Endoscopic Sleeve Gastroplasty Dallas

An Endoscopic Sleeve Gastroplasty (ESG), commonly called “Accordion Procedure”, is a minimally invasive weight loss procedure where surgeons use an endoscopic suturing device to constrict the stomach and create a sleeve from the inside of the stomach. It is a relatively new bariatric procedure introduced a few years ago in the United States, and today it is used in a number of medical centers around the world. Dr. Sachin Kukreja was the first surgeon in North Texas to offer the procedure.

Candidates for Endoscopic Bariatric Procedure

Generally, Endoscopic Sleeve Gastroplasty is indicated in individuals with a BMI between 30-40, who are not eligible for other bariatric surgeries, or for whom diet and exercise didn’t work. Most people who underwent ESG reported losing 15-20 percent of their original total body weight within the first year of the procedure. In addition to helping patients shed those extra pounds, the procedure also reduces the risk of various comorbidities such as gastroesophageal reflux disease, Type-2 diabetes, and heart problems.

Procedure Details

Endoscopic Sleeve Gastroplasty (ESG) is an outpatient procedure under general anesthesia. An endoscopic camera is inserted into the patient’s mouth, down the esophagus, and into the stomach. The camera gives the surgeon a clear view of the area. The surgeon will then make 10-12 sutures in the stomach. The stomach is then pleated together and shortened without any abdominal incisions. This not only restricts food intake and makes the stomach feel full faster, but may reduce levels of “grehlin,” the hunger hormone. The entire procedure takes around one hour, and patients are usually discharged from the facility on the same day.

Key Advantages of Endoscopic Sleeve Gastroplasty

  • Non-surgical
  • No implant to remove at a designated time
  • Little to no pain
  • Performed as an outpatient
  • Significantly reduced stomach size makes patients feel full sooner
  • Low risk
  • Same-day discharge
  • Return to work in 24-48 hours

Risks & Complications

The risks of complications in ESG are relatively low, less than 1%. Side effects may include abdominal pain, nausea, and vomiting. These symptoms last no more than 2-3 days after which they resolve on their own. Side effects are manageable with medications. Rarely, injury to surrounding structures such as the pancreas, spleen, or colon could occur, but these are exceedingly uncommon.

Post-Operative Care

You’ll have regular checkups with your surgeon, dietitian and the team at DFW Bariatrics and General Surgery. Following the procedure, patients are not allowed to eat or drink anything for a few hours. After that, they are put on a liquid diet for two weeks. The next four weeks involve semi-solid foods, and then patients are moved to regular diets.

What to Expect Post Procedure

Most patients who underwent ESG or accordion procedure report significant weight loss. In a recent study, it was found that individuals with a BMI of around 38 who underwent sleeve gastroplasty experienced an average weight loss of 39 pounds after 6 months, and 42 pounds after 12 months. Most patients lose 15-20 percent of their total body weight with time. The surgeons at DFW Bariatrics and General Surgery encourage patients to regularly follow-up with their physicians.

Out of Town Patients

We do have patients come from all over in search of this procedure. As such, we can do our initial visit with Dr. Sachin Kukreja, Dr. Elizabeth Hooper or Dr. Barr through a telemedicine platform to ensure all of your questions are answered and that this procedure is right for you. We recommend that patients stay local for 5 days after their procedure so we can monitor their progress. We have relationships with local hotels to ensure the best pricing and concierge services.

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Looking for Endoscopic Bariatric Procedures in Dallas/Ft. Worth?

If your life has been thrown out of gear by morbid obesity, wait no more. Get in touch with DFW Bariatrics and General Surgery to consult our team of medical experts headed by Dr. Sachin Kukreja. Explore all available options in minimally invasive surgery, and let us put your life back on track.

Reclaim good health with endoscopic sleeve gastroplasty now.

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Deep Dive: Explore Endoscopic Sleeve Gastroplasty Through Informative Videos.

Bariatric Surgery

Obesity is a major problem that has been on a steady rise in the USA and other parts of the world. According to Medical News Today, about 36% of American adults are currently obese. That’s more than 1 in 3 adults! There are several ways of dealing with this problem, ESG or Endoscopic Sleeve Gastroplasty is one of the most popular and easy approaches. DFW Bariatrics and General Surgery in Dallas is a leading provider of proven weight loss surgical solutions in the fight against obesity.

What is ESG?

ESG is a type of minimally invasive surgery in which the size of the stomach is reduced considerably. This is done by surgically removing a large portion of the stomach along it’s greater curvature. This procedure permanently reduces the size of the stomach thereby limiting the amount of food and water a person can take. ESG is a non-surgical procedure performed using a flexible endoscope with a camera attached to it, leaving no external scars or points of entry. The procedure only takes 1 to 1 1/2 hours to complete. This article will help you prepare for the period pre and post the ESG procedure.


There may be other weight loss specialists for ESG in Fort Worth, TX. It’s highly advised to go for medical professionals with immaculate credibility. At DFW Bariatrics and General Surgery, you will be given specific instructions by our medical team, if you are an eligible candidate for Endoscopic Sleeve Gastroplasty. You may be required to get various lab tests, examinations, and medicines before surgery. You may also be put under a curated diet. Physical activity and lifestyle changes are often essential parts of getting your body ready for the ESG procedure. The procedure itself takes about 1 – 1 1/2  hours and the recovery period is about 2-3 days. You will find it useful to plan ahead of time so that the procedure and recovery go smoothly.

The ESG Procedure

Endoscopic Sleeve Gastroplasty is generally performed under general anesthesia, this means the patient is unconscious and does not feel anything. The operation is carried out using an endoscopic flexible tube attached to a camera and a surgical suturing instrument. This tube is inserted into the throat of the patient, down to the stomach. The camera lets the doctor operating the endoscope, probe and operate inside the patient’s stomach without making incisions inside their abdomen. Using the endoscope, the doctor will strategically place sutures inside the patient’s stomach. This greatly reduces the size of the patient’s stomach thereby limiting the amounts of calories being absorbed by their body – resulting in weight loss. The entire procedure may last from 60 to 120 minutes.

Post the ESG procedure

After the ESG, the patient will awaken in the recovery room under the supervision of medical professionals. The doctors will monitor the patient’s vital signs and internal organs for any complications. After a proper recovery from general anesthesia, the patient is most likely to go home on the same day. In some cases, patients may require short supervision for one day or less to rule out any complications. 

After the ESG, the patient is not allowed to eat or drink for a few hours. Their nutrient intake will begin with a liquid diet that should be continued for at least two weeks. Eventually, the patient will be advised to move on to semi-solid food and then gradually progress on to a regular healthy diet.

Last Word

If you or a loved one is battling excess weight and wish to reclaim good health and peace of mind, the DFW Bariatrics and General Surgery in Dallas is here to help. Call us today at 469-620-0222 or email us at [email protected].