Treatment guide · Endoscopic bariatric treatment

Endoscopic sleeve gastroplasty (ESG)

ESG uses an endoscope and internal sutures to reduce stomach volume without abdominal incisions. It remains a procedure requiring structured lifestyle and medical follow-up.

Evidence-informed editorial guide · Medical review pending · Not personal medical advice
Typical procedure timeOften 60–120 minutes.
AnaesthesiaUsually general anaesthesia.
HospitalOften same-day discharge or one night of observation.
Suggested Turkey stayCommonly 3–6 days for early review and hydration monitoring.

The essentials

What is endoscopic sleeve gastroplasty (esg)?

A flexible endoscope is passed through the mouth and sutures fold the stomach into a narrower shape. ESG may be considered for selected patients, but eligibility, expected benefit and alternatives should be reviewed by an experienced multidisciplinary team.

What it may aim to do

  • Support weight loss with a less invasive endoscopic approach
  • Improve selected obesity-related risks
  • Pair an anatomical intervention with nutrition and behaviour support

Is this treatment suitable for me?

A webpage cannot determine this safely. Suitability must be decided by the responsible specialist after reviewing your symptoms, examination, medical history, medicines and relevant tests. Our coordinator can help you prepare the right records, but does not make the clinical decision.

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01
Procedure and techniqueHow it may be performed and what to discuss
  • Full-thickness endoscopic suturing
  • General anaesthesia and endoscopic access
  • Structured liquid-to-solid diet progression

The appropriate technique can only be selected after examination, clinical indication and informed consent.

02
Recovery and travelTypical milestones, Turkey stay and fit-to-fly decision
Days 1–3

Nausea, cramping and fatigue can occur; hydration is closely monitored.

Weeks 1–4

Diet advances gradually under clinical and dietetic guidance.

Weeks 2–4

Routine activity usually returns progressively.

Long term

Weight, nutrition and metabolic health require ongoing review.

Planning your stay in Turkey

Commonly 3–6 days for early review and hydration monitoring. This is a planning range. The treating team must confirm discharge and fitness to travel.

03
Price and inclusionsWhat may change the quotation
  • Endoscopy and suturing system
  • Anaesthesia and facility
  • Pre-procedure investigations
  • Dietetic and medical programme
  • Follow-up and management of complications

Often included—confirm in writing

  • Surgeon and anaesthesia fees stated in the written quotation
  • Hospital or licensed surgical-facility charges
  • Routine pre-operative tests listed in advance
  • Standard medication and scheduled early follow-up

Often excluded—ask before paying

  • Flights, travel insurance and unrelated medical care unless stated
  • Extra nights, companion expenses or additional tests unless listed
  • Treatment of complications, readmission or revision unless the policy says so
  • Any procedure added after examination and informed consent
04
Questions and answersFAQ and a short consultation checklist
Is ESG surgery?

It is an interventional endoscopic procedure rather than abdominal surgery, but it still uses anaesthesia and carries procedural risks.

Is ESG reversible?

Sutures may be altered in some circumstances, but ESG should not be chosen on the assumption that reversal is simple or guaranteed.

Can my result be guaranteed?

No. Surgery can improve a concern, but healing, scars, symmetry and the final result vary. A responsible surgeon explains the realistic range of outcomes and the possibility of revision without promising perfection.

When can I fly home?

Only after the treating team confirms that recovery is progressing safely. The suggested stay on this page is a planning range, not medical clearance. Longer flights, anaemia, mobility limits and clot risk may require a longer stay.

What should I arrange before travelling?

Share an accurate medical history, medication and supplement list, smoking or nicotine use, previous surgery and relevant photographs or reports. Arrange travel insurance, an adult companion where advised, time away from work and a named follow-up clinician at home.

When should I seek urgent help?

Follow the hospital's written emergency plan. New shortness of breath, chest pain, one-sided leg swelling, uncontrolled bleeding, fainting, high fever, rapidly worsening pain or sudden colour change require urgent medical assessment.

Ask the treating doctor

  • Why do you recommend this procedure for my case?
  • Who will perform the procedure, and where?
  • What should I expect during recovery?
  • What follow-up will I receive after I return home?
05
Sources and review statusReferences used for this general guide

These sources support general information only and do not replace advice based on your examination and history.

Mayo Clinic — Endoscopic sleeve gastroplasty American Society for Gastrointestinal Endoscopy — Patient information
Last editorial update
19 September 2026
Medical reviewer
Pending appointment

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