You likely will not need a referral, but it's always best to check with your insurance provider just to be sure.
ESG may be right for you if:
You may be eligible
ESG may be an option even if you’ve experienced the following:
- You have Type 2 Diabetes or PCOS
- You’ve had a C-section or minor abdominal surgeries
- You’ve failed a Lap-Band or other previous procedure
- You’re seeking minimally invasive or reversible options
When ESG isn’t an option
Talk to your provider about your medical history, since ESG may not be right for you if:
- You have a large hiatal hernia
- You have a history of bleeding in your stomach or food pipe
- You’re pregnant
- You have bleeding disorders or are on blood thinners1
Frequently asked questions
ESG is for people with a BMI of 30–50.
A C-section will not automatically disqualify you from getting an ESG.
People who have had a previous bariatric surgery may be better suited to explore a different procedure that reduces food intake by tightening the connection between stomach and intestine called TORe (Transoral Outlet Reduction).
This is up to your physician, but some patients have had a successful ESG after taking GLP-1 medication. Learn more about how ESG is different.
1. OverStitch Endoscopic Suturing System. Important Safety Information. Boston Scientific; 2025.
Important OverStitch Endoscopic Suturing System Safety Information
ESG is performed using a suturing device called OverStitch. Learn about the risks of the OverStitch Endoscopic Suturing System & OverStitch NXT Endoscopic Suturing System (“OverStitch”) for bariatric surgery.
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.
If you have additional questions, talk with your doctor. For full safety information, visit IFU-BSCI.com.
CAUTION Rx only.