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    Endoscopic Sleeve Gastroplasty in Turkey for US Patients

    The FDA authorised the Apollo ESG system in July 2022 for adults with a BMI of 30–50. At IBC, Dr Murat Üstün performs ESG at JCI-accredited Liv Hospital Vadistanbul, Istanbul, from £5,700.

    Summarize with AI

    Medically reviewed by Op. Dr Murat Üstün, MD, PhD · Updated 11 October 2026

    ESG at a glance

    Technique
    Apollo OverStitch suturing
    Typical weight loss
    13.6% average TBWL at 1 year
    Starting price
    From £5,700

    What is ESG?

    Endoscopic Sleeve Gastroplasty uses Apollo OverStitch to place full-thickness sutures through the mouth and reshape the stomach without abdominal incisions or stomach removal. At IBC it is performed at Liv Hospital Vadistanbul, a JCI-accredited hospital, by Op. Dr Murat Üstün, MD, PhD.

    Price and package scope

    The advertised starting prices are £5,700 for Relaxation and £6,850 for Luxury. Your written quote should specify the procedure, hospital pathway, accommodation, transfers and follow-up.

    Eligibility, outcomes and safety

    ESG suitability is assessed individually. BMI, medical conditions, anatomy, medicines, reflux, previous treatment and goals all matter; a higher BMI may make surgery or another treatment more appropriate. MERIT reported 13.6% average total body weight loss at one year, which is not an individual prediction.

    Hospital, recovery and travel

    ESG is performed at JCI-accredited Liv Hospital Vadistanbul, Istanbul. The procedure takes about 60–90 minutes; most patients stay one night and plan 4–5 nights in Istanbul. You receive an English operative report, remote dietitian follow-up and direct WhatsApp access on +90 532 413 1143 after returning home.

    ESG questions

    Straight answers for UK patients comparing private treatment at home with an Istanbul pathway.

    What are the ESG starting prices?

    IBC ESG starts at £5,700 for Relaxation and £6,850 for Luxury. Compare the written scope, not only the headline price.

    What is included in an ESG package?

    The written quote sets out the procedure, hospital pathway, accommodation, transfers and aftercare. Ask which tests, medicines, dietitian reviews and travel arrangements are included before booking.

    What BMI is needed for ESG?

    There is no single BMI cutoff on this guide. The surgeon reviews BMI alongside medical conditions, anatomy, reflux, medicines, previous procedures and goals; a higher BMI may make surgery or another treatment more appropriate.

    How much weight will I lose with ESG?

    MERIT reported 13.6% average total body weight loss at one year; a five-year study reported 15.9% in the eligible follow-up subset. These are study averages, not a personal guarantee.

    How long will recovery and travel take?

    The procedure takes about 60–90 minutes, usually followed by one night of observation. Most UK patients plan 4–5 nights in Istanbul; desk work is often possible in about a week.

    What happens after I return to the UK?

    The team provides staged nutrition and follow-up instructions, with UK WhatsApp coordination on +44 7491 068686. Arrange your own GP or NHS follow-up for unrelated or urgent symptoms.

    Discuss your US ESG plan

    Ask for the named hospital, written package scope, evidence and patient-specific recovery instructions before booking.