Bariatric & Metabolic Surgery

Endoscopic Sleeve Gastroplasty (ESG) At Auralia

A Revolutionary Step Towards a Healthier You

An accredited private hospital
dedicated to Bariatric Surgery.

Longest established Bariatric
Surgery clinic in Ireland.

Nurses are trained to the highest
possible international standard.

What is Endoscopic Sleeve Gastroplasty (ESG)?

Endoscopic Sleeve Gastroplasty, often referred to as ESG, is an innovative, non-surgical weight loss procedure designed to help you lose weight and improve your overall health. It is performed with an endoscope, a flexible tube with a camera and suturing device attached. Unlike traditional bariatric surgeries, it doesn’t require any incisions or permanent changes to your digestive system.

How is the ESG procedure performed?

ESG is performed under general anaesthesia. The procedure usually takes approximately 60-90 minutes. The surgeon inserts the endoscope through your mouth down to your stomach. Utilizing the camera for a detailed view, the surgeon places sutures in your stomach, altering its shape into a tubular structure. This limits the amount of food your stomach can hold, thereby promoting weight loss.

As an outpatient procedure, you’re typically discharged on the same day. However, some patients may require a short overnight hospital stay depending on their individual health condition and the surgeon’s recommendations.

Recovery After the ESG Procedure

The recovery time after ESG is usually shorter compared to other weight loss surgeries. You might experience mild discomfort, nausea, and vomiting in the initial days following the procedure, which can be managed with appropriate medications. Most people can return to their normal activities within a week, although dietary changes are needed. A liquid diet is generally followed in the first week, transitioning to pureed food, then to soft food, and eventually, a regular diet over several weeks. Regular follow-ups with a dietician and the medical team are essential for monitoring weight loss progress and managing dietary changes.

Benefits of the ESG Procedure

ESG is a highly effective solution for weight loss and offers numerous benefits:

  1. Minimally invasive: As there are no incisions, the risks associated with traditional surgery are significantly reduced.
  2. Reversible: Unlike other forms of bariatric surgery, ESG can be reversed if needed, as no parts of the stomach or intestines are removed.
  3. Short recovery time: You can usually return to your normal routine within a week.
  4. Significant weight loss: Most patients experience substantial, sustained weight loss, improving overall health and quality of life.
  5. Co-morbidity improvement: ESG can lead to improvement or resolution of obesity-related conditions such as type 2 diabetes, sleep apnea, high blood pressure, and more.

Before & After

Comparison to Gastric Sleeve

While both ESG and Gastric Sleeve aim to reduce the size of the stomach, there are key differences:


The Gastric Sleeve is a surgical procedure that involves removing a portion of the stomach, whereas ESG is minimally invasive with no removal of stomach tissue.


Generally, the recovery time for ESG is quicker than for the Gastric Sleeve.

Risks and Complications

 ESG carries fewer risks and potential complications compared to the Gastric Sleeve, due to its non-surgical nature.


ESG can be reversed, if necessary, which is not an option with the Gastric Sleeve since part of the stomach is permanently removed.

Frequently asked questions about the Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic Sleeve Gastroplasty, also known as ESG, is a weight loss procedure that reduces the size of your stomach without the need for surgery. This is achieved by using an endoscope and sutures, limiting your food intake and helping you lose weight.
No, ESG is a non-surgical procedure. It is done using an endoscope, which is inserted through your mouth and into your stomach. This approach allows the procedure to be completed without making any external cuts on the body.
The duration of the ESG procedure typically ranges between 60 to 90 minutes, although this may vary depending on individual circumstances.
In most cases, ESG is performed as an outpatient procedure, so you can return home the same day. However, in some instances, a short overnight stay may be required, depending on the patient’s health condition and the surgeon’s evaluation.
The ESG procedure typically has a quicker recovery time than other weight loss surgeries. Most patients can get back to their normal routine within a week. Post-procedure, dietary modifications are required, with a gradual shift from a liquid diet to pureed foods, then soft foods, and eventually, a regular diet over several weeks.
The results can vary, but on average, patients might expect to lose around 15-20% of their total body weight in the first year after the procedure. Long-term weight loss and maintenance largely depend on your commitment to dietary changes and lifestyle modifications.
Like any medical procedure, ESG comes with potential risks. These may include nausea, abdominal pain, and vomiting post-procedure. More serious complications are rare but can include conditions like bleeding, perforation, or infection.
Yes, a significant benefit of the ESG procedure is that it’s potentially reversible. This is unlike other forms of bariatric surgery like gastric sleeve where a part of the stomach is removed permanently. The sutures used in ESG can be removed if necessary.
Yes, after undergoing the ESG procedure, you will need to adhere to a diet plan specified by your dietitian. Initially, a liquid diet is recommended, followed by a gradual transition to pureed foods, then soft foods, and eventually, a regular diet over several weeks.
Depending on your BMI and medical history, you may be suitable for the ESG. Please contact us today and our team can talk you through your options.

Comprehensive and accessible aftercare will always be available to you when you choose Auralia for your Endoscopic Sleeve Gastroplasty.

Book your procedure today by getting in touch with a member of our team.