to physically remove a portion of the stomach. While both aim to help patients eat less, ESG offers a less invasive option with no surgical wounds.

Gastric bypass surgery remains one of the most effective weight loss procedures. However, ESG is a minimally invasive alternative that reduces the patient’s stomach size without the complexity of surgery. It can provide comparable weight loss results with proper aftercare.

Patients lose weight with both ESG and the silicone gastric balloon, but the methods differ. The silicone gastric balloon is about the size of a grapefruit and is partially filled with saline solution after being placed in the stomach to occupy space and reduce hunger. In contrast, endoscopic sleeve gastroplasty results from suturing the stomach to reduce its volume permanently, offering a more durable restriction than the temporary silicone balloon.

Insurance coverage for ESG varies widely, and many plans do not cover the procedure. Healthcare professionals often recommend ESG based on individual weight loss goals, but patients should verify coverage with their insurance providers before proceeding.

Combining ESG with medical weight loss strategies can enhance outcomes by supporting weight management alongside lifestyle changes. This includes adopting a healthy diet, regular exercise, and lifestyle modification emphasizing portion control and restricting food intake. Together, these approaches create a comprehensive plan for sustained success beyond the procedure.

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