Long-lasting weight
loss starts here

No surgery, no scars, and minimal
downtime. Led by world class
bariatric endoscopists.


Discover our longer-lasting weight loss
solutions, tailored to your lifestyle

Discover our longer-lasting weight loss solutions, tailored to your lifestyle

$1,500 OFF Average 18-20% weight loss Same Day Procedure Durable Results

ESG Stomach Tightening ™

A non-surgical, minimally invasive, reversible procedure to significantly reduce your stomach size and help you lose weight

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$500 OFF Average 10-15% weight loss Same Day Procedure Lowest Cost

Gastric Balloon

A fluid-filled silicone balloon placed inside your stomach for 6 months to help you lose weight

Learn more
$500 OFF Average 12-15% weight loss For Post-Bariatric Weight Regain
Revision of Prior 
Bariatric Surgery

Revision of Prior Bariatric Surgery

For those who previously underwent weight loss surgery and regained weight, a revision procedure is a non-surgical, minimally invasive approach to re-tighten your stomach and help you lose weight again

Learn more

How does ESG compare to
other weight lost treatments?

How does ESG compare to
other weight lost treatment?

How does ESG compare to
other weight lost treatment?

How does ESG compare
to other weight lost treatments?

Best practices for ESG
designed by the pioneer

Back in 2012, Dr. Christopher Thompson, our scientific advisor, pioneered the ESG procedure, a same-day, non-surgical solution that delivers long-lasting weight loss. Today, after more than a decade, access to ESG and similar procedures still poses a challenge. That’s why Bariendo is here, streamlining your weight loss journey through our platform.

Best practices for ESG
designed by the pioneer

Back in 2012, Dr. Christopher Thompson, our scientific advisor, pioneered the ESG procedure, a same-day, non-surgical solution that delivers long-lasting weight loss. Today, after more than a decade, access to ESG and similar procedures still poses a challenge. That’s why Bariendo is here, streamlining your weight loss journey through our platform.

Our Scientific Advisory Board

Christopher C. Thompson, MD

Inventor of ESG Stomach Tightening

Professor, Harvard Medical School

Pichamol Jirapinyo, MD, MPH

Director of Bariatric Endoscopy Fellowship,
Brigham and Women’s Hospital

Assistant Professor, Harvard Medical School

Steven Edmundowicz, MD

Steven Edmundowicz, MD

Former President of the American Society
for Gastrointestinal Endoscopy (ASGE)

Professor of Medicine, University of Colorado

Our Scientific Advisory Board

<style=”text-align: center;”>Christopher C. Thompson, MD

Inventor of the ESG Stomach Tightening

Professor, Harvard Medical School

<style=”text-align: center;”>Pichamol Jirapinyo, MD, MPH

Director of Bariatric Endoscopy Fellowship,
Brigham and Women’s Hospital

Assistant Professor, Harvard Medical School

Steven Edmundowicz, MD

<style=”text-align: center;”>Steven Edmundowicz, MD

Former President of the American Society
for Gastrointestinal Endoscopy (ASGE)

Professor of Medicine, University of Colorado

Our scientific advisory board

Christopher C. Thompson, MD

Inventor of the ESG Stomach Tightening

Professor, Harvard Medical School

Pichamol Jirapinyo, MD, MPH

 Director of Bariatric Endoscopy Fellowship,
Brigham and Women’s Hospital

Assistant Professor, Harvard Medical School

Steven Edmundowicz, MD

Steven Edmundowicz, MD

Former President of the American Society
for Gastrointestinal Endoscopy (ASGE)

Professor of Medicine, University of Colorado

Our success stories

Meet those who’ve made their weight loss dreams come true with Bariendo

Our success stories

Meet those who’ve made their weight loss
dreams come true with Bariendo

“Since having the procedure in August,
I am down 43 pounds and have so much more energy and confidence. It hasn’t always been an easy ride,
but the Bariendo staff has been there to support me… 

Mindi M.
Revision Procedure

Read more

“I really feel very happy with the results obtained.
Dr. Thompson and Dr. Jirapinyo are extraordinary,
the medical care is excellent. 
I am very happy to have made this decision and to have 19 pounds less now.”

Ruxibeth R.
Gastric Balloon Procedure

“ From 178 to 125 pounds 
-my ESG journey
with Jirapinyo was outstanding. To anyone
considering weight loss, 
my advice is
simple: do it! 
Your health is worth it! ”

Glorimar S.
ESG Procedure

“Revision procedure was life-changing.
It’s not an end-all, but with work and dedication,
the results are worth it. Do it!”

Courtney T
Revision Procedure

“I chose this procedure because I’ve been
overweight my entire life. I’m 73 and I had tried
every single diet imaginable. My health was
in jeopardy and this was a deal for me. I mean,…

Doreen D.
ESG Procedure

Read more
Why Bariendo?
World-class doctors vetted by ESG pioneer
With leading doctors and advanced research at its core, Bariendo upholds the highest standards in patient care. Our commitment? Grounded in best practice protocols, we deliver scientifically-backed, superior care in your health journey
Personalized ongoing weight loss support
Our smart web app simplifies and personalizes your weight loss journey. Manage appointments, receive personalized care, monitor your progress with a smart scale, enjoy extended support for 12 months, and receive convenient at-home care.
Transparent pricing
Bariendo champions transparency - procedure to 12-month follow-up, all costs upfront. Enjoy flexible payment options including HSA/FSA and 0% interest plans. Here, wellness meets budget
Why Bariendo?
World-class doctors vetted by ESG's pioneer
With leading doctors and advanced research at its core, Bariendo upholds the highest standards in patient care. Our commitment? Grounded in best practice protocols, we deliver scientifically-backed, superior care in your health journey
Personalized ongoing weight loss support
Our smart web app simplifies and personalizes your weight loss journey. Manage appointments, receive personalized care, monitor your progress with a smart scale, enjoy extended support for 12 months, and receive convenient at-home care.
Transparent pricing
Bariendo champions transparency - procedure to 12-month follow-up, all costs upfront. Enjoy flexible payment options including HSA/FSA and 0% interest plans. Here, wellness meets budget

Our Locations

Opening hours: Mon – Fri 9:00 AM – 5:00 PM ET  
Mail: [email protected]
Tel: Greater Miami (305) 921-4219,
Tampa (813) 437-9519

Our Locations

Jacksonville Location

Opening hours: Mon – Fri 9 AM – 5 PM (ET)

Mail: [email protected]

Tel: Greater Miami (305) 921-4219, Tampa (813) 437 9519

Schedule a free consultation

Please fill out the form below

    First Name

    Last Name

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    What is ESG Stomach Tightening?


    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.

    18%

    On average, patients lose 18% of their body weight

    5+ years

    the effects of the ESG procedure have been proven to last for at least five years and likely even longer

    History of ESG 
Stomach Tightening™

    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.

    Request a free consultation

    Hear from the inventor of ESG (13:49)

    Pioneering a new era of weight Loss

    2012

    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 procedure as a minimally invasive, non-surgical alternative for weight loss surgery.

    ESG Demonstrates 18% Body Weight Loss

    2017

    ESG Demonstrates 18% Body Weight Loss

    A pivotal study 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

    2021

    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 years. 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

    2022

    FDA approves ESG as an effective weight loss
intervention

    The FDA authorized the use of Apollo Endosurgery Inc’s devices for ESG, recognizing it as an effective obesity intervention.

    Bariendo Established to Facilitate Access to 
ESG Stomach Tightening

    2023

    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.

    Request a free consultation

    Hear from the inventor of ESG (13:49)

    Up to 10 yr durable results

    Expected results from ESG Stomach Tightening™

    Up to 10 yr durable results

    One year after ESG

    Five years after ESG

    * Timing matters when it comes to combining medications with ESG

    Request a free consultation

    Verfied source

    Latest updated:2021 May

    • Highly respected database from the National Institutes of Health

    Go to source

    18%

    Avg. body weight loss

    Most patients achieve a weight loss ranging from 15-25%, with the average being 18%

    Avg. weight loss increases to

    24%

    The average weight loss increases to 24% when this procedure is combined with medications

    Patients retain an average body weight loss of

    16%

    Five years out, most patients maintain a significant portion of their initial weight loss, averaging a 16% reduction from their pre-ESG weight

    * Timing matters when it comes to combining medications with ESG

    Request a free consultation
    ESG Stomach Tightening candidates

    Who ESG Stomach Tightening™ is for

    ESG Stomach Tightening candidates
    • Anyone with a BMI over 30
    • Anyone with a BMI of 27 – 29.9 plus one of the following conditions: high blood pressure, diabetes, high cholesterol, sleep apnea, and fatty liver disease

    Hear from our ESG Stomach Tightening™ patients

    See more success stories

    Hear from our patients

    See more

    Glorimar

    Lost 53 lbs

    29% weight loss

    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.

    Doreen

    Lost 48 lbs

    19% weight loss

    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.

    Kevin

    Lost 40 lbs

    18% weight loss

    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.

    Why ESG Stomach Tightening™ works

    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:



    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


    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


    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 period

    How ESG Stomach Tightening™ 
compares with 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)

    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

    Significant weight regain after 12 months

    Durable outcomes

    Significant weight regain after discontinuing use. Most gain ⅔ of their lost weight within 1 year

    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

    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

    View ESG demonstration

    We invented the field

    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.

    3500 cases suture procedures
    ESG protocols averaging at 8 sutures

    Best practice ESG protocols averaging at 8 sutures

    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

    Combination therapy with medications for enhanced weight loss

    Bringing in medications for accelerated 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).

    Medication
    dedicated care team

    Sustainable lifestyle changes through a dedicated care team

    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.

    FAQs

    How long does ESG take?

    The procedure itself takes approximately 60 minutes. However, you should plan on spending about half a day with us including preparation and recovery.

    What is recovery like after ESG?

    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.

    Is ESG reversible?

    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.

    What is the difference between ESG & EGP?

    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.

    How much does ESG cost?

    An ESG procedure costs $11,995, which includes 12 visits with your Bariendo healthcare team. Financing options are available.

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