Last Updated on November 27, 2025 by Bilal Hasdemir

A recent study found that over 100 million adults in the United States are dealing with obesity. This shows the urgent need for good weight loss methods.Weight loss with ESG averages 15-20% body weight in 12 months. Learn about endoscopic sleeve gastroplasty results and timeline.
Endoscopic Sleeve Gastroplasty (ESG) is seen as a hopeful solution for weight loss. It’s a small procedure that makes the stomach smaller. This limits how much food you can eat and makes you feel full faster.
Learning about ESG and its role in weight loss helps people choose the right treatment for themselves.

Endoscopic Sleeve Gastroplasty, or ESG, is a new way to lose weight. It’s less risky than old-school bariatric surgery. This method has become popular because it works well and is safer.
ESG is a non-surgical way to shrink the stomach. A special device is used through the mouth. This makes you feel full faster, helping you lose weight.
The ESG procedure is done on an outpatient basis. You can go home the same day. It’s a gentler option than surgeries like gastric bypass or banding.
A flexible endoscope with a suturing device is used. It goes through the mouth into the stomach. The device makes folds in the stomach wall, shrinking it.
The steps of the ESG procedure are:
Here’s a quick overview of the ESG procedure in a table:
| Aspect | Description |
| Procedure Type | Minimally invasive, non-surgical |
| Method | Endoscopic suturing to reduce stomach size |
| Recovery | Outpatient procedure, same-day discharge |
| Benefits | Less invasive than traditional bariatric surgery, quicker recovery |
Knowing about ESG and its benefits helps people choose better weight loss options. ESG is a big step forward in weight management. It’s a safer, less invasive way to achieve weight loss.

Weight loss after ESG comes from several key changes. These changes affect how much we eat and how our body burns calories. The procedure makes the stomach smaller, which changes how our body works.
The ESG procedure makes the stomach smaller. This is done with a special tool that sews the stomach into a sleeve shape. This makes people feel full sooner and eat less.
The changed stomach shape also affects hormones that control hunger. For example, it can change levels of ghrelin and leptin. These hormones are key in controlling how hungry we feel.
After ESG, patients see big changes in how their body works. One big change is better insulin sensitivity. This helps control blood sugar levels better.
These changes help with weight loss and improve health. Knowing how ESG works helps doctors help patients reach their weight loss goals.
Patients often wonder how much weight they’ll lose after ESG in the first month. Knowing what to expect is key to setting realistic goals and getting good results.
The first month after ESG is very important for weight loss. Most people see noticeable weight loss in the first month, often averaging 10–15% of their starting body weight.
Key factors contributing to weight loss in the first month include:
Several things can change how fast you lose weight after ESG. These include:
By knowing these factors and living a healthy lifestyle, patients can get the most out of their weight loss after ESG.
Understanding the timeline of weight loss after Endoscopic Sleeve Gastroplasty (ESG) is key for those thinking about it. The journey to weight loss after ESG is gradual, with important milestones showing the treatment’s success.
By the 3-month mark, patients often see a big drop in weight. On average, they lose 15-20% of their body weight. This is mainly because the stomach size is reduced, limiting food intake and making them feel fuller.
At six months, patients have lost a significant amount of weight. They usually lose 25-30% of their body weight. This continued weight loss comes from adapting to new eating habits and possibly exercising more.
By the one-year mark, weight loss tends to slow down. Most patients have lost 35-45% of their body weight. This is a key milestone, showing the maximum weight loss from ESG. It’s important to keep up with healthy eating and exercise to maintain weight loss.
Long-term, ESG patients can keep off weight, though some may regain it. Studies show that by two years, patients have lost and kept off 25-35% of their body weight. Keeping to a healthy diet and exercising regularly are key to long-term weight loss.
| Timeframe | Average Weight Loss |
| 3 Months | 15-20% |
| 6 Months | 25-30% |
| 1 Year | 35-45% |
| 2+ Years | 25-35% |
A study in a top medical journal found that ESG’s long-term success depends on a healthy lifestyle. This includes eating well and exercising regularly. It shows how important it is to care for yourself after the procedure to keep off weight.
“The ESG procedure has been a game-changer for many of our patients, providing a less invasive option to traditional bariatric surgery with promising weight loss results.”
A leading bariatric surgeon
Learning about the average weight loss with ESG can guide you in your weight loss journey. ESG is known for helping people lose a lot of weight.
Weight loss with ESG can be measured in different ways. These include the percentage of excess weight lost and total body weight loss percentages. These metrics show how well ESG works.
Research shows that ESG patients lose a big part of their excess weight. Excess weight loss is the weight lost compared to the ideal body weight. On average, people lose 50% to 60% of their excess weight in the first 12 to 18 months.
A study in a medical journal found that at 12 months, patients lost an average of 54.8% of their excess weight. This shows ESG’s success in weight loss.
Another important measure is total body weight loss (TBWL). Total body weight loss is the percentage of total body weight lost after the procedure. Studies show that ESG can lead to losing 15% to 20% of total body weight in the first year.
Research found that at 12 months, patients lost an average of 17.4% of their total body weight. This is a significant and meaningful weight loss that can improve health.
| Timeframe | Average Excess Weight Loss (EWL) | Average Total Body Weight Loss (TBWL) |
| 6 Months | 40% | 12% |
| 12 Months | 54.8% | 17.4% |
| 18 Months | 60% | 20% |
This section shows ESG’s ability to help people lose a lot of weight. Knowing these statistics can help you decide if ESG is right for your weight loss goals.
There are many ways to lose weight, and comparing ESG to traditional bariatric surgery and diet/exercise alone is key. This helps people make smart choices for their weight loss journey.
Looking at weight loss options, we must think about how well they work, their risks, and long-term effects. ESG is a less invasive choice than traditional bariatric surgery. It also offers a more supervised approach than diet and exercise alone.
Traditional bariatric surgery, like gastric bypass or sleeve gastrectomy, makes big changes to the digestive system. It’s often for those with a higher BMI or who haven’t lost weight with other methods. ESG, on the other hand, is less invasive and doesn’t make permanent changes to the stomach.
Key differences include:
Diet and exercise are key for weight loss, and adding ESG can boost and keep up weight loss. Unlike diet and exercise alone, ESG quickly reduces stomach size. This can start weight loss sooner.
Benefits of ESG over diet and exercise alone include:
The choice between ESG, traditional bariatric surgery, and diet/exercise alone depends on personal health goals, obesity level, and what you prefer in terms of invasiveness and recovery time.
Many things affect how fast you lose weight after Endoscopic Sleeve Gastroplasty (ESG). Knowing these factors helps set realistic goals and achieve weight loss success.
Your starting Body Mass Index (BMI) before ESG matters a lot. People with a higher BMI often lose more weight at first. But, as they get closer to their goal weight, weight loss might slow down.
Age and gender also play big roles. Younger people might lose weight faster because of their higher metabolism. Hormonal differences between men and women can also affect weight loss, with men possibly losing weight quicker at first.
Dietary compliance is key to successful weight loss after ESG. Eating a healthy, balanced diet as advised by doctors can really help. On the other hand, bad eating habits can slow down weight loss.
Being active is another important factor. Doing moderate exercise not only speeds up weight loss but also keeps muscle and health good. People who stay active tend to lose weight more steadily.
Understanding and working on these factors can help you do better on your weight loss journey after ESG. This way, you can reach your weight loss goals more successfully.
The ESG weight loss journey has several key stages. It starts with getting ready for the procedure and ends with making lasting lifestyle changes. Each step is important for a successful outcome and a healthier life.
Before ESG, pre-procedure preparation is key. A healthcare provider will check if you’re a good candidate for the procedure. You’ll need to have blood tests and imaging to check your health.
Also, start making lifestyle adjustments early. This helps with recovery and better weight loss results. You might need to change your diet and start moving more.
The recovery period after ESG is usually shorter than other surgeries. Most people can get back to normal in a week or two. But, it’s important to follow your doctor’s instructions closely to avoid problems.
During recovery, you might feel some discomfort, nausea, or trouble swallowing. These feelings are usually short-lived and can be managed with medicine and diet changes.
“The key to a successful recovery is adhering to the post-procedure guidelines and being patient with your body’s healing process.” – A Bariatric Specialist
Lifestyle modifications are vital for long-term success with ESG. You should eat a balanced diet that’s low in calories and unhealthy fats. Also, regular exercise is important for weight loss and health.
By sticking to these sustainable lifestyle changes, you can lose a lot of weight and improve your life quality.
Real patient stories show how ESG helps with weight loss. By looking at these experiences, we learn about its benefits and results.
A patient lost a lot of weight quickly with ESG. In just six months, they shed a big part of their extra weight. This was due to the procedure and following a strict diet and exercise plan.
The patient’s success came from:
Another patient lost weight slowly but steadily. They focused on lasting lifestyle changes, not quick fixes.
What helped this patient include:
These stories show how different people can have different results with ESG. Understanding what works for each person helps doctors support them better on their weight loss journey.
Reaching and keeping a healthy weight with ESG can face obstacles. It’s important to stay committed to lifestyle changes. ESG is a strong tool for losing weight, but challenges can slow progress.
Many people experience weight loss stalls, or plateaus, with ESG. These can happen for many reasons, like metabolic changes or less activity. Knowing why weight loss stalls is key to getting past them.
Some common reasons for weight loss stalls include:
To beat weight loss plateaus, a mix of diet changes, more exercise, and sometimes, expert help is needed. Changing lifestyle habits is a big step in breaking through a plateau.
Good ways to overcome plateaus include:
By understanding and tackling the reasons for weight loss stalls, people can keep moving towards a healthier weight.
ESG offers many health benefits, including better management of obesity-related conditions and a higher quality of life. While losing weight is a big plus, the positive effects on health are just as significant.
ESG leads to big improvements in obesity-related issues. These include:
These benefits come from weight loss and possible metabolic changes from ESG.
ESG also boosts quality of life in many ways. Patients often notice:
These improvements are key for long-term success and happiness. ESG tackles both physical and mental aspects of obesity, leading to a healthier life.
In summary, ESG’s benefits go beyond just weight loss. It gives patients a chance at a healthier, happier life.
To figure out if ESG is right for you, you need to look at your own situation. It’s important to know who is a good fit and what to ask your doctor.
ESG is for people with a BMI of 30 to 40 who haven’t lost weight with diet and exercise. Ideal candidates are those who are ready to make big lifestyle changes to lose weight.
Here are some traits of the best ESG candidates:
Talking to a doctor is key to see if you fit the bill and if ESG is good for you.
Talking to your doctor about ESG is very important. Asking the right questions helps you make a smart choice about ESG.
Some important questions to ask are:
Understanding these answers helps you decide if ESG fits your weight loss plans.
Choosing to get ESG should be a team effort with a doctor who knows your specific needs.
Endoscopic Sleeve Gastroplasty (ESG) is a promising weight loss method for those with obesity. It helps people understand the procedure and its benefits. This knowledge aids in making informed choices about weight loss.
ESG leads to a significant weight loss, with many people losing a lot of weight. The success of ESG depends on following a diet, staying active, and starting with a certain BMI. These factors are key to achieving good results.
Real-life stories show ESG can improve health and quality of life. While challenges and plateaus may happen, there are ways to overcome them. This keeps people motivated and on track.
ESG is a good option for those looking for a less invasive weight loss method. By considering the discussed points and talking to a doctor, people can decide if ESG fits their weight loss goals.
ESG is a non-surgical way to lose weight. It uses an endoscope to make the stomach smaller. This limits how much food you can eat, helping you lose weight.
ESG can lead to significant weight loss. But, it might not be as much as with traditional surgery. It’s also less invasive, with fewer risks.
People who get ESG start losing weight quickly, often in the first 3-6 months. They may keep losing weight for up to 1-2 years.
Studies show ESG users can lose 50-70% of their extra weight. This translates to 15-20% of their total body weight.
Several things can affect how fast you lose weight after ESG. These include your starting BMI, age, gender, diet, and exercise.
ESG is best for those with a BMI of 30 or higher. They should have tried diet and exercise without success. They also need to be ready to make lifestyle changes.
ESG, like any surgery, has risks. These include bleeding, infection, and reactions to anesthesia. But, these risks are often lower than with traditional surgery.
ESG can change how you feel hungry and full. This can help you lose weight by reducing hunger and improving satisfaction.
After ESG, you’ll need to make big changes. This includes eating healthy and exercising regularly. These habits help keep the weight off long-term.
ESG offers many health benefits beyond weight loss. It can improve conditions like type 2 diabetes and high blood pressure. It also boosts overall quality of life.
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