Bariatric Endoscopy
Bariatric Endoscopy in Noida – Non-Surgical Weight Loss by UP's First Bariatric Endoscopist
If you have struggled with weight for years — tried every diet, every programme, every shortcut — and still haven’t found something that works long-term, you are not alone. And the reason is not lack of effort. For patients with significant obesity, especially when it is already causing medical problems, the biology works against you. Appetite hormones, metabolic slowdown, and fat storage mechanisms make sustained weight loss extraordinarily difficult without medical support.
Bariatric surgery works — but it is permanent, irreversible, and comes with significant surgical risks that many patients either cannot take or simply do not want.
Bariatric Endoscopy sits between the two. It is a minimally invasive, non-surgical approach to weight management — performed entirely through the mouth, with no incisions, no scars, and a recovery measured in days rather than weeks.
Dr. Sushrut Singh is the first Bariatric Endoscopist in Uttar Pradesh — fellowship-trained in both Intragastric Balloon placement and Endoscopic Sleeve Gastroplasty (ESG). Patients across Noida, Greater Noida, Ghaziabad, and UP no longer need to travel to Delhi or Mumbai for these procedures.
Endoscopic Sleeve Gastroplasty (ESG)
ℹ️ What It Is
ESG is a more permanent bariatric endoscopy procedure. Using a specialised suturing device passed through the endoscope, Dr. Sushrut places a series of full-thickness sutures along the greater curvature of the stomach — reducing stomach volume by approximately 70–75% and reshaping it into a narrow tube or sleeve. This dramatically limits how much you can eat and also alters the gut hormones that regulate hunger and satiety.
The result is similar to a surgical sleeve gastrectomy — but achieved entirely from inside the stomach, with no incisions, no removal of any stomach tissue, and no external scars.
Who Is It For?
- BMI 30 and above — including patients with very high BMI
- Patients who want more durable, long-term weight loss than the balloon offers
- Those who are not candidates for, or choose to avoid, bariatric surgery
- Patients with obesity-related liver disease (NAFLD/NASH), Type 2 diabetes, or cardiovascular risk factors that require meaningful, sustained weight reduction
What Results Can You Expect?
- Average total body weight loss of 15–20% at 12–18 months
- Long-term durable results — the sutures are permanent and the stomach remains reduced in size
- Significant improvement or in many cases remission of Type 2 diabetes, fatty liver, and hypertension
- Outcomes comparable to surgical sleeve gastrectomy in carefully selected patients
The Procedure
- Performed under deep sedation or general anaesthesia — typically 60–90 minutes
- No external incisions or scars of any kind
- Most patients are discharged the following day
- Full dietary guidance and follow-up support provided post-procedure
Bariatric Endoscopy vs. Bariatric Surgery
The Obesity–Liver Connection — Why Dr. Sushrut Leads This Program
Most bariatric procedures in India are performed by bariatric surgeons. What makes Dr. Sushrut's program distinctly different is his gastroenterology and hepatology background.
He doesn't just treat the weight; he sees and treats the full medical picture of what obesity does to the liver and digestive system. In his practice at Fortis Hospital, the majority of patients seeking bariatric endoscopy also present with complex, interconnected digestive and metabolic conditions.
Fatty Liver (NAFLD/NASH)
Found in 60–75% of obese patients. Dr. Sushrut uses FibroScan to accurately stage the severity both before and after the procedure.
GERD & Acid Reflux
A highly common complaint among obese patients, which often resolves or significantly improves after meaningful, sustained weight loss.
Type 2 Diabetes
Weight reduction achieved through bariatric endoscopy has been shown to achieve disease remission in a significant proportion of patients.
Elevated Liver Enzymes
A key indicator of liver stress. These enzymes typically normalise as liver fat reduces naturally following the weight loss procedure.
What to Expect — Before, During & After
Phase 01
Before the Procedure
- A comprehensive consultation with Dr. Sushrut covering your weight history, medical conditions, and treatment goals.
- FibroScan and metabolic blood panel to assess baseline liver and metabolic health.
- Discussion of procedure options — IGB vs. ESG — based on your BMI, health profile, and goals.
- Pre-procedure fasting instructions and medication guidance provided by the team.
Phase 02
During the Procedure
- IGB Light sedation, 20–30 minutes. The deflated balloon is passed through the mouth into the stomach endoscopically, then filled with saline.
- ESG Deep sedation or general anaesthesia, 60–90 minutes. Sutures placed using the OverStitch device through the endoscope, reshaping the stomach internally.
Phase 03
After the Procedure
- IGB Nausea and cramping are common for the first 3–7 days as the stomach adjusts. Managed with prescribed medications. Most patients resume normal activity within a week.
- ESG Liquid diet for 2 weeks followed by a structured reintroduction of food. Most patients return to normal activity within 5–7 days.
- Regular follow-up with Dr. Sushrut to monitor weight loss, liver health, and metabolic markers.
- Nutritional guidance throughout the program to support long-term habit formation.
Frequently Asked Questions — Bariatric Endoscopy in Noida
Candidacy depends on your BMI, existing medical conditions, previous weight loss attempts, and personal goals. Generally, patients with a BMI of 27 or above who have not achieved sustained weight loss through lifestyle changes and have an obesity-related medical condition are candidates. Dr. Sushrut will assess your case fully in a pre-procedure consultation.
The placement procedure itself is done under sedation — there is no pain during the procedure. For the first 3–7 days after placement, patients commonly experience nausea, cramping, and a feeling of fullness. This is normal and is managed effectively with prescribed anti-nausea and antispasmodic medications.
Surgical sleeve gastrectomy removes approximately 75–80% of the stomach permanently through laparoscopic incisions. ESG achieves a similar reduction in stomach volume using sutures placed entirely through an endoscope — no incisions, no stomach tissue removed, no scars. ESG is technically reversible (sutures can be removed), though this is not standard practice.
Like all weight management interventions, bariatric endoscopy produces the best long-term results when combined with sustained dietary changes and regular physical activity. Dr. Sushrut’s program includes nutritional guidance and regular follow-up as part of the treatment — not as an afterthought. Patients who maintain their lifestyle changes sustain significantly better outcomes over time.
Yes. Dr. Sushrut Singh the first Bariatric Endoscopist in Uttar Pradesh — performs both Intragastric Balloon and Endoscopic Sleeve Gastroplasty at Fortis Hospital, Sector 62, Noida. Patients from Greater Noida, Ghaziabad, and across UP no longer need to travel to Delhi for these procedures.
ESG produces long-term, durable results. The sutures are permanent — the stomach remains reduced in volume. Studies show sustained weight loss of 14–20% total body weight at 2–5 years in patients who maintain dietary compliance. The results compare favourably with surgical sleeve gastrectomy in many patient groups.
Yes significantly. Weight loss of 7–10% of total body weight reduces liver fat meaningfully. Weight loss of 10% or more can reverse NASH (liver inflammation) in a large proportion of patients. Dr. Sushrut monitors liver health through FibroScan before the procedure and at follow-up intervals, giving patients measurable evidence of liver improvement alongside their weight loss.