Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. There are no cuts with endoscopic sleeve gastroplasty. Instead, a suturing device is inserted into the throat and down to the stomach. The endoscopist then sutures the stomach to make it smaller.

Endoscopic sleeve gastroplasty may be an option if you’re significantly overweight — a body mass index of 30 or more — and diet and exercise haven’t worked for you. This method leads to significant weight loss by limiting how much you can eat. And because the procedure is minimally invasive, it reduces the risk of complications and allows a quick return to daily activities.

Like other weight-loss procedures, endoscopic sleeve gastroplasty requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of endoscopic sleeve gastroplasty.