Precise diagnosis first
Digital imaging, laboratory work-up and specialist evaluation confirm the exact cause before any treatment is advised.
Endo Sleeve Gastroplasty in Ahmedabad, Gujarat
Endo Sleeve Gastroplasty reduces stomach size by stitching internally, helping patients eat less and lose weight.
What Is Endoscopic Sleeve Gastroplasty?
Endoscopic sleeve gastroplasty (ESG) uses an endoscopic suturing device to fold and stitch the stomach from the inside, reducing it to a narrow sleeve shape — similar in effect to surgical sleeve gastrectomy, but done entirely through the mouth with no incisions and no stomach tissue removed.
- Performed entirely through the mouth under general anaesthesia
- No cuts on the abdomen and no organ is removed
- Reduces stomach capacity so smaller meals create lasting fullness
- More durable weight loss than a gastric balloon, without open or laparoscopic surgery
Endo Sleeve Gastroplasty in Ahmedabad
Endo Sleeve Gastroplasty reduces stomach size by stitching internally, helping patients eat less and lose weight.
Endoscopic sleeve gastroplasty reduces the size of the stomach by placing sutures from the inside, with no incisions and no removal of any part of the stomach. It gives more durable weight loss than a balloon while avoiding open or laparoscopic surgery.
Dr. Neil B. Palkhiwala, Consultant Gastroenterologist with 12+ years of experience, performs endoscopic sleeve gastroplasty at Aryav Super Speciality Hospital in Science City, Sola, Ahmedabad, Gujarat — easily reached from Bhadaj, Shilaj, Ghatlodiya, Gota, Thaltej, Hebatpur, Memnagar and Gurukul.
It is suitable for selected patients with obesity who want a meaningful reduction in stomach capacity without bariatric surgery, paired with a structured nutrition programme through our obesity and nutrition clinic.
At Aryav Super Speciality Hospital, Sola, Ahmedabad, Gujarat, this treatment is planned and performed by Dr. Neil B. Palkhiwala and the clinical team, supported by advanced imaging, modular operation theatres, dedicated intensive care and an in-house rehabilitation unit.
Who May Be a Candidate?
- BMI above 30 with weight-related health problems
- Preference to avoid surgical bariatric procedures
- Willingness to follow a long-term nutrition programme
- No untreated severe reflux or large hiatus hernia
The Procedure
- 1
Performed entirely through the mouth under general anaesthesia.
- 2
An endoscopic suturing device creates a narrow sleeve within the stomach.
- 3
No cuts on the abdomen and no organ is removed.
- 4
Most patients go home within 24 hours.
Endo Sleeve vs Surgical Sleeve Gastrectomy
Both aim to reduce stomach capacity, but they differ in how invasive and reversible they are.
Endoscopic Sleeve Gastroplasty
- No incisions — performed through the mouth
- No stomach tissue removed; sutures can be adjusted or, over time, loosen
- General anaesthesia, typically home within 24 hours
- Suited to patients who want a meaningful, less invasive option before considering surgery
Surgical Sleeve Gastrectomy
- Laparoscopic surgery with small abdominal incisions
- A portion of the stomach is permanently removed
- Longer recovery, but the most durable weight loss of the options
- Reserved for higher BMI or when endoscopic options are not suitable
Preparing for the Procedure
Our team gives you exact instructions at booking, but these are the essentials most patients are asked to follow.
- A pre-procedure metabolic and nutrition assessment through our obesity clinic
- Fast for the period advised before general anaesthesia
- Tell us about blood-thinning medicines and regular medications in advance
- Mention if you have reflux disease, diabetes or a hiatus hernia
- Arrange for someone to accompany you home after discharge
Recovery and follow-up
- Liquid diet for the first week, progressing to soft and then regular food.
- Dietitian and clinical review at one, three and six months.
- Activity resumes within a few days.
Dr. Neil Palkhiwala – Endoscopic Sleeve Gastroplasty Specialist in Ahmedabad, Gujarat
Dr. Neil B. Palkhiwala
Consultant Gastroenterologist & Hepatologist
MBBS, MD, DM, MRCP SCE (UK)
Dr. Neil B. Palkhiwala is a highly qualified and compassionate Consultant Gastroenterologist and Hepatologist, committed to delivering comprehensive digestive and liver care with a patient-first approach. He is the Founder and Director of Aryav Superspeciality Hospital in Ahmedabad, Gujarat.
View full profileWhy patients choose Aryav
Minimally invasive where possible
Modern techniques and modular operation theatres help reduce tissue damage, blood loss and hospital stay.
Transparent planning
Every option — medical, endoscopic or surgical — is explained with expected outcomes, recovery time and cost.
Recovery support
Physiotherapy, diet guidance and scheduled reviews continue well after discharge.
Frequently asked questions about endo sleeve gastroplasty
Who performs endoscopic sleeve gastroplasty at Aryav Super Speciality Hospital?
Dr. Neil B. Palkhiwala, Consultant Gastroenterologist with over 12 years of experience, personally performs endoscopic sleeve gastroplasty at Aryav.
How much weight loss can I expect?
Around 15 to 20 percent of total body weight in the first year for patients who follow the accompanying nutrition programme.
Is it reversible?
The stitches can loosen over time, and no part of the stomach is removed — so it is far less permanent than a surgical sleeve, though it is intended as a long-term solution.
Will there be scars?
None. The entire procedure is done from inside the stomach with no abdominal incisions.
Is it painful?
The procedure itself is done under general anaesthesia. Mild abdominal discomfort or nausea in the first few days is normal and is managed with medication.
How is it different from a gastric balloon?
A balloon is a temporary device removed after 6–12 months; endoscopic sleeve gastroplasty permanently reshapes the stomach with sutures, generally giving more durable weight loss.
Where can I get endoscopic sleeve gastroplasty near Sola or Science City, Ahmedabad?
Dr. Neil B. Palkhiwala performs this procedure at Aryav Super Speciality Hospital, Science City, Sola, Ahmedabad — convenient for patients from Bhadaj, Shilaj, Ghatlodiya, Gota, Thaltej, Hebatpur, Memnagar and Gurukul.
Related gastro treatments in Ahmedabad
Need expert advice on your condition?
Speak to our gastroenterology and orthopaedic specialists at Aryav Super Speciality Hospital, Ahmedabad. Same-day consultations available.