Endoscopic Sleeve Gastroplasty Cost and Effectiveness

by Meredith


To Whom It May Concern,

I’ve been comparing two different procedures: Endoscopic Sleeve Gastroplasty (ESG) and Laparoscopic Sleeve Gastrectomy (gastric sleeve). Endoscopic Sleeve Gastroplasty cost is partly why I’m leaning toward the ESG procedure. I’m paying out of pocket, and my understanding is these procedures are similar, so why not get the less expensive one (I don’t have insurance).

I was reading about endoscopic sleeve gastroplasty doctors saying gastric sleeve sometimes has better weight loss results. If for some reason I don’t lose as much weight as I want, can I get a gastric sleeve done after a failed ESG?


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by: Dr. Vivek Kumbhari, MD & Margo Dunlap, RN

Hi Meredith,

Thanks so much for your question. Yes, the endoscopic sleeve gastroplasty and the laparoscopic sleeve gastrectomy are similar in that both procedures produce a very small, sleeve shaped stomach. However, there are many other variables that must be considered when choosing between one or the other, such as: body mass index (BMI), presense of co-morbidities, and patient preference.

The endoscopic sleeve gastroplasty is an outpatient procedure with a very low serious adverse event rate and is approximately half the cost as the laparoscopic sleeve gastrectomy. In the era of multiple weight loss options, it is recommended that you meet with your provider to discuss the best potential treatment strategy for you.


Dr. Vivek Kumbhari, MD & Margo Dunlap, RN
Johns Hopkins Bayview Medical Center

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

Related Pages:

endoscopic sleeve gastroplasty

by: edir fabiano

I would like to know the address phone number and how much it costs to do the procedure endoscopic sleeve gastroplasty.

by: Patrick Furlong

Hi Edir,

Please see our page on Endoscopic Sleeve Gastrosplasty here:

Endoscopic Sleeve Gastroplasty Link

There is a directory at the bottom of the page that will link you to providers.


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