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Miami Endoscopic bariatric procedures


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  • Authored by: Sergey Terushkin, MD, FACS, FASMBS, DABOM, DABS-FPMBS
  • Clinic: Miami Bariatric and Plastic Surgery, MD
  • Last Updated: December 2025

✅ Key Takeaways

  • Incisionless: No scars; procedures are performed entirely through the mouth (endoscopically).
  • Outpatient: Patients go home the same day with a rapid 1–3 day recovery.
  • Target Audience: Ideal for those with a BMI of 30–40 who do not want traditional surgery.
  • Effectiveness: Expect 15–20% total body weight loss when combined with lifestyle coaching.

Endoscopic Sleeve Gastroplasty in Miami, Florida

The ESG procedure, used alongside lifestyle and diet changes, is intended to help you lose weight and in turn help prevent or improve many health problems that are associated with excess body weight, including:

  • Type 2 diabetes
  • High Blood Pressure (Hypertension)
  • Heart Disease
  • Joint Problems
  • High Cholesterol
  • Asthma
  • Sleep Apnea

Gastric balloon is a nonsurgical, outpatient procedure that promotes weight loss by restricting food intake. Through endoscopy, a surgeon places a silicone balloon that is about the size of a  grapefruit or a softball into the stomach, making the patient feel fuller faster after a meal.

During the approximately 30-minute outpatient procedure under sedation, a silicone gastric balloon is delivered by an endoscope through the patient’s mouth, into their stomach. The balloon is inflated with saline solution to partially fill the stomach, leaving less room for large amounts of food and liquids. The balloon is then retrieved after 6 months. 

Advantages

The procedures are not currently covered by most health insurance.

  • No incisions and no scarring
  • Natural digestion procession is not altered
  • May reduce hunger
  • Lower overall cost than gastric sleeve surgery
  • No overnight hospital stay

Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is a minimally invasive procedure that leads to significant weight loss. It helps you lose weight by limiting how much you can eat. The procedures takes around one to two hours. Although ESG does not entail surgical incisions, it is performed under general anesthesia. ESG is an outpatient procedure and most patients return home the same day. Patients can return to work and resume daily activity in one to three days and can expect a full recovery in 3-4 weeks. When combined with lifestyle modification, endoscopic sleeve gastroplasty results in about 15% to 20% total body weight loss at 12 to 24 months.

The ESG procedure, used alongside lifestyle and diet changes, is intended to help you lose weight and in turn help prevent or improve many health problems that are associated with excess body weight, including:

  • Type 2 diabetes
  • High Blood Pressure (Hypertension)
  • Heart Disease
  • Joint Problems
  • High Cholesterol
  • Asthma
  • Sleep Apnea

Intragastric Balloon

Gastric balloon is a nonsurgical, outpatient procedure that promotes weight loss by restricting food intake. Through endoscopy, a surgeon places a silicone balloon that is about the size of a  grapefruit or a softball into the stomach, making the patient feel fuller faster after a meal.

During the approximately 30-minute outpatient procedure under sedation, a silicone gastric balloon is delivered by an endoscope through the patient’s mouth, into their stomach. The balloon is inflated with saline solution to partially fill the stomach, leaving less room for large amounts of food and liquids. The balloon is then retrieved after 6 months. 


Who it’s for

These procedures are available to people whose body mass index (BMI) is above 30, who haven’t been successful in maintaining weight loss with lifestyle modification alone.

The procedures are not currently covered by most health insurance.


Advantages

  • No incisions and no scarring
  • Natural digestion procession is not altered
  • May reduce hunger
  • Lower overall cost than gastric sleeve surgery
  • No overnight hospital stay

Make An Appointment

Meet with a Miami Bariatric And Plastic Surgery MD Endoscopic Sleeve Gastroplasty specialist to find the care you need. Our experts are here for you, in-person and online. Make an appointment or schedule a virtual visit.


Medical Disclaimer

This information is for educational purposes and is not a substitute for professional medical advice. Endoscopic procedures carry risks. Dr. Sergey Terushkin provides personalized recommendations based on a complete clinical evaluation. Individual weight-loss results vary depending on adherence to a medically supervised diet and exercise program.