Secular trends of endoscopic sleeve gastroplasty: analysis of the MBSAQIP database - Report - MDSpire

Secular trends of endoscopic sleeve gastroplasty: analysis of the MBSAQIP database

  • By

  • Benjamin M. Moy

  • Rolando Barajas

  • Chloe M. Savino

  • Allison R. Schulman

  • July 7, 2026

  • 0 min

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Clinical Report: Trends Over Time in Endoscopic Sleeve Gastroplasty

Background

The obesity epidemic affects nearly 40% of adults in the United States, with bariatric surgery being the most effective treatment option. However, only a small percentage of eligible patients undergo such procedures due to various barriers. Endoscopic sleeve gastroplasty (ESG) has emerged as a less invasive alternative.

Data Highlights

This study retrospectively analyzed ESG procedures from 2020 to 2023, capturing data from over 950 centers in the MBSAQIP registry.

Key Findings

  • ESG is increasingly adopted as a treatment for obesity.
  • The study evaluated patient demographics, including sex, age, race, and pre-procedural BMI.
  • 30-day post-procedural adverse events were documented, including pneumonia, pulmonary embolism, and gastrointestinal complications.
  • Data integrity audits ensured a standardized approach to data collection across participating centers.
  • Patient comorbidities such as diabetes and hypertension were recorded.

Clinical Implications

The growing adoption of ESG highlights its role as a viable treatment option for obesity, especially for patients who may face challenges with traditional bariatric surgery. Understanding patient characteristics and potential adverse events can aid in pre-procedural counseling and risk assessment.

Conclusion

The analysis of ESG trends provides valuable insights into its increasing use and safety profile, contributing to the evolving landscape of obesity treatment options.

Related Resources & Content

  1. Surgical Endoscopy, 2024 -- Comparative Analysis of Robotic vs. Laparoscopic Approaches in Revisional Gastric Bypass: An 8-Year Study of Over 40,000 Cases from MBSAQIP Reveals Reduced Morbidity
  2. Obesity Surgery, 2025 -- Evaluating 30-Day Outcomes and Healthcare Resource Use of Endoscopic Sleeve Gastroplasty (ESG) Versus Laparoscopic Sleeve Gastrectomy (LSG): A Retrospective Cohort Analysis Involving 506,597 Patients Across Multiple Centers
  3. Surgical Endoscopy, 2024 -- Bariatric Surgery: Patterns in Usage, Complications, Conversions, and Revisions
  4. Obesity Surgery, 2024 -- Factors Influencing the Effectiveness of Endoscopic Sleeve Gastroplasty
  5. Endoscopic Sleeve Gastroplasty (ESG) Gains CPT Code Effective January 1, 2026
  6. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomised trial - PubMed
  7. Endoscopic Sleeve Gastroplasty (ESG) Gains CPT Code Effective January 1, 2026
  8. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomised trial - PubMed

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