ESG narrows the stomach from the inside with sutures placed through an endoscope, with no incisions, performed by the same fellowship-trained bariatric surgeon who does our gastric sleeve and balloon procedures.
Endoscopic sleeve gastroplasty is a weight loss procedure that makes the stomach smaller without removing any of it. Dr. Reza Keshavarzi guides a flexible endoscope through the mouth and places full-thickness sutures along the stomach wall, gathering it into a narrower, sleeve-shaped tube. The smaller stomach holds less food, so patients feel fuller faster and eat less at each meal.
You are asleep for the procedure. There are no abdominal incisions and no scars on the skin.
A suturing device on the endoscope folds the stomach from the inside. Every bit of stomach tissue stays in place.
With less room for food, portions shrink naturally. Paired with our nutrition guidance, that change supports steady weight loss.
ESG sits between medical weight loss and bariatric surgery. It tends to suit adults who need more help than diet and medication have given them but are not ready for, or not suited to, a surgical operation.
You have tried structured diets, exercise or medication and the weight keeps coming back.
You want a meaningful change to your stomach without cuts, staples or removing tissue.
Your work or family schedule makes a short recovery a priority.
Blood pressure, blood sugar or joint pain are pushing you to act, and surgery is not the right fit yet.
ESG is not right for everyone. Dr. K reviews your weight history, health and goals and will recommend a different path if one suits you better.
Dr. Keshavarzi performs all three, so the recommendation you get is based on your body and goals, not on the one procedure a clinic happens to offer.
| ESG | Gastric Sleeve | ORBERA Gastric Balloon | |
|---|---|---|---|
| Approach | Endoscope through the mouth | Laparoscopic surgery through small abdominal incisions | Endoscope through the mouth |
| What changes | Stomach folded into a sleeve with sutures | A large part of the stomach is removed | A saline-filled balloon takes up space |
| Stomach tissue removed | None | Yes | None |
| How long it stays | Sutures remain in place | Lifelong, since tissue is removed | Temporary; the balloon is removed |
| Typical setting | Usually outpatient | Short hospital stay | Outpatient |
| Often chosen by | Patients who want lasting change without surgery | Patients who need the largest, most durable effect | Patients who want a time-limited jump start |
We also offer the low BMI Mini Sleeve, gastric bypass and medical weight loss, and can combine ESG with medication when that helps.
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 both endoscopic and surgical weight loss procedures, he can tell you honestly whether ESG or another option fits you better.
Speaking with Dr. K about weight loss care
Every plan is personalized, and our team supports you from the first conversation through the months after your procedure.
Dr. K reviews your weight history, health conditions and goals, explains how ESG compares with your other options, and answers your questions. You leave knowing whether ESG fits and what the next steps are.
You complete the medical clearances your plan calls for and follow a short pre-procedure diet. GLP-1 or other weight loss injections are stopped at least two weeks before ESG.
Dr. Keshavarzi performs the ESG through the mouth while you sleep. Many patients go home the same day, with clear instructions for the days ahead.
You move from liquids to soft foods to smaller regular meals using our diet plans. Light activity starts early, while heavy lifting over 20 pounds waits until Dr. K clears you.
Regular check-ins track your progress and adjust nutrition or medication when needed, so the habits ESG makes easier keep working for you.
Our patients rate us 4.9 out of 5 across 80 Google reviews. Many mention the same thing: Dr. K stays involved long after procedure day.
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 GonzalezGoogle review, 5 stars
He has been there the whole process, provided his cell phone to make sure he could be reached at all hours.YesiGoogle review, 5 stars
I can't say enough about how great his bedside manner, his attentiveness to care and his follow through with my case.Ali SajadiGoogle review, 5 stars
The price of ESG depends on your health history, the anesthesia and facility involved, and the follow-up your plan includes. You receive your personal quote at your consultation, before you commit to anything.
To spread the cost out, we offer patient financing through Cherry, including 24 months at 0% interest and monthly payments as low as $320. Debit and credit cards are accepted for any remaining balance.
Interest for 24 months with approved financing
Monthly payments starting as low as this
Cherry financing is accepted for your procedure, so you can choose a monthly plan that fits your budget.
ESG is a procedure rather than a traditional operation. There are no incisions, because Dr. Keshavarzi works through an endoscope passed through the mouth, and no part of the stomach is removed. It is still done under anesthesia by a surgeon, with the same planning we use for every bariatric case.
ESG is usually an outpatient procedure, and many patients feel ready for light daily activity within a few days. Plan to avoid lifting anything heavier than 20 pounds at first. Dr. K sets your exact return-to-work and exercise timeline based on your job and how you recover.
You start on clear liquids, then move through full liquids and soft foods before returning to regular, smaller meals over several weeks. The smaller stomach fills sooner, so protein comes first at every meal. Our staged diet plans walk you through each phase.
No. GLP-1 and other weight loss injections need to be stopped at least two weeks before your procedure. Many patients use medication after ESG as part of a combined plan, and Dr. K decides whether and when to restart it.
Because nothing is cut away, the stomach's anatomy is preserved. If you need more help later, ESG can often be revised or converted to a gastric sleeve. Dr. Keshavarzi performs both, so that conversation stays with the surgeon who knows your history.
They suit different goals. The ORBERA balloon is temporary and is removed after a set period, while ESG reshapes the stomach with sutures that stay in place. Dr. K offers both and will tell you which fits your weight, health and timeline.
Coverage for ESG varies widely from plan to plan, and many patients pay for it themselves. We go over pricing at your consultation and offer financing through Cherry, including 24 months at 0% interest.
Meet Dr. K, get an honest answer on whether ESG fits your goals, and leave with a personalized plan and your quote.
Address7330 SW 62nd Pl STE 210
South Miami, FL 33143
Phone(786) 701-3295
HoursMonday to Friday, 9:00am to 4:00pm
Saturday and Sunday closed
