Your ESG is planned and performed by Dr. Reza Keshavarzi, the board-certified bariatric surgeon who sees Pembroke Pines patients at our South Miami office from the first consultation through every follow-up.
Endoscopic sleeve gastroplasty shrinks the stomach from the inside. A flexible endoscope passes through the mouth, so nothing is cut on the abdomen.
A suturing device at the tip of the scope places a series of stitches along the stomach wall. Drawn tight, they fold the stomach into a narrow tube about the shape of a sleeve. You eat less because you feel full on far smaller portions.
Dr. K performs your ESG himself and plans each case around your health history. For patients in Pembroke Pines and across Broward County, that means one surgeon from the first visit to the last, at our office in South Miami.
ESG sits between diet changes and surgery. Dr. K reviews your history and goals before recommending it.
More weight to lose? The gastric sleeve or gastric bypass may serve you better, and Dr. K performs both. Your consultation covers every option.
Book a ConsultationDr. Keshavarzi performs all three, so the recommendation you get is about fit, not about which procedure he happens to offer.
| ESG | Gastric Sleeve | ORBERA Balloon | |
|---|---|---|---|
| Approach | Endoscope through the mouth | Laparoscopic surgery through small incisions | Endoscope through the mouth |
| What changes | Stitches fold the stomach into a sleeve | Most of the stomach is removed | A filled balloon takes up space |
| Tissue removed | None | Yes | None |
| How long it stays | The stitches remain in place | Cannot be reversed | Removed after about six months |
| Often chosen when | You want lasting change without surgery | You have more weight to lose | You want a program with a set end date |
Many patients also weigh medical weight loss before deciding.

MD, FACS, FASMBS. Board-certified bariatric surgeon
Patients know him as Dr. K. Our lead surgeon has decades of experience in bariatric and minimally invasive surgery and holds every consultation himself. Besides ESG, he performs the gastric sleeve, Mini Sleeve, teen sleeve, gastric bypass and ORBERA balloon.
He is a member of the Society of American Gastrointestinal and Endoscopic Surgeons. Through recovery, you can reach him on his own cell phone.
Your procedure date depends mostly on how fast your testing is done, and our team helps at every step.
Dr. K reviews your weight history, health and medications. You leave knowing whether ESG fits and what it will cost.
Clearances can be done at our clinic or elsewhere, with results from our recommended doctor in 48 hours. A pre-procedure diet follows. Dates are often available within the same month.
Under anesthesia, Dr. Keshavarzi places the stitches through the endoscope. There are no incisions to heal, and most patients go home the same day to rest.

Meals move from liquids to soft foods to regular portions in stages, and many patients are back at work within a week.
Our weight loss specialists build your meal and activity plan, and Dr. K keeps seeing you as the weight comes off.
Dr. K at our South Miami office, where every consultation starts.
We do not quote ESG from a price list. Dr. K gives you an exact figure at your consultation, once he knows your health and the testing you still need.
Debit and credit cards are accepted for the balance. Insurance questions are welcome at your consultation.

"He has been there the whole process, provided his cell phone to make sure he could be reached at all hours."
Yesi, Google review
"He made sure I trusted him and that I was mentally prepared for my surgery."
Jorge Marin, Google review
"He has been there for me from the beginning of my journey until now."
Sherly Guillaume, Google review
Patients from Pembroke Pines come to our office at 7330 SW 62nd Pl, Suite 210, in South Miami. Dr. K sees you there for every visit, from consultation to follow-up.
ESG is the less invasive of the two: it is done through the mouth and no stomach tissue is removed. The sleeve usually produces more weight loss, so the right choice depends on your health and goals. Dr. K performs both.
Dr. K gives you an exact quote at your consultation, and insurance questions are welcome at that visit. Financing through Cherry includes 0% interest for 24 months and payments as low as $320 a month.
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.
Yes. Many patients move from GLP-1 injections to a procedure for a longer-term plan. Injections must be stopped at least 2 weeks before your procedure, and Dr. K plans that timing with you.
It depends on your starting weight, your health and how closely you follow your plan afterward. ESG typically leads to more weight loss than diet changes alone and less than a gastric sleeve.
Sit down with Dr. K, see how ESG compares with every option he performs and leave with a plan, a quote and a timeline.