Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty reshapes the stomach from the inside, using a suturing device passed down through the mouth. A line of full-thickness stitches gathers the stomach wall along its greater curve, folding it inwards so the cavity becomes a narrow tube roughly the shape of a sleeve. Nothing is cut and nothing is removed, there is no incision on the abdomen and no scar. The smaller stomach fills sooner and empties more slowly, so meals are smaller and the feeling of fullness lasts longer. It suits people who want meaningful weight loss without an operation, including those whose weight falls below the usual threshold for bariatric surgery, and it is always paired with a structured nutrition and activity programme.