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ESG Stomach Tightening (or Endoscopic Sleeve Gastroplasty) is a minimally invasive, non-surgical weight loss solution. Performed under anesthesia, an endoscope is inserted through your mouth into your stomach.
Approximately 8 sutures are placed to create ESG Stomach Tightening. The sutures create internal folds that reduce the stomach’s size by 60-75%. The procedure leaves no scars, and you can go home on the same day. With your newly reduced stomach size, you’ll feel full more quickly and for longer periods.
On average, patients lose 18% of their body weight1
the effects of the ESG procedure have been proven to last for at least five years and likely even longer2
Bariendo is dedicated to establishing the global gold standards for this procedure. We collaborate exclusively with top-tier doctors, each personally vetted by the inventor of ESG himself.
Hear from the inventor of ESG (13:49)
In 2012, Dr. Christopher Thompson, Professor of Medicine at Harvard Medical School and our co-founder, conducted the world’s first ESG Stomach Tightening procedure 3 as a minimally invasive, non-surgical alternative for weight loss surgery.
A pivotal study 4 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.
The effectiveness of ESG in maintaining weight loss was demonstrated over a minimum period of 5 years 5. On average, patients who underwent ESG maintained a 15.9% body weight loss five years after the procedure.
The FDA authorized the use of Apollo Endosurgery Inc’s devices for ESG 6, recognizing it as an effective obesity intervention.
Recognizing the necessity for standardized ESG protocols, quality control among doctors, and simplified access to care, Dr. Thompson co-founded Bariendo.
Hear from the inventor of ESG (13:49)
* Timing matters when it comes to combining medications with ESG
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Most patients achieve a weight loss ranging from 15-25%, with the average being 18% 7
The average weight loss increases to 24% when this procedure is combined with medications 8
* Timing matters when it comes to combining medications with ESG
After losing 53 lbs on the ESG journey with
Dr. Jirapinyo, I now sleep better, have more energy to run and stay fit, and feel like a completely new person.
I’m 73 and I had tried every single diet imaginable.
I chose Dr. Jirapinyo because she was recommended by my PCP. It’s been a lifesaver, life-changing for me. I’m so glad I did it.
For me it is by far the most positive life changing action I could have taken. I have so much more energy and my general health and wellbeing has improved exponentially.
ESG Stomach Tightening involves physiological changes to your stomach, leading to enduring results compared to pharmacological or lifestyle interventions. Research has identified the following interconnected effects of ESG:
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
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
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 12
Need help choosing? Consult with our specialist
(Gastric Bypass or Sleeve Gastrectomy)
(Ozempic and Wegovy)
Type 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
Bariendo’s ESG Stomach Tightening™ utilizes best practice protocols refined through a decade of research with year-long personalized support
View ESG demonstration
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.
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.
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).
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.
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.
ESG folds your stomach outward, While EGP (Endoscopic gastric plication) 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.
An ESG procedure costs $10,995, which includes 12 visits with your Bariendo healthcare team. Financing options are available.
Ready to take the next step?
Start your weight loss journey
with doctors trusted by thousands
References