Endo Sleeve

Advanced Technology

This procedure recreates what would occur with a surgical sleeve gastroectomy, without the need for surgery. Using an endoscope, a flexible tube with a camera and suturing device attached, the insertion is mouth-throat-esophagus and into the stomach. Multiple sutures, approximately 12, are used to reduce the size of the stomach to the shape of a "sleeve." This helps to restrict the amount of food that can be eaten. 

Watch Dr. Vivek Kumbhari, director of bariatric endoscopy at Johns Hopkins, explain the procedure.

What Happens During the Procedure?

The patient is placed under general anesthesia and an endoscopic suturing device is placed down the patient's throat and into the stomach. Sutures are inserted in a specific pattern from the bottom of the stomach (antrum) to the top (fundus) resulting in a "sleeve."

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The series of sutures are then tightened in a fashion that resembles an accordion, constricting the overall usable volume of the stomach. Patients generally follow a liquid diet for a brief amount of time after the procedure and often go home that same day. This procedure is performed in conjunction with diet and exercise to achieve weight loss.


The procedure takes
only 90-120 minutes.

Usually home the same day.

Is Endoscopic Sleeve Gastroplasty Right For You?

Your BMI:
Underweight < 18.5
Normal 18.5-24.9
Overweight 25-29.9
Obese I 30-34.9
Obese II 35-39.9
Morbid Obesity 40+

To qualify for the endoscopic sleeve gastroplasty procedures, you should:
Be 18 or older Have a body mass index (BMI) of 30 or higher Be willing to participate in a medically supervised weight loss program.

Are you a candidate for weight loss surgery? Get Started Here