Suture Sculpt
Endoscopic Sleeve Gastroplasty
What Is Suture Sculpt Endoscopic
Sleeve Gastroplasty (ESG)?
Suture Sculpt endoscopic sleeve gastroplasty is a minimally invasive procedure that reshapes and reduces the patient’s stomach size by 70-80% without surgery. The results of the procedure are similar to those of gastric sleeve surgery (VSG) but without all the associated surgical risks.
During the Suture Sculpt ESG procedure, the stomach is made much smaller and shorter. The smaller stomach size acts as portion control for the patient and only allows a small amount of food to be ingested during mealtime. The new size and shape of the stomach also slow down digestion, and food stays in the stomach longer and helps patients feel satisfied and “full” for a longer period of time, which helps with weight loss.
How Is the Suture Sculpt ESG Procedure Performed?

Suture Sculpt endoscopic sleeve gastroplasty is performed using an endoscope and a special suturing device. With the patient sedated, the endoscope is lowered down the patient’s throat to gain access to the stomach.
The endoscope allows the doctor to view the stomach through a live video feed streamed from an attached camera. The walls of the stomach are usually marked to guide the suturing pattern, and then the patient’s stomach size is reduced to about 70-80% of its original size by using sutures.
The doctor manipulates the stomach into a new, smaller shape and uses a special overstitch suturing device to strategically place a series of sutures in the stomach to hold the shorter, and smaller shape. Unlike gastric sleeve surgery, Suture Sculpt ESG does not alter the natural blood & nerve supply or the intestinal continuity.
Patients are monitored for a few hours post-procedure and then discharged to return home on the same day.
How Much Weight Can I Expect to Lose with Suture Sculpt?
Studies show that patients who undergo Suture Sculpt endoscopic sleeve gastroplasty typically lose about 15 to 20 percent of their total body weight within the first year. This often equals about 40 to 60 percent of excess body weight, although results vary depending on lifestyle changes and follow-up care.
Excess body weight is the difference between the patient’s current weight and their ideal weight. For instance, a patient who weighs 250 pounds and has an ideal weight of 150 pounds is carrying 100 pounds of excess weight. If they lose about 60% of the excess weight in a year post-procedure, they will weigh approximately 190 pounds.
The patient’s degree of dedication to making permanent lifestyle changes that include a healthy low-calorie diet and plenty of exercise will help determine the weight loss potential. Many of our patients have lost close to 100 pounds in only 12 months after having the Suture Sculpt ESG procedure.
Suture Sculpt Weight Loss Patients


Hershey S.


Allison M.


Carlos A.
FAQs
- Patients who have a BMI of 30 or higher or a BMI of 27 who have metabolic conditions that are related to their weight.
- Patients who have not been successful with traditional weight loss methods of diet and exercise.
- Patients who do not wish to undergo surgery or could not have the surgery due to health reasons.
- Patients who may not meet the criteria for traditional weight loss surgery.
The team at Batash Endoscopic Weight Loss Center understands that financial restrictions can make it challenging to obtain the treatment you need and deserve, so we offer CareCredit and United Medical Credit financing to our patients. Different procedure packages can be designed to accommodate unique patient needs.
One of our expert team members would be happy to discuss the cost of the procedure and financing options with you and answer any questions you may have.
The cost of Suture Sculpt ESG at Batash Endoscopic Weight Loss Center includes the following:
- The Suture Sculpt procedure
- Anesthesia done for the procedure
- Pre- and post-op care
- Ongoing support and monitoring for a full year and access to nutritional guidance.
Batash Endoscopic Weight Loss Center offers Suture Sculpt ESG in New York and Miami at their located clinics. Set up a consultation for ESG in Miami or New York and let the experts help you determine if ESG is right for you.
It depends on your specific insurance plan. Currently ESG is approved by the FDA, and insurance coverage for this procedure is expanding. It is best to check with your insurance provider to see if endoscopic sleeve gastroplasty is covered on your specific plan. Many patients must still pay out of pocket for this procedure, but most practices offer financing options.
Suture Sculpt endoscopic sleeve gastroplasty is a minimally invasive, non-surgical procedure, and gastric sleeve is a surgery that carries a higher rate of risks and complications.
Suture Sculpt ESG is a safe and effective way to lose weight and improve obesity-related conditions, such as type 2 diabetes, hypertension, heart disease, etc. The procedure can be reversed if necessary and offers a very short recovery time.
Gastric sleeve surgery makes permanent changes to your stomach that cannot be reversed. It also offers substantial weight loss potential that can help improve chronic metabolic conditions. The recovery period can be anywhere from 3 to 6 weeks depending on the extent of the surgery.
Batash Endoscopic Weight Loss Center does not leave a patient to make it on their own once their procedure has been completed. Our team of experts is here to support you during the entirety of your weight loss journey.
To ensure our patients successfully reach their weight loss goals, we provide ongoing nutritional support and monitoring for 1 year, as well as lifetime access to our OnTrack wellness program. The OnTrack program is specifically designed to help our patients achieve their goals and maintain long-term weight loss.
As with other weight loss procedures, Suture Sculpt works best when combined with a consistent commitment to eating a healthy diet and lifestyle habits that include regular exercise.
This patient testimonial is on the current page
The ESG is carried out via endoscopy, which means that it is done through your mouth and down your throat. Everything is done from the inside of your stomach, rather than the outside of it, so no incisions are necessary.
Technically, yes! An endoscopy is non-surgical. No incisions are made whatsoever.
You are likely to have some discomfort for a couple of days after your ESG procedure, but many patients report not feeling pain. When compared to other weight loss surgeries, the level of discomfort is far lower. We will provide you with safe pain-relief measures if needed.
Most patients are able to return to work within a couple of days. The recovery from an ESG procedure is extremely fast compared to other weight loss procedures.
No. As the ESG is carried out via endoscopy, there is no scarring. No incisions or wounds are made through this procedure.
Normally you can resume driving 24 to 48 hours after your ESG procedure. The procedure is done while you are under general anesthesia, and it will take a while for all this medication to leave your system and make it safe for you to drive. Gastric sleeve surgery patients must wait between 1 and 2 weeks before it is safe for them to drive again.
Yes. Even though ESG does not change the way your body absorbs nutrients from food, you will be eating a lot less, so we advise patients to take a daily multivitamin.
No. Unlike after bariatric surgery, you have no activity restrictions after ESG, and you can participate in anything you feel up to doing.


