Endoscopic Sleeve Gastroplasty (ESG) — A Minimally Invasive Alternative to Traditional Bariatric Surgery
Endoscopic Sleeve Gastroplasty (ESG) for American patients at Istanbul Bariatric Center. Evidence-based stomach reduction without surgery. JCI-accredited hospital. Dr. Murat Üstün. Procedure $7,500 USD or all-inclusive $8,500 USD with VIP transfers, 4-star hotel, and 12-month dietitian support via telemedicine. Direct flights from NYC, Chicago, LA, Houston, Miami.
How ESG Works — The Science
ESG is an innovative endoscopic procedure that reduces stomach volume by 70-80% without surgical incisions. A flexible endoscope is inserted through the mouth, and internal sutures are placed using FDA-cleared Apollo OverStitch technology. Unlike traditional sleeve gastrectomy, no tissue is removed, and the procedure is potentially reversible. Published clinical data demonstrates 15-20% total body weight loss at 12-18 months, with durable results at 2-5 year follow-up.
Why American Patients Choose ESG in Turkey
Limited US Access & High Costs
ESG is not widely available in US clinics. Where offered, prices range from $15,000-$25,000+ out-of-pocket, as most insurers consider ESG investigational. Wait times for bariatric programs can exceed 6-12 months.
65-70% Cost Savings
Our all-inclusive package is $8,500 USD — a fraction of US pricing. This includes the procedure at a JCI-accredited hospital, 4-star hotel, VIP transfers, and 12-month dietitian support via telemedicine. HSA/FSA-eligible. Procedure-only option at $7,500 USD.
Fast Scheduling
From consultation to procedure in as little as 2 weeks. Direct flights from NYC (~10h), Chicago (~11h), LA (~13h), Houston (~12h), Miami (~11h).
ESG vs Weight Loss Medications
Factor
Ozempic/Wegovy
ESG
Effectiveness
Temporary — 2/3 weight returns after stopping
Durable at 2-5 year follow-up
Side effects
Common (nausea, pancreatitis risk)
Minimal (1-3 days discomfort)
Annual cost
$12,000-$18,000/year
One-time $8,500 USD
FDA status
FDA-approved
FDA-cleared device
ESG vs Gastric Sleeve Surgery
Feature
ESG
Gastric Sleeve
Type
Endoscopic
Laparoscopic (4-5 incisions)
Recovery
1-3 days
2-4 weeks
Complications
<1% serious
1-3% serious
Weight loss
15-20% body weight
60-70% excess weight
US cost
$15,000-$25,000
$15,000-$35,000
Why Istanbul Bariatric Center
Dr. Murat Üstün — Pioneer of ESG in Turkey with thousands of successful procedures and complication rates comparable to leading US centers
JCI-accredited hospital — Liv Hospital, same accreditation as Cleveland Clinic, Mayo Clinic, Johns Hopkins
US patient support — English-speaking coordinators, telemedicine follow-up compatible with US time zones
Transparent pricing — No surprise bills. From $7,500 procedure only to $8,500 all-inclusive
Treatment Timeline
Free online consultation — medical team review within 24-48 hours
Direct flight to Istanbul from major US hubs (NYC, Chicago, LA, Houston, Miami)
VIP transfer from Istanbul Airport (IST) to 4-star hotel
ESG procedure (60-90 minutes, no incisions, FDA-cleared technology)
Recovery and travel home within 3-4 days, telemedicine follow-up begins within one week
Expected Results
Based on published clinical data and our patient outcomes: 15-20% total body weight loss over 12-18 months. For patients with BMI 38+, average weight loss is approximately 45 lbs in the first 6 months. Significant improvement in A1C, blood pressure, sleep apnea, and NAFLD markers.
Frequently Asked Questions
Is ESG covered by US insurance?
Most US insurers consider ESG investigational. Out-of-pocket costs at US clinics: $15,000-$25,000+. HSA/FSA funds may be used.
How long in Istanbul?
3-4 days. Direct flights from NYC (~10h), Chicago (~11h), LA (~13h).
Is it painful?
ESG is performed under general anesthesia. Mild discomfort for 1-3 days post-procedure.
Are results evidence-based?
Yes. Published studies show durable 15-20% weight loss at 2-5 year follow-up.
ESG vs Ozempic?
ESG is a one-time structural solution. Ozempic costs $12,000-$18,000/year with significant weight regain after stopping.
What BMI qualifies?
BMI 30-40.
Is it safe abroad?
JCI-accredited Liv Hospital — same standard as Cleveland Clinic and Mayo Clinic.
What's included?
Procedure, JCI hospital, labs, VIP transfers, 4-star hotel, medications, 12-month dietitian support via telemedicine.