Endoscopic Sleeve Gastroplasty (ESG)
Endoscopic Sleeve Gastroplasty (ESG) in Brooklyn & NYC
ESG makes the stomach smaller from the inside. Dr. Alexander Shapsis places internal sutures through an endoscope passed through the mouth. There are no abdominal incisions, no external scars, and no part of the stomach is removed.
For patients who want meaningful weight loss without traditional bariatric surgery, ESG can offer a middle ground between medication and surgery.
How Endoscopic Sleeve Gastroplasty Works
ESG is designed to reduce the amount of food the stomach can comfortably hold without surgically removing stomach tissue.
ESG Reshapes the Stomach From the Inside
During ESG, Dr. Shapsis advances an endoscope through the mouth into the stomach. A specialized endoscopic suturing system is used to place full-thickness sutures that fold the stomach inward and create a narrower, shorter stomach shape.
This can help patients feel full with smaller portions and support longer-term portion control. No abdominal incisions are made and no section of the stomach is surgically removed.
For a detailed surgical-view explanation, read how ESG reduces the stomach by approximately 75–80%.
Watch Dr. Shapsis Explain How ESG Works
Hear Dr. Alexander Shapsis explain ESG in plain language and what patients should understand before considering the procedure.
ESG Explained by Dr. Alexander Shapsis
A quick patient-friendly overview of the procedure, recovery, and how ESG helps with portion control.
ESG at a Glance
No abdominal incisions. The procedure is performed through the mouth with an endoscope.
No stomach tissue removed. Internal sutures reshape the stomach rather than cutting part of it away.
Smaller functional stomach volume. The goal is to help patients feel satisfied with smaller portions.
Same-day discharge for many patients. Most patients recover at home after observation.
Recovery is usually shorter than surgery. Many desk-based patients return to work within several days.
Who Is a Good Candidate for ESG?
ESG May Be Considered When Lifestyle Changes or Medication Alone Have Not Been Enough
ESG may be appropriate for selected adults who want significant weight loss but do not want, do not qualify for, or are not ready for traditional bariatric surgery.
Common Reasons Patients Consider ESG
Repeated weight regain, difficulty controlling portions, inadequate response to diet or medication, concern about long-term injections, or preference for an incision-free procedure.
Medical Evaluation Still Matters
BMI is only one factor. Dr. Shapsis also reviews medical conditions, previous weight-loss attempts, medications, stomach anatomy, eating patterns, and long-term goals.
Patients with severe obesity may need a different or more intensive strategy. See our discussion of BMI 48, Class 3 obesity, and ESG treatment.
ESG for Patients Across NYC, Long Island, New Jersey & Connecticut
Patients Visit Dr. Shapsis From Across the New York Metro Area
EndoSlim Clinic NY welcomes patients from throughout the New York City metropolitan area and the Tri-State region. Dr. Alexander Shapsis sees patients from all five boroughs of NYC — Brooklyn, Manhattan, Queens, the Bronx, and Staten Island — as well as Long Island, New Jersey, and Connecticut.
Our Brooklyn location provides convenient access for patients considering Endoscopic Sleeve Gastroplasty (ESG) and other non-surgical weight-loss options.
Location: 2797 Ocean Pkwy, Suite 1, Brooklyn, NY 11235
Call: 877-749-3633
ESG — $11,995 All-Inclusive
One Clear ESG Price
Our goal is to make the cost easy to understand before treatment. The current EndoSlim ESG package is presented as all-inclusive.
Consultation policy: your consultation fee is applied toward your total treatment cost, if this policy remains applicable to your visit.
Monthly Payment Options May Be Available
Prefer to Pay Over Time?
Qualified patients may be able to use financing options such as Cherry or CareCredit to divide treatment costs into monthly payments.
Explore EndoSlim Clinic NY financing options for weight-loss treatment.
How Much Weight Can You Lose With ESG?
Results vary, but ESG can produce meaningful total body weight loss over the first year when paired with structured follow-up.
What Those Percentages Mean in Real Life
If someone starts at 250 lbs, 15% total body weight loss equals 37.5 lbs and 20% equals 50 lbs. These are simple math examples, not guarantees of individual results.
For a broader month-by-month view, read How Much Weight Can You Lose in 6 Months?
Before & After Results and Patient Stories
See What Weight Loss Can Look Like in Real Life
Clinical averages are useful, but patients also want to see real-world transformations. Explore EndoSlim Clinic NY patient experiences, testimonials, and before-and-after results.
What Happens After ESG?
The First Month Is About Healing, Hydration & Learning Smaller Portions
Procedure day: recovery and hydration.
Week 1: liquid-focused diet and light activity.
Week 2: transition toward soft or pureed foods as directed.
Weeks 3–4: gradual transition toward small, portion-controlled meals based on tolerance.
See the full ESG recovery, diet & weight loss timeline.
For a more personal look at the early days, read What Actually Happens After Endoscopic Sleeve Gastroplasty?
See How ESG Reshapes the Stomach
This animation shows how endoscopic sutures change the stomach’s shape from the inside without removing stomach tissue.
Watch the ESG Procedure Animation
The stomach is narrowed internally with full-thickness sutures, creating a smaller functional reservoir while keeping the organ intact.
See the detailed surgical view of ESG and 75–80% stomach reduction.
ESG vs Ozempic®: Which Approach Fits You?
A Weekly Medication and an Endoscopic Procedure Solve Different Problems
GLP-1 medications can reduce appetite and food intake while treatment continues. ESG creates a structural change in stomach size and portion capacity without removing stomach tissue.
Some patients prefer medication. Others want a procedure-based option that does not depend on staying on a weekly injection indefinitely. Some may use both approaches over time under physician supervision.
ESG vs Surgical Gastric Sleeve
Endoscopic Sleeve Gastroplasty
Performed through the mouth with internal sutures. No abdominal incisions and no stomach tissue is removed. Recovery is generally shorter.
Surgical Sleeve Gastrectomy
Laparoscopic surgery permanently removes a large portion of the stomach. Average weight loss is typically greater, but it is also a more invasive operation.
What Side Effects Can Happen After ESG?
Most Early Symptoms Are Temporary, but Follow-Up Matters
Common short-term symptoms can include nausea, abdominal pressure, cramping, reflux, bloating, and temporary difficulty tolerating larger volumes of liquid or food.
Serious complications are less common but can occur. Patients should follow all post-procedure instructions and promptly report concerning symptoms.
Can ESG Be Combined With GLP-1 Medication?
Some Patients May Benefit From a Staged or Combination Strategy
For selected patients, physician-supervised semaglutide or tirzepatide may be used before or after ESG as part of a broader weight-management strategy.
Medication should not be added automatically. Dr. Shapsis evaluates hunger, weight-loss response, side effects, metabolic health, and long-term goals before recommending combination care.
Why Patients Choose Dr. Alexander Shapsis
Endoscopic Weight Loss With a Gastroenterologist
Dr. Alexander Shapsis is a board-certified gastroenterologist with extensive experience in endoscopic and non-surgical weight-loss treatment. EndoSlim Clinic NY is located at 2797 Ocean Pkwy, Suite 1, Brooklyn, NY 11235 and serves patients throughout New York and the Tri-State area.
Learn more about Dr. Shapsis and EndoSlim Clinic NY’s approach to non-surgical bariatric and endoscopic weight loss.
More ESG Guides From EndoSlim Clinic NY
Endoscopic Sleeve Gastroplasty FAQ
1. Is ESG surgery?
2. How long does ESG take?
3. Do I stay in the hospital after ESG?
4. How quickly can I return to work?
5. How much weight can I lose with ESG?
6. Does ESG leave scars?
7. Can the stomach stretch after ESG?
8. Can ESG be revised?
9. Is ESG reversible?
10. Can I use Ozempic or Zepbound after ESG?
11. Who should not have ESG?
12. How do I know if ESG is right for me?
Considering ESG in New York?
Dr. Alexander Shapsis and the EndoSlim Clinic NY team can review your BMI, weight history, previous treatment attempts, medical conditions, and goals to determine whether Endoscopic Sleeve Gastroplasty may be appropriate for you.
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Mon-Friday: 08:30 - 6:00Saturday: ClosedSaturday: Closed
Real Patients. Real Weight-Loss Results
