Endoscopic sleeve gastroplasty (ESG)
An endoscopic sleeve gastroplasty is a non-surgical weight loss procedure performed with the aid of an endoscopic suturing device, to reduce the size of the stomach and help patients lose weight.
What is an endoscopic sleeve gastroplasty?
An endoscopic sleeve gastroplasty (ESG) is an innovative, non-surgical weight loss procedure performed with the aid of an endoscopic suturing device, to reduce the size of the stomach and help patients lose weight.
Dr Devinder Bansi, Consultant Gastroenterologist at Cromwell Hospital, explains more about the procedure.
Why choose us for endoscopic sleeve gastroplasty?
World-leading experts
We have a team of experienced consultant bariatric specialists who have developed their skills and knowledge at the UK's leading NHS teaching hospitals.
Multidisciplinary care
Our specialists work as part of a multidisciplinary team (MDT) to regularly review complex cases, ensuring the best possible care for each patient.
Rapid access to treatment
We offer next-day consultations and rapid routes through to surgery, so you can be seen, cared for and recover in the fastest time possible.
An endoscopic sleeve gastroplasty (ESG) is an option for patients who would like to lose weight with a body mass index (BMI) of 30+. This procedure is also suitable for patients who have not been successful with other methods or are not eligible for other bariatric surgeries.
However, an ESG is not suitable for everyone who is overweight. Patients will go through a screening process, where your consultant will discuss your suitability for this procedure.
Endoscopic sleeve gastroplasty is performed under general anaesthetic and usually takes approximately 90 minutes.
The procedure is performed using an endoscope that has a camera and an endoscopic suturing device attached. The surgeon will insert the endoscope down your throat into the stomach. The camera will enable the surgeon to see and operate without the need to make any incisions to your abdomen. The surgeon will place sutures in your stomach, changing the size of your stomach. This results in you feeling full more quickly thus reducing your need for calories.
The length of time it takes you to recover from the operation depends on a range of factors, including your age, fitness level and the nature of the procedure. Most patients will only need to take a few days off and can return to work within a week of the procedure.
Our dedicated recovery team of specialist nurses, dieticians, and physiotherapists will work with you closely after your operation to make sure you recover as quickly as possible.
Your healthcare team will design a unique plan that is specific to you. This will detail all the preparation you would need prior to having the procedure.
Clear self-pay options
We understand that paying for your own treatment is a big decision. That's why we offer two transparent self-pay packages, so you can choose the option that works best for you.
Fixed price package
- Pre-admission tests
- Private ensuite room
- Theatre procedure including prothesis
- Professional fees (surgical and anaesthetics)
- Meals, nursing care and discharge medication
- No extra cost for additional unplanned stay
- Return to theatres if complications arise
(Please see package terms and conditions for further details).
When enquiring, please quote ESG.
Hospital price package
- Pre-admission tests
- Private ensuite room (nights subject to package terms)
- Theatre procedure
- Meals, nursing care, and discharge medication
Consultant and other fees will apply.
Ready to take the first step?
Call our self-pay team on +44 (0)20 7244 4886Our locations

Private gastroenterologists in London
Our consultant gastroenterologists deliver endoscopic sleeve gastroplasty at our private hospital in Kensington.
Book an appointment today
Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone.