ESG Max

ESG Max: A Next-Gen Endoscopic Weight Loss Procedure

Author: Dr Waqas Fazal, Interventional and Bariatric Gastroenterologist
Published on: [07/07/25]

What Is ESG Max?

ESG Max (Endoscopic Sleeve Gastroplasty Max) is a nick name given to an advanced, non-surgical weight loss procedure that builds upon the well-established Endoscopic Sleeve Gastroplasty (ESG). It introduces an innovative enhancement: Gastric Fundal Mucosal Ablation (GFMA)—a technique that targets the stomach’s hunger-producing zone to further support metabolic health and long-term weight loss.

Understanding the Basics: What Is ESG?

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive endoscopic procedure that reduces the size of the stomach by placing sutures from the inside. This results in a sleeve-like stomach that holds less food and slows emptying of stomach—helping you feel fuller, sooner and with fewer calories. Unlike surgical sleeve gastrectomy, ESG involves no external cuts, no removal of stomach tissue, and typically has a quicker recovery.

What’s New in ESG Max?

The “Max” in ESG Max refers to the addition of Gastric Fundal Mucosal Ablation (GFMA). This is where the upper part of the stomach—the fundus, which is the primary site of ghrelin (the hunger hormone) production—is gently ablated (burnt in a controlled way) using argon plasma coagulation (APC) or a similar endoscopic method.

By reducing ghrelin levels, GFMA helps to:

• Reduce appetite

• Suppress hunger cravings

• Support long-term satiety and metabolic improvements

Why the Gastric Fundus Matters?

The gastric fundus plays a major role in regulating appetite and satiety through hormone signaling. Ghrelin is known to stimulate appetite and increase food intake. By targeting this area, ENG Max aims to address not just the physical volume of food intake, but also 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

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, Gastroscope Clinic has established itself as the premier destination for advanced bariatric endoscopy. We offer unparalleled expertise, ensuring optimal patient outcomes through precision, innovation, and evidence-based practice.

✔ Largest ESG Experience in QLD – Proven track record of safety and efficacy.
✔ Specialized Bariatric Endoscopist – Experts in minimally invasive weight-loss techniques.
✔ Personalized Patient Care – Tailored treatment plans for sustainable weight loss.
✔ State-of-the-Art Facility – Equipped with the latest endoscopic technology.

As pioneers in endoscopic bariatric therapies, we are committed to delivering exceptional results with the highest standards of care