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Obesity is a widespread and pressing health issue in the United States. It has reached epidemic proportions, with a significant portion of the population affected. Obesity is associated with numerous serious health conditions, including heart disease, diabetes, hypertension, and certain cancers, making it a major public health concern. Addressing obesity requires a complex approach involving interventions ranging from education to medical and surgical interventions. Sleeve gastrectomy, or gastric sleeve, has emerged as a popular weight loss surgery in the United States and worldwide. Sleeve gastrectomy has gained popularity due to its relatively lower complication rates and quicker recovery compared to some other bariatric surgeries. However, a significant number of Americans are hesitant about undergoing a gastric sleeve and bariatric surgery in general, and instead lean towards non-surgical approaches for weight management. Only 1%-2% of Americans who are eligible for bariatric surgery actually get one. Most patients express concern about the invasiveness of the gastric sleeve is the risk of complications. While the concept of weight loss without surgery, specifically gastric sleeve without surgery, may seem like a far-fetched idea, the reality is that there are numerous non-surgical alternatives that can lead to significant weight loss. Gastric sleeve without surgery became a reality with the advent of Endoscopic Sleeve Gastroplasty, or the ESG procedure.  


Exploring Non-Surgical Alternatives to Gastric Sleeve

Lifestyle changes such as diet and exercise are the first line of defense against obesity. However, for those who struggle with these changes, there are several non-surgical alternatives to the gastric sleeve that can be just as effective:


Gastric Balloon:

The “gastric balloon” is a minimally invasive weight loss option. It involves placing an inflatable balloon into the stomach, which is then filled with a saline solution to create a feeling of fullness and reduce food intake. This technique aims to jumpstart weight loss efforts for individuals who may not qualify for or prefer to avoid surgery. While less drastic than surgical procedures, it still requires a commitment to dietary changes and lifestyle modifications. Regular medical supervision is essential to monitor progress and manage potential side effects like nausea or discomfort.


Endoscopic Sleeve Gastroplasty:

Endoscopic sleeve gastroplasty (ESG) is a non-surgical weight loss procedure that reshapes the stomach using an endoscope. This non-surgical gastric sleeve represents the closest one can get to a gastric sleeve without surgery. It involves performing an endoscopy (through the mouth) and suturing the stomach walls together which reduces the size and capacity of the stomach. This results in a feeling of fullness with smaller food portions. The ESG procedure is less invasive than traditional surgical options and offers a quicker recovery time. It’s suitable for individuals with a lower body mass index who desire weight loss without surgery. 





Understanding the Benefits of Non-Surgical Weight Loss Methods

Exploring non-surgical sleeve methods can be a game-changer for those who are hesitant about going under the knife, as they offer a range of benefits:

  • Less invasive: These methods do not involve major surgery and thus, reduce the risk of complications and infections.
  • Shorter recovery time: As there is no surgical intervention, the recovery time is significantly shorter.
  • Cost-effective: Non-surgical methods are often more affordable than surgical procedures.
  • Long-term lifestyle changes: These methods often involve making healthier lifestyle choices, which not only aid in weight loss but also improve overall health.

It’s important to note that while these methods can be highly effective, they require a commitment to a healthier lifestyle for sustainable results. Consulting with a healthcare professional can help determine the most suitable method based on individual health conditions and weight loss goals.



Silhouette Team with credentials




Non-Surgical Gastric Sleeve: Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive, non-surgical weight loss procedure gaining popularity in the United States. The ESG procedure is performed on an outpatient basis. It does not require admission to the hospital. During ESG, a flexible endoscope equipped with a suturing device is introduced through the mouth into the stomach and it is used to place sutures, or stitches, inside the stomach, effectively reducing its capacity and creating a sleeve-like shape. The ESG procedure takes around 45 minutes to an hour. This is followed by a couple of hours of monitoring in the recovery area before you are discharged home. Since there are no incisions in the abdominal wall muscles, the recovery after ESG is very fast. You take 2-3 days off and then you can go back to work. The endoscopic gastric sleeve procedure restricts food intake, promotes early satiety, and can lead to substantial weight loss. ESG is attractive to many individuals as it involves no incisions,, no scars, shorter recovery times, and fewer potential complications compared to traditional bariatric surgery.


Non-surgical Weight LossResults


Gastric Balloon results:

Gastric balloons have been shown to yield notable weight loss results, with participants experiencing an average weight reduction of about 10%-13 % of their initial body weight during the balloon’s placement period. This non-surgical approach attracts individuals seeking a temporary intervention and can serve as a catalyst for adopting healthier habits. However, outcomes are influenced by lifestyle modifications and adherence to post-placement guidelines. 


Endoscopic Sleeve Gastroplasty Results:

Endoscopic sleeve gastroplasty (ESG) yields promising weight loss outcomes for suitable candidates. Clinical studies have shown an average weight reduction of about 15%-20% of initial body weight within the first year. ESG attracts individuals seeking to enjoy the benefits of a gastric sleeve without surgery


Endoscopic Sleeve Gastroplasty Before and After


Before ESG

Post ESG 10 months 31% weight loss

10 months post ESG

Before the ESG procedure, you undergo a thorough medical evaluation to determine your eligibility for the procedure. You will start a liquid diet the day before the procedure. After the ESG procedure, you may experience some abdominal pain or nausea for a couple of days. Post-procedure, you will advised to follow a diet progression that starts with a clear liquid diet for a couple of days then a full liquid diet that is gradually advanced to a soft diet then a regular diet. You will be asked to adhere to specific eating guidelines, such as a high-protein diet, to maximize results. Over the ensuing weeks and months, you will experience progressive weight loss as you adapt to the new portion sizes. The extent of weight loss varies, but many patients achieve a reduction of around 18%-20% of their initial body weight within the first year.

Beyond the visible physical changes, Endoscopic sleeve gastroplasty can lead to improved overall health, including better blood sugar management, reduced risk of obesity-related conditions, and increased mobility. However, successful outcomes depend on sustained commitment to dietary modifications and lifestyle changes. 

In essence, ESG presents a transformative journey from before to after, where individuals experience substantial weight loss and the potential for enhanced well-being, all without the need for traditional surgical approaches.


Gastric Balloon Before and After

Over a period of about 6 to 12 months, candidates can experience an average weight loss of 10%-13% of their initial body weight. It’s a temporary intervention designed to jumpstart lifestyle changes. While effective, results depend on adhering to dietary recommendations and lifestyle adjustments. Close medical supervision ensures safety and maximizes benefits throughout the balloon’s placement and removal.



Non-Surgical Alternative to Weight Loss Surgeries with Professional Support

Before you embark on a surgical journey, we always recommend considering all the non-surgical alternatives to weight loss surgeries. We usually provide all our patients with lifestyle and dietary consultancy to make sure that the procedure is successful. Are you ready to experience a healthier and happier you without adopting drastic measures? Schedule a consultation today and let our team of highly skilled and experienced professionals guide you on your weight loss journey.




Frequently Asked Questions


What are non-surgical gastric sleeve methods?

Non-surgical weight loss methods can include Endoscopic Sleeve Gastroplasty (ESG) and Gastric Balloon. The ESG procedure is the closest one can get to a gastric sleeve without surgery. 


How effective are diet and exercise in achieving weight loss?

Diet and exercise are fundamental to weight loss. By creating a calorie deficit, which means burning more calories than you consume, you can lose weight. Regular physical activity also helps in maintaining weight loss over time. However, it’s important to approach diet and exercise in a balanced and sustainable way.


What are the benefits of medical weight loss programs?

Medical weight loss programs offer a structured and supervised approach to weight loss. These programs often include a team of health professionals, including dietitians, psychologists, and exercise physiologists, who provide support and guidance. They can also offer personalized plans based on your health status and weight loss goals.


How much weight I can lose with the ESG procedure?

The extent of weight loss varies, but many patients achieve a reduction of around 18-20% of their initial body weight within the first year.


How much weight I can lose on a gastric balloon procedure?

Over a period of about 6 to 12 months, candidates can experience an average weight loss of 10-13% of their initial body weight.



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