Endoscopic weight management
Endoscopic sleeve gastroplasty on the Gold Coast
ESG uses internal sutures placed through an endoscope to reduce the usable volume of the stomach without abdominal incisions or surgical removal of stomach tissue.
ESG explained
Different from sleeve gastrectomy
During endoscopic sleeve gastroplasty, a flexible endoscope and suturing system are passed through the mouth. Sutures reshape the stomach to support smaller portions and changes in fullness.
Unlike surgical sleeve gastrectomy, ESG does not remove part of the stomach. The procedures differ in technique, evidence, risks, expected outcomes and suitability.
Who may discuss ESG?
Suitability depends on BMI, health conditions, previous treatment and surgery, anatomy, medicines and readiness to participate in ongoing nutrition and lifestyle care.
Risks and limitations
Pain, nausea and vomiting can occur after treatment. Bleeding, infection, injury and other complications are less common but require discussion. Sutures can loosen and weight regain is possible.
Recovery and longer-term support
A staged fluid and food plan is usually required while the stomach heals. The treating team provides instructions about medicines, hydration, activity and symptoms needing review. Dietetic and clinical follow-up remains important after recovery.
Reviewed: 20 July 2026. General information only. Availability and suitability require individual assessment.
Understand all appropriate options
Compare ESG with gastric balloon, gastric sleeve surgery and medical care.