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Addressing the growing need for effective obesity management
As obesity rates continue to rise, the gap between patient needs and available interventions becomes clear. This unmet need has driven the development of innovative endoscopic solutions, offering effective minimally invasive alternatives when Metabolic Bariatric Surgery (MBS) is not feasible.1
Discover our endoscopic weight loss solutions, introduced following the acquisition of Apollo Endosurgery in 2023. Proven to be a safe and clinically effective option for primary and revisional treatments, learn how these solutions are enhancing patient care.

Key Resources


Weight Loss Therapies
Endoscopic Sleeve Gastroplasty (ESG)
Endorsed by the IFSO Bariatric Endoscopy Committee, ESG is a minimally invasive weight loss procedure performed with the OverStitch™ Endoscopic Suturing System. It offers a safe, effective alternative to surgery, particularly beneficial for patients with class I and II obesity, and those with class III obesity who are not suitable for MBS.1
Transoral Outlet Reduction (TORe)
An endoscopic procedure providing a safe, effective alternative to surgical revision of a Roux-en-Y gastric bypass. Performed with the OverStitch™ Endoscopic Suturing System and combined with gastric pouch reduction, TORe can address anastomic dilation and induce weight loss.
Intragastric Balloons (IGB)
A non-surgical, temporary endoscopic procedure helping weight loss when combined with a nutritional and lifestyle modification programme.2 This minimally invasive procedure is indicated for adults who have not achieved their weight loss goals through diet and exercise alone.
Alternative bariatric procedures
- Laparoscopic sleeve gastrectomy (LSG), also referred to as vertical sleeve gastrectomy, is a restrictive bariatric procedure predominantly performed via laparoscopy. During LSG, approximately 75-85% of the stomach is resected along the greater curvature. This procedure induces significant neurohormonal and bile signaling modifications, contributing to its metabolic efficacy.3
- Roux-en-Y gastric bypass (RYGB) involves the exclusion of a portion of the stomach and proximal intestine, with the distal intestine reconfigured into a Y-configuration. This allows for the passage of ingested food from the upper gastric pouch through the Roux limb, facilitating both weight loss and metabolic benefits, independent of weight reduction.3
References
1. IFSO Bariatric Endoscopy Committee Evidence‑Based Review and Position Statement on Endoscopic Sleeve Gastroplasty for Obesity Management. 2024.
2. Data on file.
3. IFSO-WGO GUIDELINES ON OBESITY CONTENTS 2022.