Dr Murat Ustun
A bariatric surgeon with endoscopic expertise. Procedure-specific case volume and credentials should be confirmed from the current clinical record.
Apollo Endoscopic Sleeve Gastroplasty (ESG) is an endoscopic procedure that reshapes the stomach through the mouth. Its suitability and expected benefit require individual clinical assessment.
Apollo Endoscopic sleeve gastroplasty is non-surgical and does not use abdominal incisions, but it still carries medical risks. Recovery and results vary by patient and should not be promised on a clinic page.
Endoscopic sleeve gastroplasty, utilizing an endoscopic suture system (Apollo), reshapes the stomach without abdominal surgery. Whether it is appropriate depends on a full health check, medical history, anatomy and the person's goals.

Compare general features only; a clinician must assess which option fits your goals, health and anatomy.
| Criteria | ESG | Gastric Sleeve | Gastric Balloon |
|---|---|---|---|
| Procedure Type | Endoscopic (through mouth) | Laparoscopic surgery (4–5 incisions) | Endoscopic (through mouth) |
| BMI Range | General guidance only | General guidance only | General guidance only |
| Expected Weight Loss | Varies by patient and evidence | Varies by patient and evidence | Varies by patient and evidence |
| Procedure Duration | Varies by case | Varies by case | Varies by case |
| Hospital Stay | Depends on clinical plan | Depends on clinical plan | Depends on clinical plan |
| Recovery Time | Varies by patient | Varies by patient | Varies by patient |
| Risk Profile | No abdominal incision, but medical risks remain | Surgical risks require assessment | Temporary device with medical risks |
| Reversibility | Discuss with clinician | Anatomy is permanently changed | Discuss device removal and risks |
| Starting Price (Istanbul) | From £5,700 | From £2,450 | From £1,900 |
The named hospital, accreditation scope, surgeon and package inclusions should be confirmed in the written treatment plan.
ESG is considered only after a clinician reviews the relevant health and treatment factors:
Endoscopic sleeve gastroplasty may be considered for selected patients as an alternative to some surgical approaches or medication-led care. No fixed BMI threshold or eligibility result is approved on this page.
It should be known that Apollo Endoscopic sleeve gastroplasty isn't necessary right for all people that are morbidly obese. Before anyone tries to undergo such a surgery, a full health checkup and test must be done by a specialized bariatric doctor in order to make sure that person is the right candidate for the surgery.
Important: Surgery itself won't help to reduce weight as expected without applying a healthy supervised nutrition plan, performing daily exercises, and engaging in continuing counselling.
The ESG procedure uses an endoscopic suturing system such as Apollo OverStitch. The device is introduced through the mouth and places sutures in the stomach; the extent and configuration are determined during the clinical assessment.
The sutures modify the stomach's form, making it shaped like a tube, which mimics the sleeve gastrectomy. The surgery is conducted under general anesthesia in order to remove any discomfort that might happen.
Procedure duration
Observation and discharge
Incisions Required
Procedure duration and discharge depend on the clinical plan. The treating team will decide how long observation is needed and when travel is appropriate.
Unlike abdominal surgery, ESG does not require abdominal incisions. That does not remove medical risk or guarantee a particular recovery period.
Endoscopic Sleeve Gastroplasty is performed without abdominal incisions, but it still carries medical risks. Pain and nausea can occur after treatment; the treating team should explain warning signs, medicines and when to seek help.
Recovery varies by patient and should be discussed with the treating team rather than reduced to a fixed timeline.
The treating team provides patient-specific preparation and fasting instructions.
Observation, medicines and fluids follow the treating team's clinical plan.
The team sets the stages and timing for liquids, soft foods and regular meals.
Activity, nutrition, warning signs and travel guidance are confirmed for the individual patient.
No fixed dietary, activity, follow-up or travel window is approved on this page. Follow the written instructions from the treating team.
Published ESG outcomes vary by study, patient group, follow-up and measurement. The procedure is not an individual weight-loss promise; nutrition, activity and follow-up are part of the clinical plan.
No individual weight-loss promise
Evidence and response vary
Published outcomes depend on study and follow-up
No clinic-specific outcome percentages, complication figures or claims about improvement in a particular condition are approved for publication here. Ask the clinician to explain the evidence, limitations and alternatives relevant to you.
Istanbul Bariatric Center combines specialist expertise, a named hospital and transparent starting prices, with scope confirmed in writing.
A bariatric surgeon with endoscopic expertise. Procedure-specific case volume and credentials should be confirmed from the current clinical record.
The ESG-specific hospital and accreditation scope is not approved for publication. Do not infer it from another procedure or package.
Procedure price only as an advertised starting price. Package inclusions and exclusions are not approved for publication and must be confirmed in the written quote.
Clinical reviewer, review date, outcome data, eligibility guidance, safety figures, recovery/travel guidance and evidence citations are not recorded as approved.
Everything you need to know about Endoscopic Sleeve Gastroplasty
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Contact Dr Murat Ustun today for a free consultation to learn if Apollo Endoscopic Sleeve Gastroplasty is right for you.