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Endoscopic Weight Loss Procedures That Work

Explore non-surgical endoscopic weight loss options and find the right path for you.

Ready to take the first step?

Schedule your virtual consultation and find out if Endoscopic Weight Loss is right for you.
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Stuck Between “Tried Everything” and “Not Ready for Surgery”

You’ve tried medications, strict diets, and consistent exercise, but the weight just won’t come off. You know your health is at stake, but surgery feels like a last resort. You’re stuck in the middle, looking for something effective, but less invasive.

Endoscopic Weight Loss Is the In-Between That Works

Endoscopic, nonsurgical weight loss procedures can be the tool that bridges the gap. These minimally invasive options offer the power to jumpstart meaningful weight loss; without incisions, hospital stays, or long recovery times. For many, they provide the edge needed to finally take control and live a healthier life.

Jennifer, an ESG patient, smiles while shopping—holding up a stylish lace top that symbolizes her confidence and joy after her weight loss journey.
Endoscopic Procedures we offer at Eviva

Our providers work closely with you to determine which weight loss procedure best matches your goals, medical needs, and lifestyle. From advanced laparoscopic techniques to non-surgical endoscopic procedures, each option we offer is backed by proven outcomes and long-term success. We also offer revision surgery for patients who’ve had prior procedures and need additional support.

Non-Surgical Endoscopic Procedures​

Endoscopic Sleeve Gastroplasty (Endosleeve)

3D illustration of a stomach after endoscopic sleeve gastroplasty (ESG), showing internal sutures reducing the stomach volume without surgical removal.
Endosleeve Resources
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  • Overview: The lap band involves placing an adjustable silicone band around the upper portion of the stomach, creating a small pouch to restrict food intake.
  • How It Works: The band creates early satiety by limiting how much food the pouch can hold. The tightness of the band is adjusted through a port placed under the skin.
  • Benefits: Less invasive with no stomach cutting or stapling. Adjustable and reversible. Typically results in 15–20% total body weight loss.
  • Ideal Candidates: Patients who prefer a reversible option or who may not qualify for sleeve or bypass procedures.
  • Recovery: Same-day discharge is common. Return to work within a few days. Band adjustments are performed in the clinic as needed.

Gastric Balloon

3D illustration of a gastric balloon placed inside the stomach to aid weight loss.
Gastric Balloon Resources
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  • Overview: A gastric balloon is a temporary device inserted endoscopically and filled with saline to occupy space in the stomach and limit food intake.
  • How It Works: The balloon takes up stomach space, promoting earlier satiety and reducing meal sizes. It is removed after approximately six months.
  • Benefits: Non-surgical and reversible. Can aid weight loss of 10–15% of total body weight when combined with lifestyle changes.
  • Ideal Candidates: Individuals seeking short-term weight loss support or those preparing for another procedure like surgery.
  • Recovery: Minimal downtime. Patients may experience nausea or discomfort for the first few days. Normal activities resume quickly.
More than just weight loss—it’s a second chance at life

The Benefits of Endoscopic Weight Loss

Fewer Risks, No Scars

Performed through the mouth, these procedures avoid surgical incisions—greatly reducing risk of infection, scarring, or complications.

Quick Recovery, No Downtime

Most patients resume normal activities within 24–72 hours. No incisions mean minimal discomfort and a faster return to daily life.

Lower Cost, Greater Value

Endoscopic procedures are typically less expensive than surgery and offer a cost-effective option for patients seeking meaningful weight loss without high hospital bills.

Our Process

How our Endoscopic Weight Loss Program Works

Step 1.
Schedule a Virtual Consultation

Meet with an endoscopic weight loss doctor to learn which procedure is right for you.

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Step 2.
Intake + Insurance Review 

Your Bariatric Pathway Coordinator (BPC) is here to help every step of the way—navigating insurance approvals, clinical milestones, or walking you through the self-pay process.

Step 3.
Procedure Day

Your journey begins today—and you’re in the best hands. Our streamlined outpatient approach means most patients are home the same day, recovering comfortably and confidently with support from our experienced team.

PATIENT SPOTLIGHT — JENNIFER BLACK

"The ESG gave me my life back."

After struggling with her weight for years, Jennifer chose the Endoscopic Sleeve Gastroplasty (ESG) and went from 216 to 153 lbs—regaining her energy, confidence, and joy in everyday life.
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Testimonials

Patient Before & After​

Tina

Gastric Sleeve

Heidi 

Gastric Sleeve

Misty 

Endoscopic Sleeve Gastroplasty

Katie 

Gastric Sleeve

Zuleica 

Gastric Sleeve

Cristina 

Gastric Sleeve

Providers

Who to See for Endoscopic Weight Loss

Mimi Tan, MD

Bariatric & Metabolic Surgeon, Board Certified General Surgeon

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Profile picture of Dr. VanderWel wearing scrubs in front of blue background

Brandon VanderWel, MD

Bariatric & Metabolic Surgeon, Board Certified General Surgeon

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Smiling male doctor in a white coat with a yellow tie and blue shirt, sitting in a bright medical office.

Robert Landerholm, MD

Board Certified General Surgeon, Bariatric & Advanced Minimally Invasive Surgery

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FAQ

Most Popular Endoscopic Weight Loss Questions

Am I a candidate for endoscopic weight loss?

If you’ve been struggling to lose weight, endoscopic procedures may give you the edge you need to achieve lasting results and improve your health. Most candidates meet certain guidelines related to weight, BMI, or health conditions — but the best way to know? Take our “Am I a Candidate?” Quiz

EndoSleeve (ESG): Average 20-25% total body weight within 12 to 18 months

Gastric Balloon: Average ~10-15% total body weight loss at 12 months, depending on balloon type and follow-up care

Endoscopic procedures are often not covered by insurance. However, we offer transparent self-pay pricing and flexible financing options.

Eviva’s self-pay endoscopic weight loss package offers a comprehensive solution for individuals seeking weight loss surgery without the constraints of insurance. The package includes:

  • Hospital and facility fees
  • Anesthesiology services
  • Procedure fees
  • Comprehensive pre-op care, encompassing consultation, pre-operative visit, and dietary education
  • BLISCare insurance for added protection
  • Lifetime access to support groups

Please note that pre-screening assessments and diagnostic testing fees are not included but may be covered by insurance. For more details, visit our self-pay information page.

Self Pay Information

Part of what makes endoscopic procedures appealing is their flexibility—if the results aren’t what you hoped for, you still have options. Our team provides ongoing support to help you stay on track, and in some cases, revision or additional treatments may be available to help you reach your goals.

This is completely up to you. Some patients prefer to keep medications in their back pocket in case progress stalls after the procedure alone. That said, we’ve seen the best weight loss outcomes when medications are used alongside endoscopic procedures.

How can we help you?​