Choosing Endoscopic sleeve gastroplasty Turkey is the breakthrough solution for patients who need significant weight loss but strictly refuse to “go under the knife.” Often called the “Accordion Procedure,” this innovative technique bridges the gap between diet/exercise and major bariatric surgery. At Clinic Care Center, we offer this scarless option for patients who want to preserve their natural anatomy while gaining a powerful tool to control their hunger and portion sizes.
No Incisions, Just Sutures: The Apollo OverStitch Technique
The most defining feature of ESG is that it requires zero external cuts. The entire procedure is performed through the mouth using a flexible tube called an endoscope.
Our gastroenterology specialists use the FDA-approved Apollo OverStitch™ device to place a series of strong, permanent sutures internally along the stomach wall. By cinching these sutures, the stomach is folded inward like an accordion. This reduces the stomach’s volume by approximately 70% to 80%, converting it from a large sac into a narrow, tube-like shape. Because no stomach tissue is cut or removed, the risk of leaks is virtually eliminated.
Clinic Care Center: Expert Warning
Do not confuse ‘Non-Surgical’ with ‘Painless.’ Although there are no external cuts, your stomach will cramp significantly for the first 3-4 days. This is the body’s natural reaction to the internal sutures. We provide strong medication to manage this. Furthermore, you must have realistic expectations: ESG typically results in 15-20% total body weight loss. If you need to lose 40-50kg (massive weight loss), a surgical Gastric Sleeve (VSG) is medically more effective.
ESG (Non-Surgical) vs. VSG (Surgical Sleeve)
It is crucial to understand the trade-off between invasiveness and weight loss potential. Use this table to decide which approach aligns with your goals.
| Feature | Endoscopic Sleeve (ESG) | Surgical Sleeve (VSG) |
|---|---|---|
| Incision Method | Zero Incisions. Done entirely via the throat. | 5 small laparoscopic cuts on the belly. |
| Stomach Removal | No. Stomach is folded and sutured, preserving anatomy. | Yes. 80% of the stomach is permanently removed. |
| Recovery Time | 2-3 Days. | 2-3 Weeks. |
| Weight Loss | Moderate (15-20% Total Body Weight). | High (25-35% Total Body Weight). |
| Reversibility | Technically reversible (stitches can be cut early on). | Irreversible. |
Who is the Perfect Candidate for ESG?
ESG fills a critical gap in obesity treatment. You are likely an ideal candidate if:
- BMI 30-35: You are obese but do not qualify for aggressive surgical intervention, yet diet and exercise alone have failed.
- Fear of Surgery: You categorically refuse to have part of your organs removed or are afraid of surgical scars.
- Anatomy Check: You must not have a large Hiatal Hernia. If you have a large hernia, it must be repaired surgically, or it may disqualify you from ESG. We verify this with a pre-op endoscopy.
Frequently Asked Questions about ESG
Will the stitches break?
The sutures are incredibly strong and designed to last. However, the stomach is a muscle. If you consistently overeat against the restriction, you can stretch the stomach tissue around the sutures over time.
Can I convert to a bypass later?
Yes. If you do not lose enough weight or if you regain weight years later, ESG can be revised to a surgical Gastric Sleeve or Bypass. The sutures do not prevent future surgery.
Does it cure acid reflux?
Unlike the surgical sleeve, which often worsens reflux (GERD), ESG generally has a neutral effect on reflux. Some studies even suggest it may improve mild symptoms.
How long does the procedure take?
The procedure is efficient, typically taking between 60 to 90 minutes under general anesthesia.
Is it cheaper than surgery?
Surprisingly, the price is often similar to surgical sleeve. This is because the Apollo OverStitch disposable device is very expensive technology. The savings come from a shorter hospital stay and faster return to work.
When can I exercise?
You can return to light activities almost immediately. Most patients resume full exercise routines after 1 week, once the initial cramping subsides.
Weight Loss Without the Scars.
If surgery feels too extreme, but diet isn’t enough, ESG offers the perfect middle ground. At Clinic Care Center, our gastroenterology experts are certified in the Apollo OverStitch technique. Contact us today to check your BMI and see if you qualify for the non-surgical sleeve.
Also Read:
Gastric Sleeve in Turkey
Gastric Bypass in Istanbul Turkey
Gastric Balloon in Istanbul, Turkey
