Endura Weight Loss Solutions is a range of non-surgical weight loss procedures that are performed endoscopically, using a small, flexible tube called an endoscope, instead of incisions used in traditional surgery. The endoscope lets your ESG provider view and treat your digestive system from the inside, which makes the procedure minimally invasive. Discover weight loss options
Non-surgical weight loss procedures
Endura Weight Loss Solutions is a range of non-surgical weight loss procedures done endoscopically—with a small, flexible scope passed gently through your mouth and into your stomach—providing proven weight loss results when paired with diet and lifestyle changes.
ESG
Feel full sooner with ESG, a one-time procedure that uses internal sutures to reduce the capacity of your stomach by 70–80%.1
TORe
Restore portion control with Transoral Outlet Reduction (TORe), a procedure that retightens the connection between your stomach and small intestine for previous gastric bypass patients who regained weight.
Intragastic balloon
Reduce calorie intake and help control your appetite with the Orbera™ Intragastric Balloon System, a soft balloon placed in your stomach for up to six months to create a feeling of fullness.
ESG: The most common side effects of an ESG procedure are nausea, abdominal pain, vomiting, and abdominal discomfort—especially during the first week. Other symptoms like constipation, heartburn, or bloating may occur but usually go away within 30–60 days.
TORe: The most common side effects of a TORe procedure are nausea, abdominal pain, or vomiting in the first week. Most symptoms are temporary and can be managed with medication. Your doctor is the best person to talk to about how possible side effects and risks of TORe might affect you, considering your personal health history.
Intragastric balloon: The most common side effects of an intragastric balloon procedure are temporary and include nausea, vomiting, and abdominal discomfort.
Your doctor can help you understand what’s typical and when to check in if something feels off. For important safety information, refer to endura.com/safety.
As seen in
Read the journeys of real people who chose Endura Weight Loss Solutions and the ESG procedure.
Real stories from real patients
- Mike
- Kyra
- Bren
These patient testimonials are sponsored by Boston Scientific. Results are from individual customer testimonials. Results in other cases may vary. In a study, patients with class 1 (BMI 30 to <45 kg/m2) or class 2 (BMI 35 to <40 kg/m2) obesity who underwent ESG in conjunction with prescribed diet and exercise counseling achieved an average of 13.6% total bodyweight loss at year one.
FAQs
Endura Weight Loss Solutions weight loss procedures (ESG, TORe, intragastric balloon) are performed endoscopically through your mouth and into your stomach. All three minimally invasive procedures are done without surgery, which means no incisions and no scars. Explore ESG | Explore TORe | Explore intragastric balloon
ESG: The most common side effects of an ESG procedure are nausea, abdominal pain, vomiting, and abdominal discomfort—especially during the first week. Other symptoms like constipation, heartburn, or bloating may occur but usually go away within 30–60 days.
TORe: The most common side effects of a TORe procedure are nausea, abdominal pain, or vomiting in the first week. Most symptoms are temporary and can be managed with medication. Your doctor is the best person to talk to about how possible side effects and risks of TORe might affect you, considering your personal health history.
Intragastric balloon: The most common side effects of an intragastric balloon procedure are temporary and include nausea, vomiting, and abdominal discomfort.
Your doctor can help you understand what’s typical and when to check in if something feels off. For important safety information, refer to endura.com/safety.
Endura Weight Loss Solutions procedures are NOT surgery, which means no incisions and no scars. A specially trained doctor—sometimes a gastroenterologist or bariatric surgeon—uses an endoscope to perform the procedure through your mouth and into your stomach while you are sedated or under anesthesia. The minimally invasive ESG weight loss procedure typically takes 60–90 minutes and it has been shown that patients go home the same day and return to routine daily activities in 2–3 days.1 Explore ESG
A specially trained doctor—sometimes a gastroenterologist or bariatric surgeon—uses a small, flexible scope with a camera at the end to perform an endoscopic weight loss procedure, going through your mouth and into your stomach while you are sedated or under anesthesia. Explore ESG
Apollo Endosurgery was acquired by Boston Scientific in 2024, which launched Endura Weight Loss Solutions to raise awareness of minimally invasive weight loss procedures like ESG, TORe, and intragastric balloons.
Ready for weight loss without surgery?
Talk with a local ESG provider to learn if the weight loss procedure is right for you.
OverStitch™ Endoscopic Suturing System & OverStitch NXT Endoscopic Suturing System (“OverStitch”) for bariatric surgery: Important Safety Information
Talk with your doctor to fully understand all the risks and benefits associated with using this device. Ask your doctor whether this device is right for you.
Indications for Use:
OverStitch is for adult patients with obesity with BMI between 30-50 kg/m2. OverStitch can reduce the size of the stomach by stitching the inside. It can also fix the stomach outlet from previous bypass surgery.
When OverStitch is used to help with weight loss, you need to follow a healthy diet and exercise program. You may not lose weight if you do not adopt healthy habits.
Contraindications:
Your doctor will ask you about your medical history and perform a physical exam to decide if OverStitch is right for you. At the time of your procedure, the doctor may detect internal issues that prevent you from receiving OverStitch. For example, stomach ulcers or inflammation in the stomach may impact device placement.
You should not receive OverStitch if you: have a large hiatal hernia; have a history of bleeding in your stomach or food pipe; have a history of eating disorders; are pregnant; have bleeding disorders or are on blood thinners.
Warnings:
Talk to your doctor if you develop major, continued upper abdominal or back pain with difficulty breathing at any time after getting OverStitch. OverStitch contains nickel. Nickel may cause an allergic reaction in people with nickel sensitivity.
Potential Risks:
Breathing any foreign object or substance such as food, saliva, or stomach contents into your lungs; Intestine blockage; Switching to a different type of surgery; Nausea, vomiting, dehydration; Bleeding; Infection; Swelling, redness, and pain in tissues caused by injury or damage; Damage to or a hole through the tissue around the stomach, food pipe or surrounding organs; Unintended transfer of fluid or gas from one area of the body to another; Pain; Feeling pins and needles; Buildup of fluid around the stomach; Air leaking from the lungs; Difficulty breathing; Narrowing or tightening in the stomach; Wound opening; Death
MRI Safety Information:
OverStitch can be MRI scanned under certain conditions. Scanning under other conditions may result in injury or device malfunction. Inform your doctor or MRI technician of the device before undergoing an MRI scan. This allows them to take any needed precautions.
ORBERA™ Intragastric Balloon System (“ORBERA”): Important Safety Information
Talk with your doctor to fully understand all the risks and benefits of using this device. Ask your doctor if this device is right for you.
Indications for Use:
ORBERA is for temporary use in weight loss therapy. It is intended for obese adult patients with a Body Mass Index (BMI) of ≥30 and ≤40 kg/m2. It is for those who have failed to achieve and maintain weight loss with a supervised weight-control program.
The maximum placement time for ORBERA is 6 months.
To receive ORBERA, you must be willing to follow a 12-month program. The program begins with the use of ORBERA. You must follow a healthy diet and exercise program for these first six months. After six months, ORBERA is removed. Then, you follow six more months of a healthy diet and exercise program without ORBERA.
Contraindications:
Your doctor will ask you about your medical history and will also perform a physical exam to determine if ORBERA is right for you. At the time of your procedure, the doctor may identify internal issues that prevent you from receiving ORBERA. For example, stomach ulcers or inflammation in the stomach may impact device placement.
You must not receive ORBERA if: you currently have another intragastric balloon implanted; you have had prior surgery involving your food pipe, stomach and/or small intestine or bariatric surgery; you know or suspect you may have an allergic reaction to the materials of ORBERA; you have poor general health or history and/or symptoms of several kidney, liver, heart and/or lung diseases; you have a serious or uncontrolled psychiatric illness or disorder; you have alcoholism or drug addiction; you are unable or unwilling to take prescribed medicine to lower stomach acid for the duration of the device implant; y are unwilling to participate in an established medically supervised diet and behavior modification program, with routine medical follow-up; you take aspirin, anti-inflammatory agents, blood thinners, or other medicines that irritate the stomach that a doctor does not regularly follow up on.; or you are pregnant or breast-feeding.
Warnings:
Do not use ORBERA for more than six months. Prolonged placement may increase the risk of ORBERA deflating. A deflated ORBERA can cause blockage in the stomach or intestines, requiring surgery.
If you don’t feel full, experience increased hunger, and/or weight gain, contact your doctor as this may be a sign of deflation.
You must maintain regular contact with your doctor while ORBERA is in your stomach. Nausea and vomiting are common when ORBERA is first placed. These symptoms typically improve in the first few weeks as you adjust to ORBERA. If you begin to feel intense stomach or back pain, either steady or cyclic, contact your doctor immediately. These may be signs of a major problem with your stomach and could lead to death. After you have adjusted to ORBERA, contact your doctor and seek immediate medical care if you once again begin to have nausea, vomiting, stomach or back pain, swelling of the upper stomach with or without discomfort, difficulty breathing or gastroesophageal reflux.
If you become pregnant at any time while ORBERA is in your stomach, contact your doctor. ORBERA should be removed as soon as it is safely possible.
Potential Risks:
Inhaling material into the lungs/difficulty breathing; bleeding; lack or loss of fluids leading to loss of normal body functions; bloating of stomach; heartburn/reflux, nausea, vomiting; infection; swelling and redness in the tissue; blockage, hole or tear in the digestive tract; uncomfortable feeling or pain; unintended expansion of ORBERA after placement in the stomach; injury or damage to the tissue; death
MRI Safety Information:
ORBERA is Magnetic Resonance Imaging (MRI) safe. The implant can safely be scanned with MRI.
For the OverStitch Endoscopic Suturing System you need to follow a healthy diet and exercise program to lose weight. You may not lose weight if you do not adopt healthy habits. Your doctor’s clinical team, including dietitians, nutritionists and/or exercise trainers, should help you on your weight loss journey.
1. Abu Dayyeh BK, Bazerbachi F, Vargas EJ, et al. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): A prospective, multicentre, randomised trial. Lancet. 2022;400:441–451.
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a physician.