ESG Max: A Next-Gen Endoscopic Weight Loss Procedure
ESG Max (Endoscopic Sleeve Gastroplasty Max) is an advanced, non-surgical weight loss procedure that enhances traditional Endoscopic Sleeve Gastroplasty by incorporating Gastric Fundal Mucosal Ablation (GFMA) - a technique targeting the stomach's hunger-producing zone to support metabolic health and long-term weight loss.
Understanding the Basics: What Is ESG?
Endoscopic Sleeve Gastroplasty reduces stomach size by placing sutures from inside, creating a sleeve-like stomach that holds less food and slows gastric emptying. Unlike surgical sleeve gastrectomy, ESG involves no external cuts, no tissue removal, and typically enables quicker recovery.
What's New in ESG Max?
The "Max" enhancement involves Gastric Fundal Mucosal Ablation - controlled ablation of the fundus (upper stomach region where ghrelin is primarily produced) using argon plasma coagulation or similar endoscopic methods.
By reducing ghrelin levels, GFMA helps to:
- Reduce appetite
- Suppress hunger cravings
- Support long-term satiety and metabolic improvements
Why Does the Gastric Fundus Matter?
The gastric fundus regulates appetite and satiety through hormone signalling. Ghrelin stimulates appetite and increases food intake. By targeting this area, ESG Max addresses both physical food volume reduction and the biological drive to eat.
Benefits of ESG Max
- Non-surgical and incision-free
- Targets hunger at its hormonal root
- Enhances traditional ESG outcomes
- Faster recovery compared to surgery
- May improve diabetes and metabolic markers
Is ESG Max Right for You?
ESG Max suits individuals who:
- Have higher starting BMI, requiring more than 20% total body weight loss
- Seek less invasive, non-surgical alternatives to laparoscopic sleeve gastrectomy
- Have tried diet and lifestyle changes without sustained success
- Want procedures addressing both stomach size and appetite regulation
Comprehensive consultations determine eligibility and personalise treatment plans.
The Procedure: What to Expect
ESG Max is performed under general anaesthesia via endoscope through the mouth. The procedure takes approximately 90–120 minutes and involves:
- Ablating the fundal mucosa using APC to reduce ghrelin production
- Placing endoscopic sutures to reduce stomach size
- One night hospital stay for hydration and comfort
Most patients return to normal activities within days.
Results So Far
Early studies suggest ESG Max may result in:
- Greater weight loss than ESG alone
- More appetite suppression
- Enhanced metabolic control in type 2 diabetes conditions
More research is underway with promising outcomes.
Why Choose Gastroscope Clinic for ESG Max?
Gastroscope Clinic is Queensland's leader in bariatric endoscopy with the highest volume of Endoscopic Sleeve Gastroplasty procedures performed in Queensland.
- Largest ESG experience in QLD - proven track record of safety and efficacy
- Specialised bariatric endoscopist - experts in minimally invasive weight-loss techniques
- Personalised patient care - tailored treatment plans for sustainable weight loss
- State-of-the-art facility - equipped with latest endoscopic technology
As pioneers in endoscopic bariatric therapies, we are committed to exceptional results with the highest care standards.
Ready to Take the Next Step?
Phone: 07 3522 2900
Email: admin@gastroscope.clinic
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This article is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider.