01
Endoscopic gastroplasty

The Endosleeve (ESG)

Endoscopic Sleeve Gastroplasty — surgery without surgery.

Reduction of gastric volume by internal sutures via the OverStitch™ system. A minimally invasive technique validated by the MERIT study, with no incision or scar — the stomach is preserved and the procedure remains reversible. For patients beginning their weight-loss journey.

~20%weight loss at 12 months
60-90 minprocedure duration
0visible scar
Discover the Endosleeve
02
After gastric bypass

The TORe

Transoral Outlet Reduction — revision after bypass.

Endoscopic reduction of the dilated gastrojejunal anastomosis after gastric bypass. Restores the bypass's original restrictive effect — through the mouth, without further surgery.

~8-12%additional weight loss
45-60 minaverage duration
>95%technical success
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03
Weight regain after sleeve

Revision after sleeve

When the stomach re-dilates — endoscopic re-plication.

For patients with weight regain after a surgical sleeve gastrectomy: endoscopic re-plication of the dilated gastric tube via OverStitch™. Specific expertise beyond primary ESG.

~10-15%weight loss at 12 months
45-75 minduration depending on anatomy
0abdominal incision
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Recognised · Certified · Partner
CHEMEsch-sur-Alzette
Société Luxembourgeoiseof Gastroenterology
Boston ScientificTechnical partner
CE marking 2797European compliance
The initial consultation

Which technique for your situation?

Eligibility and the choice of the right technique are assessed during an in-depth consultation with Dr. Sitte. It is the opportunity to get a clear, personalised answer to your questions.

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