Solutions

Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty (also known as ESG) is an innovative, non-surgical weight loss procedure that can help you lose up to 20% of your body weight. It’s a safe and highly-effective option that rivals traditional bariatric surgery – offering comparable weight loss results without surgery. The endoscopic sleeve gastroplasty procedure reduces the size of your stomach by 70% to 80%, which limits how much you can eat, restricts your calorie intake, and helps you feel full for longer – all resulting in rapid, sustainable weight loss

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ESG-MAX™

ESG-MAX is a revolutionary weight loss treatment that integrates two advanced, non-surgical procedures: ESG and GFMA. This combined approach results in a smaller, sleeve-like stomach and a proven decrease in the hunger hormone ghrelin, leading to accelerated weight loss, reduced appetite, and enhanced weight loss.

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Bariatric revisions

Sleeve Revisions
Sleeve gastrectomy is the most common bariatric surgery, where a surgeon staples the stomach to create a narrow, tube-like shape. Unfortunately, after several years patients may find they can eat larger portions, leading to weight gain.

Gastric Bypass Revisions
With an endoscopic gastric bypass revision we are able to restore the outlet and pouch to their original size, or even smaller, resulting in long-term weight loss. This safe, same-day, incisionless procedure provides a new opportunity to lose weight and to get back on track.

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Endoscopic Gastric Sleeve Revision

Gastric sleeve revision, also known as endoscopic sleeve revision, is a non-surgical procedure that tightens a sleeve gastrectomy. It is a 30-45-minute outpatient procedure that carries an extremely low risk of complications and a very high success rate. Following an endoscopic gastric sleeve revision, our patients generally start feeling full with smaller portions of food again and begin to shed excess weight almost immediately after the procedure.

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Endoscopic Gastric Bypass Revision

Endoscopic Gastric Bypass Revision is an outpatient, non-surgical procedure designed to stop weight regain and jumpstart weight loss after gastric bypass bariatric surgery. The procedure is performed by a highly-trained gastroenterologist who uses advanced techniques to help tighten the surgical pouch and outlet created during the original gastric bypass surgery to their original size – promoting rapid, sustainable weight loss.

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Gastric Balloons

Spatz3
Spatz3 is the only adjustable gastric balloon on the market. Balloon placement is a non-surgical procedure that helps patients jump-start weight loss and keep it off.

Orbera®
Non-surgical procedure that helps patients initiate and maintain long -term weight loss. The procedure places a small silicone balloon into the stomach, which takes up space so you feel full faster and consume smaller portions of food.

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Spatz3 Adjustable Gastric Balloon

Spatz3 is the only adjustable gastric balloon on the market. Balloon placement is a non-surgical procedure that helps patients jump-start weight loss and keep it off. After placing a small silicone balloon into the stomach, patients feel full more quickly and consume smaller portions. In the early stages, the adjustable design can help patients who experience discomfort or balloon intolerance by allowing your provider to remove saline volume. When or if weight loss stalls throughout the balloon placement, the device can be adjusted again with more saline to provide greater fullness and better overall weight loss.

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Orbera® Balloon

The ORBERA® Managed Weight Loss System is a non-surgical procedure that helps patients initiate and maintain long-term weight loss. The procedure places a small silicone balloon into the stomach, which takes up space so you feel full faster and consume smaller portions of food.
ORBERA® works well for moderately overweight individuals who haven’t succeeded with diet and exercise and want to break through weight loss barriers without surgery. ORBERA® is intended for patients aged 21 and above, as authorized by the FDA.

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True You RX

True You Rx is a comprehensive weight loss program that offers medication in combination with dietary support as well as guidance on a regular physical fitness regimen and healthy eating habits. True You Rx begins with an initial medication consultation to review your medical history, discuss your weight loss goals, and determine if this is an appropriate treatment for you, along with an initial nutrition consultation. If approved, you will continue to meet with a nutritionist on a monthly basis, and will receive ongoing medication support. Your prescription will be refilled on a monthly basis at your local pharmacy.

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Blogs by Dr. Christopher McGowan

Christopher McGowan, MD, is a world-renowned leader in endobariatrics, a groundbreaking field of gastroenterology that tackles obesity without surgery. As one of the few physicians triple-board-certified in internal medicine, gastroenterology, and obesity medicine, Dr. McGowan brings unparalleled expertise to the discussion of non-surgical weight loss. With over 2,000 endoscopic sleeve gastroplasty (ESG) procedures performed—more than any other physician in the U.S.—he has helped thousands achieve sustainable weight loss through cutting-edge, evidence-based techniques.

Beyond his clinical practice, Dr. McGowan is a sought-after educator and researcher, frequently contributing to top medical journals such as Obesity Surgery, Gastroenterology, and Gastrointestinal Endoscopy. His ability to translate complex medical advancements into clear, actionable insights makes him a trusted voice in the field. He regularly shares his expertise through blogs, articles, and media interviews, helping patients and physicians alike understand the latest innovations in non-surgical weight loss.

As a thought leader in endobariatrics, Dr. McGowan is dedicated to empowering individuals with the knowledge they need to make informed decisions about their health. His writing combines the latest clinical research with practical guidance, making weight loss science accessible to all. When he’s not advancing the field, he enjoys early-morning CrossFit and Olympic weightlifting. He lives in North Carolina with his wife, Grace, a hematologist at Duke University, and their two children, Ada and Nico.

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