Endoscopic Sleeve Gastroplasty (ESG) in Greenville, SC
Incisionless weight loss without surgery
No Incisions Required
Same Day Discharge
20 to 25% Avg. Total Body Weight Loss
What Is ESG and Why Are Greenville Patients Choosing It?
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, incisionless weight loss procedure performed entirely through the mouth using a flexible endoscope and suturing device. There are no cuts, no staples, and no hospital stay.
During ESG, Dr. Devani uses an endoscopic suturing system to reshape and reduce the stomach, creating a sleeve-like tube that limits how much food you can eat and slows digestion. The entire procedure takes roughly 60 to 90 minutes and patients return home the same day.
For patients in Greenville, SC and across Upstate South Carolina, ESG offers a powerful alternative to bariatric surgery with significantly lower risk and recovery time.
ESG is appropriate for adults with a BMI of 30 to 50 who have not achieved lasting results through diet and exercise alone and who want to avoid the risks and recovery of traditional bariatric surgery.
Dr. Devani also performs TORe (Transoral Outlet Reduction) for patients who have regained weight after gastric bypass, as well as sleeve revisions for those who have had prior bariatric surgery.
Benefits of Endoscopic Sleeve Gastroplasty
No Incisions
Performed entirely through the mouth. No cuts, no scars, no surgical openings of any kind.
Outpatient Procedure
Most patients return home the same day and resume light activity within 48 to 72 hours.
Significant Weight Loss
Clinical data shows 15 to 25% total body weight loss maintained at 2 or more years when combined with lifestyle support.
Reversible and Revisable
Unlike surgical procedures, ESG does not permanently alter your anatomy and can be revised if needed.
Improved Metabolic Health
Patients often see improvement in blood sugar, blood pressure, cholesterol, and sleep apnea after ESG.
Expert Hands in Upstate SC
Dr. Devani is one of the only endoscopists in Greenville offering ESG with a dedicated, high-volume program.
ESG vs. Bariatric Surgery
For many patients in Greenville and Upstate SC, ESG offers meaningful weight loss with a fraction of the risk and recovery of traditional surgery.
| Factor | ESG (Dr. Devani) | Gastric Sleeve Surgery | Gastric Bypass |
|---|---|---|---|
| Incisions | None | 5 to 6 small cuts | 5 to 6 small cuts |
| Hospital Stay | Same day | 1 to 2 nights | 2 to 3 nights |
| Recovery Time | 2 to 5 days | 3 to 6 weeks | 4 to 8 weeks |
| Reversible | Yes | No | No |
| Weight Loss | 15 to 25% TBW | 25 to 35% TBW | 30 to 40% TBW |
| Nutritional Risk | Low | Moderate | Higher |
ESG in Greenville, SC — Patient Questions
Where can I get ESG in Greenville, SC?
Dr. Kalpit Devani is one of the only interventional endoscopists in the Greenville, SC and Upstate South Carolina area offering Endoscopic Sleeve Gastroplasty as part of a dedicated, high-volume EndoBariatrics program. Patients travel from Spartanburg, Anderson, Asheville NC, and throughout the Upstate region for his care.
Is ESG covered by insurance in South Carolina?
Some insurance plans currently cover the procedure, though coverage is not yet universal. Many patients find ESG more cost-effective than bariatric surgery when accounting for total recovery costs.
How much weight can I expect to lose with ESG?
Most patients lose 15 to 25% of their total body weight within 12 to 18 months following ESG, particularly when combined with dietary and lifestyle coaching. Individual results vary based on starting weight, adherence to post-procedure guidelines, and metabolic factors.
How long is the recovery after ESG?
Most Greenville-area patients return to desk work within 2 to 3 days and resume normal activity within a week. There is no surgical incision to heal. A liquid diet is followed for approximately three weeks before gradually advancing to solid foods.
Am I a candidate for ESG near Upstate SC?
The best way to find out is a consultation with Dr. Devani. Generally, ESG is appropriate for adults with BMI 30 to 50 who have struggled with traditional weight loss and want a minimally invasive option. Dr. Devani will review your medical history, goals, and prior weight loss attempts to determine candidacy.
Does Dr. Devani also do ESG revisions or TORe in Greenville?
Yes. Dr. Devani performs Transoral Outlet Reduction (TORe) for patients who have regained weight after gastric bypass, as well as endoscopic revisions for those who have had a prior sleeve gastrectomy or ESG.
Ready to Explore ESG in Greenville, SC?
To find out if Endoscopic Sleeve Gastroplasty is the right path for your weight loss goals, reach out to Dr. Devani through the contact page.
Contact Dr. DevaniSee also: ESG in Upstate South Carolina | EUS in Greenville, SC