ESG Stomach Tightening®
Non-surgical, 60-minute weight loss procedure, performed by world-class doctors vetted by the inventor himself.
Featured in top scientific publications
What is ESG Stomach Tightening?
Rapid results, lasting confidence
ESG Stomach Tightening (or endoscopic sleeve gastroplasty) is a minimally invasive, non-surgical weight loss procedure.
- Stomach reduction by 60-75%.
- Approximately 8 sutures are placed to create ESG Stomach Tightening. The sutures create internal folds that reduce the stomach’s size by 60-75%. With your newly reduced stomach size, you’ll feel full more quickly and for longer periods.
- Non-surgical. No scars.
- Performed under anesthesia, an endoscope is inserted through your mouth into your stomach. The procedure leaves no scars.
- Quick recovery.
- You can go home on the same day. Most patients take 1-3 days off work.
History
Broadening access to innovation
Since its inception, ESG Stomach Tightening® has redefined non-surgical weight loss. Bariendo is making this innovative procedure more accessible.
Pioneering a new era of weight loss
In 2012, Dr. Christopher Thompson, Professor of Medicine at Harvard Medical School and our co-founder, conducted the world’s first ESG Stomach Tightening procedure3 as a minimally invasive, non-surgical alternative for weight loss surgery.
ESG demonstrates 18% body weight loss
A pivotal study4 conducted across various universities and hospitals in the United States showed ESG leading to an 18.6% body weight loss, confirming the procedure’s effectiveness in diverse settings.
ESG confirmed durable for a minimum of 5 years
The effectiveness of ESG in maintaining weight loss was demonstrated over a minimum period of 5 years5. On average, patients who underwent ESG maintained a 15.9% body weight loss five years after the procedure.
FDA approves ESG as an effective weight loss intervention
The FDA authorized the use of Apollo Endosurgery Inc’s devices for ESG6, recognizing it as an effective obesity intervention.
Bariendo Established to Facilitate Access to ESG Stomach Tightening®
Recognizing the necessity for standardized ESG protocols, quality control among doctors, and simplified access to care, Dr. Thompson co-founded Bariendo.
Eligibility
Who is ESG Stomach Tightening® for?
- Anyone with a body mass index (BMI) over 30
- Anyone with a body mass index (BMI) of 27 - 29.9
- plus one of the following conditions: high blood pressure, diabetes, high cholesterol, sleep apnea, and fatty liver disease
Success stories
Hear from our ESG Stomach Tightening® patients
Our patients partner with us to better their lives. Read our patient stories
Why ESG Stomach Tightening® works
The science behind ESG's efficacy
ESG Stomach Tightening involves physiological changes to your stomach that lead to enduring results compared to pharmacological or lifestyle interventions.
- Improvements to eating behavior.
- With a stomach reduced to 3-5 times its original size, ESG Stomach Tightening has been shown to significantly improve three key areas: cognitive restraint, emotional eating, and uncontrolled eating.10
- Slowing down gastric emptying.
- Research indicates that ESG Stomach Tightening extends the time food takes to pass through your stomach (“gastric emptying”) by 50 minutes, helping you feel full for a longer period.11
- Increases in satiety hormones.
- Research indicates that ESG Stomach Tightening extends the time food takes to pass through your stomach (“gastric emptying”) by 50 minutes, helping you feel full for a longer period12
Comparison
ESG vs. other weight loss solutions
Need help choosing? Consult with our specialist
| ESG Stomach Tightening® | Gastric Balloon | Bariatric Surgery Gastric Bypass or Sleeve Gastrectomy | Semaglutide Ozempic and Wegovy | |
|---|---|---|---|---|
| Types of intervention | Non-surgical. No hospitalization required | Non-surgical. No hospitalization required | Surgery. At least 1 night at hospital | At-home weekly injections |
| Average weight loss at 12 months | 18% | 10% | 25-30% | 15% |
| Long-term efficacy | Durable outcomes. Average of 16% weight loss sustained 5 years after ESG 13 | Significant weight regain after 12 months 14 | Durable outcomes 15 | Significant weight regain after discontinuing use. Most gain ⅔ of their lost weight within 1 year 16 |
| Commitment | 60-min procedure. 1-3 days off work | 15-min procedure. 1-3 days off work | 1-3 days of hospital stay. 2-4 weeks off work | Weekly adherence required |
| Major complications | Rare (<2%) | Rare (<2%) | 10-20% | Rare |
What sets us spart
Not all ESG is equal
Bariendo’s ESG Stomach Tightening® utilizes best practice protocols refined through a decade of research with year-long personalized support.
- We invented the field
- Dr. Christopher Thompson, our co-founder, pioneered Endoscopic Sleeve Gastroplasty (ESG) in 2012 and later developed many other endoscopic weight loss procedures. He and our Scientific Advisory Board have carefully selected the most qualified doctors for the Bariendo team.
- Best practice ESG protocols averaging at 8 sutures
- While some doctors may use only 2-5 sutures, ours typically employ 8-10 sutures per procedure to maximize weight loss. However, it’s not just the quantity of sutures, but the patterns of their placement that make the difference. All of our doctors strictly adhere to these best-practice protocols.
- Combination therapy with medications for enhanced weight loss
- The emerging field of combining endoscopic procedures with weight loss medications is led by Dr. Jirapinyo, our co-founder. Our comprehensive treatment packages include prescribing a weight loss medication after the endoscopic revision procedure to further augment the amount of weight loss. (The costs of medication are not included; however, the medication may be covered by your insurance).
- Sustainable lifestyle changes through a dedicated care team
- Our support doesn’t end once the procedure is complete. For 12 months, you have direct access to a multidisciplinary team consisting of your physician, physician assistant, registered dietitian, exercise coach, and patient liaison. We also provide you with a smart scale that allows our care team to monitor your weight loss journey in real-time.
Frequently asked questions
-
The procedure itself takes approximately 60 minutes. However, you should plan on spending about half a day with us including preparation and recovery.
-
Patients go home on the same day. Most take a few days off to recover at home before returning to work. After the procedure, patients follow a full liquid meal plan, which includes protein shakes and similar products, then transition to a soft diet, which includes easy-to-eat foods such as oatmeal and bananas, and then return to regular eating.
-
Your doctor can use one of three available suturing or plication devices to perform ESG/EGP. ESG can be reversible, while EGP is typically not. If this is important to you, you should discuss this with your provider prior to the procedure.
-
Endoscopic sleeve gastroplasty (ESG) folds your stomach outward, while endoscopic gastric plication (ESG) folds your stomach inward. This is why ESG can be reversible and EGP is typically not. Additionally, some stomachs, depending on their shape and size, may respond better to a specific device. Having access to all three suturing and plication devices allows your doctor to tailor the procedure for best results.
-
Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, sleeve gastrectomy is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.
-
Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, gastric bypass is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.
-
An endoscopic sleeve gastroplasty (ESG) procedure costs $11,995, which includes 12 virtual visits with your Bariendo healthcare team. Financing options are available. Learn more about our pricing and financing options.
-
Unfortunately, insurance does not cover endoscopic weight loss procedures yet. However, we offer several financing options. Learn more about our pricing and financing options.
Ready to take the next step?
Start your weight loss journey with doctors trusted by thousands.
References
- Lopez-Nava G, Sharaiha RZ, Vargas EJ, Bazerbachi F, Manoel GN, Bautista-Castaño I, Acosta A, Topazian MD, Mundi MS, Kumta N, Kahaleh M, Herr AM, Shukla A, Aronne L, Gostout CJ, Abu Dayyeh BK. Endoscopic Sleeve Gastroplasty for Obesity: a Multicenter Study of 248 Patients with 24 Months Follow-Up. Obes Surg. 2017 Oct;27(10):2649-2655. doi: 10.1007/s11695-017-2693-7. PMID: 28451929.
- Sharaiha RZ, Hajifathalian K, Kumar R, Saunders K, Mehta A, Ang B, Skaf D, Shah S, Herr A, Igel L, Dawod Q, Dawod E, Sampath K, Carr-Locke D, Brown R, Cohen D, Dannenberg AJ, Mahadev S, Shukla A, Aronne LJ. Five-Year Outcomes of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity. Clin Gastroenterol Hepatol. 2021 May;19(5):1051-1057.e2. doi: 10.1016/j.cgh.2020.09.055. Epub 2020 Oct 1. PMID: 33011292.
- Saumoy M, Gandhi D, Buller S, Patel S, Schneider Y, Cote G, Kochman ML, Thiruvengadam NR, Sharaiha RZ. Cost-effectiveness of endoscopic, surgical and pharmacological obesity therapies: a microsimulation and threshold analyses. Gut. 2023 Nov 24;72(12):2250-2259. doi: 10.1136/gutjnl-2023-330437. PMID: 37524445.
- Endoscopic Sleeve Gastroplasty Plus Obesity Drugs Add Up to More Weight Loss - Medscape - May 11, 2023.
- Vargas EJ, Rizk M, Gomez-Villa J, Edwards PK, Jaruvongvanich V, Storm AC, Acosta A, Lake D, Fidler J, Bharucha AE, Camilleri M, Abu Dayyeh BK. Effect of endoscopic sleeve gastroplasty on gastric emptying, motility and hormones: a comparative prospective study. Gut. 2023 Jun;72(6):1073-1080. doi: 10.1136/gutjnl-2022-327816. Epub 2022 Oct 14. PMID: 36241388; PMCID: PMC10102256.
- Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, Lingvay I, McGowan BM, Oral TK, Rosenstock J, Wadden TA, Wharton S, Yokote K, Kushner RF; STEP 1 Study Group. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022 Aug;24(8):1553-1564. doi: 10.1111/dom.14725. Epub 2022 May 19. PMID: 35441470; PMCID: PMC9542252.
- Haddad AE, Rammal MO, Soweid A, Shararra AI, Daniel F, Rahal MA, Shaib Y. Intragastric balloon treatment of obesity: Long-term results and patient satisfaction. Turk J Gastroenterol. 2019 May;30(5):461-466. doi: 10.5152/tjg.2019.17877. PMID: 31061001; PMCID: PMC6505645.
- O'Brien PE, Hindle A, Brennan L, Skinner S, Burton P, Smith A, Crosthwaite G, Brown W. Long-Term Outcomes After Bariatric Surgery: a Systematic Review and Meta-analysis of Weight Loss at 10 or More Years for All Bariatric Procedures and a Single-Centre Review of 20-Year Outcomes After Adjustable Gastric Banding. Obes Surg. 2019 Jan;29(1):3-14. doi: 10.1007/s11695-018-3525-0. PMID: 30293134; PMCID: PMC6320354.