 The endoscopic sleeve gastroplasty or the ESG procedure is a completely endoscopic, minimally invasive procedure which is a new introduction in Manipal Hospital, Bangalore and whole of Karnataka. The Manipal Hospital was the first to perform this procedure. In this unique procedure, a device such as this which is called an endoscope is introduced into the patient through his mouth into the stomach. On the tip of the device is a special equipment for suturing called the over stitch device and we control the functions from up here. This device causes restrictions of the stomach by reducing into volume by about 70% by putting sutures at strategic points. The stomach volume is reduced so much so that the patient eats less and the gastric emptying is slowed down. Gradually the patient loses anywhere between 15 to 20% of his body weight in a period of 6 months to 12 months which is roughly about 20 to 25 kilos of his body. This procedure has gained a lot of traction because it is minimally invasive and there are no scars or cuts. Janu has come all the way from Bhopal to guide us through our endoscopic sleeve gastroplasty or ESG case today. Thank you Dr. Saranj. Thank you so much. Pleasure is all mine. Thank you. So please tell us about in your practice what is the scope of endobereatic therapy and what the future holds. Endobereatrix has a very bright future in India. We are the number one country, diabetes capital of the world. We have a rising number of obesity cases and there is still a lot of stigma associated with surgery and this offers a midway to the patients who are not able to have any benefit with diet and weight loss to offer them good quality of life and a substantial weight loss. This is something I require to like medicine therapy for CAD versus CABG for CAD and then the endoplasty came and everything got revolutionized and this is like the endoplasty for obesity. Sure. Please tell us about endoscopic sleeve gastroplasty. Endoscopic sleeve gastroplasty is a daycare endoscopic procedure that reduces the size of your stomach that leads to a durable weight loss of around 20-25% of the total body weight loss mainly by suppressing appetite and patients falling good diet and exercise therapy. Are there any major side effects? The advantages of endoscopic sleeve gastroplasty are that they are almost minimal to none major side effects associated with it. It's a daycare procedure. You come in the morning, go home in the evening. It's as simple as that. So it's a really needed procedure in this trying times of increasing obesity. If somebody is battling with weight loss and is a BMI of 30-40 and has tried various means of losing weight and is not a surgical candidate or if he's a surgical candidate and does not want surgery or not fit for surgery endoscopic sleeve gastroplasty is a wonderful new option which can be tried.