Endoscopic Sleeve Gastroplasty (ESG) cost in Turkey

What is ESG?

Endoscopic sleeve gastroplasty (ESG) is an endoscopic bariatric procedure in which the provider uses an endoscope and a suturing system to reshape the stomach from inside. No abdominal incisions are used in the usual procedure. ESG is part of a broader obesity-treatment continuum, but it is not equivalent to surgical sleeve gastrectomy in anatomy or expected metabolic effect. Lifestyle, nutrition and structured follow-up remain central to care.

ESG versus surgical gastric sleeve

What should the written ESG scope include?

• the exact ESG procedure, named provider and facility;
• assessment, anaesthesia or sedation plan, endoscopy, medications and the planned observation period;
• tests, dietetic appointments, discharge criteria and the early contact route;
• what is excluded, including complications outside the written scope and long-term care at home.

Candidacy, recovery and long-term support

ESG is not a substitute for individual assessment. The provider may review weight history, obesity-related conditions, medicines, prior stomach or oesophageal surgery, reflux or swallowing symptoms, nutrition, alcohol use and readiness for follow-up. Early intake normally progresses according to the treating team’s instructions; hydration, nutrition, activity restrictions and travel clearance must be personalised. Seek urgent local care for severe or worsening pain, persistent vomiting, inability to keep fluids down, fever, chest pain, shortness of breath, black stools or fainting.

Plan continuing support at home before travelling. That can include dietetic care, prescribed supplementation where indicated, weight management and a local clinician who can receive the discharge summary. Prof. Dr. Ümit Koç is listed as the medical reviewer for this English guide; that editorial review does not replace the individual provider assessment.

Questions from you

These notes answer questions people raise before they accept a written treatment plan. They describe what that plan should make clear. They are not a promise that any partner hospital uses a particular technique, device or payment arrangement. With your consent, an enquiry may be shared with an authorised healthcare partner.

Why am I a candidate for this weight-loss procedure, and how do other illnesses change the choice?

Diabetes, sleep apnoea, blood pressure, medicines, earlier treatment and whether long-term follow-up is realistic have to be written for the person. A sleeve, a bypass, a balloon and endoscopic sleeve gastroplasty are not the same assessment. ASMBS describes ESG as an endoscopic option for selected adults who have not lost enough weight with lifestyle measures and medication, who are not ready for surgery, or whose surgical risk is higher. In most of that data the primary range is a BMI of 30–40, and a case outside it needs a separate written reason. ESG does not produce the same weight or metabolic effect as a sleeve or a bypass. A balloon does not take the place of that surgical assessment. Source: ASMBS ESG FAQ.

How do reflux or a hiatal hernia change the choice of sleeve, bypass, ESG or balloon?

Marked reflux or a hiatal hernia does not pass through the same door for a sleeve as it does for a volume-restricting balloon or ESG. A sleeve can increase reflux. In severe reflux, a bypass is discussed separately. Reflux symptoms, and endoscopy if it is needed, should be written before a balloon or ESG is chosen. This is not a promise that every case of reflux will settle with a bypass.

How is endoscopic sleeve gastroplasty different from a surgical sleeve, for me?

ASMBS describes ESG as a volume procedure that preserves the fundus and slows emptying of the stomach. The same weight loss or metabolic effect as a sleeve or a bypass should not be expected. In the MERIT study, mean total body-weight loss at 12 months was 13.6%. Series have reported 15–17.5%. Sutures and anchors can make a later sleeve, bypass or duodenal switch harder and can raise its risk. ESG is not recommended as a procedure on its own, without nutrition support and long follow-up. Source: ASMBS ESG FAQ.

If an urgent problem or a nutritional deficiency appears after I go home, who follows it and how are the costs split?

The NHS asks for lifelong blood tests to look for vitamin deficiency, and for 999 or 111 when emergency symptoms appear. Blood tests, a dietitian visit, another endoscopy and a hospital stay should not be assumed to sit inside the original package after treatment abroad. Travel insurance usually does not cover surgical complications. Sources: NHS recovery after weight-loss surgery, NHS advice on cosmetic surgery abroad.

Are ESG results guaranteed to last?

No weight-loss procedure can guarantee a lasting result. The American Society for Metabolic and Bariatric Surgery describes ESG as having lower expected weight loss than surgical sleeve gastrectomy or gastric bypass, and says evidence about long-term durability is still developing. Outcomes vary, so ESG should be considered within ongoing obesity care. Ask the treating team what nutrition support, follow-up and options for further care are included in the written plan.

ASMBS: ESG FAQ and evidence overview