Endoscopic Sleeve Gastroplasty
An incisionless endoscopic procedure that reduces stomach volume using internal sutures, without removing tissue.
Explore the procedure →A thoughtful approach to metabolic healthA brighter
A brighter
path forward.
Explore modern bariatric and metabolic treatment options with clear information, expert-led care, and a path that starts with you.
CANADIAN-TRAINED SURGEONS
ADVANCED FELLOWSHIP TRAINING
BARIATRIC & METABOLIC EXPERTISE
Your optionsFour approaches.
Four approaches.
One focus: you.
Every procedure works differently. Understanding the options is the first step toward an informed decision.
Sleeve Gastrectomy
A laparoscopic operation that removes a portion of the stomach while preserving the normal intestinal route.
Explore the procedure →Roux-en-Y Gastric Bypass
(RYGB)A procedure creating a small gastric pouch and rerouting the small intestine to change food passage and metabolic signalling.
Explore the procedure →Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy
(SADI-S)Combines sleeve gastrectomy with a duodenoileal bypass while preserving the pylorus.
Explore the procedure →Illustrations above are decorative placeholders, not surgical anatomy. Official ASMBS artwork will be inserted only with appropriate reuse permission.
Interactive procedure explorerWhich approach might
Which approach might
fit your needs?
Explore how reflux, type 2 diabetes, BMI, response to anti-obesity medication and previous sleeve surgery can influence the discussion. Your answers stay in this browser page and are not sent anywhere.
Your personalized discussion guide
Options worth exploring
Based on your selections, these procedures may be useful to discuss with a bariatric surgeon.
Educational tool only—not a diagnosis, eligibility determination or treatment recommendation. It cannot account for Barrett’s esophagus, reflux testing, medication history and response, nutritional status, operative history, or other important factors. A surgeon must assess suitability individually.
Explore a consultation ↗Who may benefitDifferent strengths.
Different strengths.
Different patients.
These are common clinical considerations, not fixed rules. Your surgeon will help weigh the benefits and trade-offs of each option.
Endoscopic Sleeve Gastroplasty (ESG)
At Solstice, ESG is particularly worth discussing for selected patients with BMI below 35, no significant reflux, and a favourable response to anti-obesity medication who prefer an incisionless, organ-preserving option. These are preferred selection characteristics, not universal ESG eligibility rules. ESG generally produces less average weight loss than operative bariatric procedures.
Explore suitability ↑Sleeve Gastrectomy
May suit patients seeking effective weight loss without intestinal rerouting, particularly when significant reflux is absent. Sleeve can cause or worsen GERD and is not ideal for every patient.
Explore suitability ↑Roux-en-Y Gastric Bypass (RYGB)
Often favoured for patients with clinically important reflux, and a strong option for type 2 diabetes. Requires lifelong supplements and monitoring; risks include ulcers, internal hernia and dumping syndrome.
Explore suitability ↑Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)
May be considered for patients with BMI ≥50, significant type 2 diabetes, or additional weight-loss needs after sleeve. Greater nutritional risks and long-term follow-up requirements are important considerations.
Explore suitability ↑Our surgical expertise
Expertise you can trust.
At Solstice, your care is guided by Canadian-trained surgeons with advanced fellowship training in minimally invasive, bariatric and metabolic surgery. Our team brings specialized experience in complex gastrointestinal surgery, advanced laparoscopic and endoscopic techniques, and evidence-based treatment—with a commitment to thoughtful, individualized care.
Canadian-trained surgeons
Rigorous Canadian surgical training and a strong foundation in patient safety.
Advanced fellowship training
Additional specialized training in complex minimally invasive and bariatric surgery.
Specialized bariatric expertise
Care informed by experience across surgical and endoscopic treatment options.
Personalized care
The right choice is a personal one.
There is no single procedure that suits everyone. Medical history, reflux symptoms, metabolic goals, nutrition, and personal preferences all matter.
Start exploring your optionsWhat guides a decision
Medical and metabolic healthConsideration of individual health conditions and treatment goals.
Procedure-specific trade-offsBenefits, complications, reflux considerations, and long-term nutritional needs.
Long-term supportFollow-up and nutritional monitoring are essential parts of care.
Your journey
Clear steps. Thoughtful care.
01
Explore
Learn about treatment options and the questions worth asking.
02
Consult
Review your history, priorities, and potential suitability with a qualified clinical team.
03
Prepare
Understand pre-procedure assessment, nutrition, and recovery planning.
04
Follow through
Plan for recovery, ongoing support, and long-term monitoring.
Patient resources
Good questions deserve clear answers.
From choosing the right procedure to preparing for surgery and life afterward, explore answers grounded in guidance from the American Society for Metabolic and Bariatric Surgery.
Which procedure may be right for me?
Reflux, BMI, diabetes, previous procedures, nutritional health and personal preferences all matter. Our interactive procedure explorer can help you prepare for a discussion with your surgeon.
Will I need vitamins after surgery?
Following bariatric surgery, lifelong vitamin and mineral supplementation and regular nutritional monitoring are important. Requirements differ by procedure, especially after gastric bypass and SADI-S. ESG does not bypass the intestines, but nutritional follow-up still matters.
Can weight regain happen?
Yes. Obesity is a chronic disease, and weight regain can occur after any procedure. Long-term follow-up, nutrition, activity, anti-obesity medication and sometimes additional procedures may help.
Let's begin with a conversation
Explore what comes next.
Tell us what you'd like to learn more about. This prototype lets you prepare an inquiry summary; it does not send or store medical information.
Please do not enter sensitive medical information in this demonstration form.
Consultation inquiry preview
Demonstration only. No submission, booking, or data storage is connected. A secure intake system will be required before launch.