Folding/Contraction / Plication

Volume reduction without a scalpel

In conventional surgery, the surgeon cuts and removes part of the stomach. In ESG, we use the plication technique. Imagine an "accordion" or folds in fabric: we suture the inner stomach walls to each other, folding them inward.

‍The result: the stomach changes from a wide sac into a shorter, narrower tube. This folding not only limits the space for food, but also slows the stomach's motility, so that food remains inside longer and you feel full for many hours—without removing any vital organ.