Endoscopic Gastric Remodelling

Endoscopic gastric remodelling is a non-surgical weight loss procedure performed through the mouth using a flexible camera (endoscope). The doctor reshapes the stomach by folding or suturing its walls, reducing its capacity without any incisions. Patients typically go home the same day.

Endoscopic gastric remodelling encompasses incisionless techniques such as endoscopic sleeve gastroplasty (ESG) and transoral gastric volume reduction, where full-thickness sutures plicate the gastric body along the greater curvature. These procedures reduce functional gastric volume by approximately 70%, producing a tubular configuration that restricts intake and delays gastric emptying.

For patients who do not qualify for or wish to avoid traditional bariatric surgery, endoscopic remodelling offers a less invasive alternative with lower procedural risk. It bridges the gap between medication and surgery in Accord Medical’s comprehensive weight management programme.