 Hi I'm Jessica and I was fighting a lot of harmonial and health issues due to my obesity. I underwent ESG and the reason I had to undergo that was because I had multiple health issues. Trying to do diet and exercise I was not been able to lose weight because of harmonial changes, severe harmonial changes after unumerable tries of doing everything possible. I met Dr Mohit Shetty at Manipal centre and he suggested I should look into something which is the which is called the ESG. Mrs Jessica is a middle-aged lady who was battling with weight issues for several years. She tried various means of losing weight but was quite unsuccessful. She was evaluated in our multi-disciplinary clinic at the Manipal Hospital and we found that her BMI did fit into for a new unique procedure called endoscopic sleeve gastroplasty. She did not want surgery and in any case she did not fit into the guidelines for surgery. The endoscopic sleeve gastroplasty was decided upon in a multi-disciplinary setup and then we proceeded to explain the patient and she accepted that procedure. 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 overstitch 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 six 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. It gave me a ray of hope that I could be able to lose weight after all all my different tries. We have a very safe procedure now right here in our hospital Manipal center which I think can really really change lives so I would like to thank Dr. Mohit Shetty and Manipal for introducing me to this procedure which was so much more safer than any other doctors I had spoken to before. If somebody is battling with weight loss and is a BMI of 30 to 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 is not fit for surgery endoscopic sleeve gastroplasty is a wonderful new option which can be tried.