Minimally Invasive Solutions for Lasting Weight Loss
Endoscopic weight-loss procedures are a nonsurgical, minimally invasive approach to help you achieve your weight-loss goals. These advanced techniques, including the endoscopic sleeve gastrectomy (ESG), deliver real results with fewer risks, shorter recovery times and no incisions so you can confidently take charge of your health.
Incisionless Treatments to Support Your Whole Health
- Endoscopic Sleeve Gastroplasty (ESG)
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The ESG procedure doesn’t involve any cuts or incisions. Instead, a doctor uses a flexible tube (called an endoscope) with a special stitching device to gently fold and tighten the stomach, reducing its size by about 70%. This helps patients feel full faster, eat less and stay full longer. Many patients lose up to 20% of their body weight.
ESG offers similar results to surgical weight-loss procedures, but without the need for surgery. Because the procedure is minimally invasive, recovery is quicker and risks are lower. Most people return home the same day and resume their routine within a few days.
To achieve the best results, ESG should be combined with healthy lifestyle changes, such as eating a nutritious diet and staying active. Doing so can also help lower blood sugar and blood pressure, and may improve conditions like fatty liver disease and sleep apnea.
- Endoscopic Balloon Therapy
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Endoscopic balloon therapy is another nonsurgical approach to weight loss. In this procedure, a soft balloon filled with liquid is placed in your stomach using an endoscope. By occupying space, the balloon helps you feel full sooner and eat less.
The balloon is usually removed after six months, though it can be removed earlier if desired. Because it doesn’t permanently alter your stomach, this option is ideal for people seeking short-term weight-loss support.
Like ESG, this procedure is most effective when combined with healthy habits. It’s safe, reversible and doesn’t require a hospital stay — you’ll be home the same day.
- Transoral Outlet Reduction (TORe)
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A transoral outlet reduction (TORe) is a nonsurgical, endoscopic procedure designed for people who’ve regained weight after a gastric bypass. Over time, the connection between the stomach and small intestine (called the gastric outlet) can stretch, allowing food to pass through too quickly and leading to weight gain.
TORe helps restore that outlet to its original size. Using a flexible tube (endoscope) and a suturing device, your doctor places stitches through the mouth to tighten the outlet. This helps you feel full again after eating and supports renewed weight loss.
Because TORe is minimally invasive, it involves fewer risks and a quicker recovery than traditional surgery. Most patients go home the same day. As with any weight-loss procedure, maintaining a healthy lifestyle is essential to promoting long-term success and achieving lasting weight loss.
- Endoscopic Revision of Sleeve Gastrectomy (Sleeve-in-Sleeve or SIS)
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If you've had a sleeve gastrectomy and are experiencing weight regain, an endoscopic revision may help. Over time, the stomach can stretch, reducing the effectiveness of the original sleeve gastrectomy.
A sleeve-in-sleeve procedure utilizes an endoscopic suturing device to tighten the stomach and restore it to its original sleeve shape — without the need for surgery. This helps you start to lose weight again, much like after the original operation.
Trusted Endoscopic Care Close to Home
If you’re looking to reach a healthier weight without the surgical risks or extended recovery time of traditional bariatric surgery, find a provider nearby to learn more about our endoscopic procedures available to you.
FAQs About Endoscopic Sleeve Gastroplasty
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Q:Question: Who is an ideal candidate for an incisionless endoscopic gastric sleeve procedure?
A:Answer:An endoscopic sleeve gastroplasty (ESG) procedure is best suited for patients with a BMI of 30 to 40 who have not achieved sufficient weight loss through diet, exercise and lifestyle changes alone.
An ESG may be the right choice for patients who don't qualify for or prefer to avoid more invasive surgical procedures.
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Q:Question: Does insurance cover the incisionless sleeve procedure?
A:Answer:While an ESG is an effective weight-loss method, it’s still a relatively new procedure and not yet covered by many insurance providers. However, as of December 18, 2025, ESG is covered by Elevance Health (formerly known as Anthem), making this option more accessible for eligible patients. Our team offers free insurance verification to help you understand your coverage. We also offer a self-pay rate to help ensure this life-changing care remains within reach.
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Q:Question: How does endobariatrics differ from traditional weight-loss surgery methods?
A:Answer:Endobariatric procedures, including the endoscopic incisionless sleeve, differ from weight-loss surgeries in several ways. Here’s what you can expect with an ESG:
- Can be combined with weight-loss medications
- Faster recovery period (three to seven days rather than weeks)
- Ideal for mild to moderate obesity
- Performed through the mouth (no incisions)
- Minimally invasive and often reversible
- Moderate weight loss (15 to 20% total body weight)
- No malabsorption; minimal need for supplements
- Outpatient or short-stay procedure
Contact Us Today to Get Started
Achieving and maintaining a healthy weight can help you live your best life. Click below to schedule an appointment and learn more about our endoscopic weight-loss options to determine the best choice for you.