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Achieve significant lasting weight loss*

Eat less and feel full faster

ESG Procedure

Endoscopic Sleeve Gastroplasty (ESG) is an incision-less, endoscopic procedure that leaves no scars. The ESG procedure can help you achieve significant lasting weight loss.*

*For the Apollo ESG System you need to follow a healthy diet and exercise program to lose weight. You may not lose weight if you do not adopt healthy habits. You doctor's clinical team, including dieticians, nutritionists and/or exercise trainers, should help you on your weight loss journey.

The Apollo ESG System is the first and only* device to be authorized by the FDA to perform the ESG procedure.

Approximately 70%-80% stomach reduction means you feel full with less food, resulting in significant weight loss.1

In a landmark study, most patients went home the same day as the procedure and can return to daily activities in 2-3 days.1

In a study, patients lose an average of 13.6% of total body weight at year one.¹

*as of February 2024

Do you struggle to keep weight off?

“Frustrated. Exhausted. Discouraged. Unconfident.” Those are the words people have used to describe life before choosing ESG.

Nothing works?

There is no lack of diets and weight loss programs out there. You’ve probably tried many of them, with no lasting results. 

Feeling alone?

This is not the kind of journey to take by yourself. You need a team of caring professionals who understand your story and will support you along the path to success.

Tired of it?

Being overweight can wear you down emotionally. At some point, you have to decide that enough is enough. You just aren’t willing to stay in this situation.

How ESG works

ESG reduces the size of your stomach without incisions or scars using the FDA authorized Apollo ESG™ System. This small suturing device attaches to a camera passed through your mouth into your stomach while you are asleep. A specially trained doctor uses the Apollo ESG™ System to sew your stomach into a smaller shape, so you eat less and feel full faster.1

Find an ESG doctor near you

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Determine if ESG is right for you.

Explore the benefits of ESG and learn how it can help you lose weight.

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Answer your questions about this minimally invasive procedure.

ESG is an exciting option, and your questions are important.

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Access expert support & care.

Learn more about the aftercare program that your doctor offers.

Proven results with ESG

Apollo ESG™ can help patients achieve lasting results. It’s an exciting option for those who have not experienced success with diet or exercise alone and are hesitant to pursue more invasive weight loss procedures. See the study results.¹

49%

Excess body weight loss 12 months after the procedure.1

13.6%

Average total body weight loss at 1 year.1

68%

Maintained most of their weight loss 2 years after the procedure.1

Following the ESG procedure, you’ll feel fuller when eating smaller portions. This helps to develop healthier eating habits moving forward, so you can enjoy sustained results.

1Abu Dayyeh BK, Bazerbachi F, Vargas EJ, Sharaiha RZ, Thompson CC, Thaemert BC, Teixeira AF, Chapman CG, Kumbhari V, Ujiki MB, Ahrens J, Day C; MERIT Study Group; Galvao Neto M, Zundel N, Wilson EB. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomised trial. Lancet. 2022 Aug 6;400(10350):441-451. doi: 10.1016/S0140-6736(22)01280-6. Epub 2022 Jul 28. PMID: 35908555.

"With ESG I was able to change my habits for good so that I can have long-term success and keep the weight off”

Taryn

This patient testimonial is sponsored by Boston Scientific.

"ESG has hands down been the best decision that I’ve ever made for my health”

Kyra lost 110 Lbs.*

This patient testimonial is sponsored by Boston Scientific. In a study, patients with class III obesity who underwent ESG in conjunction with prescribed diet and exercise counseling achieved an average of over 20% TBWL.


"Ever since I got ESG, there is so much that has changed with my life, in a positive way”

DJ Shulomixx lost 90 Lbs.*

This patient testimonial is sponsored by Boston Scientific. In a study, patients with class III obesity who underwent ESG in conjunction with prescribed diet and exercise counseling achieved an average of over 20% TBWL.

What to expect

Following the ESG procedure, you’ll feel fuller when eating smaller portions. This helps to develop healthier eating habits moving forward, so you can enjoy sustained results. 

After meeting with your doctor and nurses, you will be given medication to help you sleep and feel comfortable during the procedure.

Most patients typically can go home the same day. However, there may be some discomfort from the procedure. Do not drive or operate motorized vehicles or equipment the remainder of the day. Avoid alcoholic beverages. You may resume activity as soon as you are comfortable. Follow your doctor’s specific instructions. 

To help your stomach heal, you will be on a liquid diet for the first week or two, followed by pureed and soft foods for the next two weeks. Typically, by week four, you will be able to resume eating solid foods. Follow your doctor’s specific instructions. 

With less room in your stomach, you should begin to feel full faster and lose weight. The procedure helps you to develop better eating habits and change your lifestyle for lasting results.¹

Learn more about ESG

ESG reduces the stomach size by approximately 70%-80% using six to eight sutures. This limits the amount of food consumed and the number of calories absorbed by the stomach. It also prolongs the time food remains in the stomach, so you feel full longer.

According to a clinical study, patients lost an average of 13.6% of their body weight 12 months after undergoing the ESG procedure. Results will vary by person.¹

ESG is a minimally invasive procedure that requires no incisions and leaves no scars. It is performed endoscopically, meaning a specially trained doctor uses a  camera that passes through your mouth into your stomach to perform the procedure.

ESG is similar to a traditional gastric sleeve surgery because it reduces the stomach size to restrict the amount of food a patient can eat. However, unlike a surgical sleeve procedure, ESG is performed without any incisions and no part of the stomach is removed.

Your provider will work with you one-on-one on coverage or financing options for your procedure.

ESG is for adults with obesity and body mass index (BMI) between 30-50 kg/ m2 who have not been able to lose weight or maintain weight loss through diet and exercise alone. Find a doctor near you to schedule a consultation to see about whether you are a candidate for ESG.

Closeup of woman's torso.

Ready for the new you?

We’d love to talk with you about ESG. You’ll find out more about how it works, get your insurance questions answered, and discover the path to the new you.

Apollo ESG™ Safety Information for Patients

  • Apollo ESG™ devices are made to help you lose weight by reducing the size of your stomach and increasing the time it takes for food to pass through your stomach.
  • For Apollo ESG™ you need to follow a healthy diet and exercise program to lose weight. You may not lose weight if you do not adopt healthy habits. Your doctor’s clinical team, including dieticians, nutritionists and/or exercise trainers, should help you on your weight loss journey.
  • Apollo ESG™ System is for adults with obesity (BMI 30-50kg/m2) who have not been able to lose weight and keep it off through more conservative measures (e.g., diet and exercise).
  • Your doctor will ask you about your medical history and will also perform a physical examination to determine your eligibility for the Apollo ESG™ device. Additionally, at the time of your procedure, the doctor may identify internal factors, such as stomach ulcers or erosive gastritis, which may prevent you from receiving the device.
  • You must not receive Apollo ESG™ if you are pregnant.
  • You must not receive Apollo ESG™ if you have an eating disorder (anorexia nervosa, binge eating disorder, etc.).
  • All procedures have risk. Patients should talk to their doctor and understand all risks before having a procedure.
  • Nausea and vomiting, abdominal pain, constipation, eructation, constipation, heartburn and diarrhea are common after the ESG. Gastrointestinal bleeding may also be experienced following these procedures. More serious complications have been reported, though these are relatively rare.
  • While many patients are discharged from hospital on the day of their procedure, some patients may stay in hospital or return to hospital for assistance with symptoms associated with acclimating to the sleeve. Symptoms are most often treated with IV >uids or medication, but medical intervention may be required.
  • Call your doctor if you have any concerns about your health or well-being following an ESG.
  • Some patients may not lose weight following a procedure with Apollo ESG™. Others may lose weight and then report that they no longer feel full after a meal, like they did when they first had their procedure. In such cases, the sleeve may have been compromised. Talk to your doctor about your options.
  • You may be a candidate to have the sleeve restored or to have another type of weight loss procedure.
  • If you have additional questions, talk with your doctor. For full safety information, visit apolloendo.com/dfus.

CAUTION Rx only

Individual Weight Loss May Vary.