Surgical & Non Surgical Weight Loss

Surgical and Non-Surgical Weight Loss Options at Tri-Rivers Healthcare

Living with obesity can make everything feel heavier

Obesity is more than just the physical weight. Every overpromising diet leaves you wondering if you’re the only person who eats nothing but carrots and still gains weight. It’s time for a new approach.

What’s Endoscopic Sleeve Gastroplasty? 

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, outpatient, non-surgical, incision-less weight loss procedure. The endoscopist sutures the stomach from the inside to reduce its size, which results in long-lasting weight loss. The procedure is very well tolerated. The patients are not admitted to the hospital, and they return to their normal routine after a few days.

Who is ESG for?

ESG is most suited for patients who were unable to achieve the desired weight loss with diet and lifestyle changes. It is also suited for patients who do not want to undergo surgery or who do not meet the criteria for traditional bariatric surgery.


The perfect candidate for ESG is a patient with a BMI between 30 and 50 who is committed to the weight loss program and willing to adapt to a healthier lifestyle.

How is ESG Performed?

The procedure is done endoscopically, so no incisions are needed. The endoscopist advances an endoscope (a tube with a camera and a light on its tip) through the mouth to the stomach. The scope is equipped with a suturing device that allows us to suture the stomach from inside. This way, we can decrease the size of the stomach by about 70-80%. The stomach can accommodate smaller meals; but also, the rate by which the food empties from the stomach is decreased, so a smaller meal lasts for a much longer period of time. The patient can follow a low caloric diet without feeling hungry all the time.

How much weight would you lose?

Most people lose around 18 to 20 percent of their total body weight at 1 year after the procedure. Most of the weight loss occurs early on but it is maintained. Five years after the procedure, people have maintained a 15% total body weight loss. The key is to adopt a healthier lifestyle in the long run.

Other health benefits of ESG

In addition to weight loss patients who undergo an ESG see an improvement in their blood sugar, blood pressure as well as mood and obstructive sleep apnea.


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What is Orbera Balloon? 

An Orbera balloon, often called a stomach balloon or non-surgical gastric balloon, is a non-surgical and short-term (temporary) weight-loss device. This innovative medical tool, like the Orbera intragastric balloon, involves a smooth, soft saline-filled balloon (about the size of a grapefruit) placed in your stomach, allowing you to control your portion sizes by filling space in your stomach. With the Orbera balloon weight loss system, coupled with professional health and wellness advice, you can adopt good healthy eating habits and change your lifestyle so you can lose weight quickly and keep it off long term.

How Much Weight Can I Lose With Orbera

Results with the Orbera weight loss balloon arerapid, with most weight loss occurring in the first 3-4 months. It is important for you to understand that the Orbera procedure is a tool to aid weight loss and must be used in conjunction with diet, exercise, and a behavior modification program. This unique Orbera weight loss system is designed to help patients lose weight by changing their eating habits and life. The amount of weight you lose and maintain will depend on how closely you follow your diet and adopt long-term lifestyle changes. Clinical studies have shown that people lose an average of 13% of their body weight at 6 months. On average, patients lost 3.1x the weight of those that were on a diet and exercise program alone.

Are Orbera Gastric Balloon Safe?

Gastric balloons have been used in the management of obesity for over 20 years. Over this time, they have evolved in shape, size, and design resulting in a modern, durable product, which is now well established as a safe weight loss procedure. Nearly 300,000 Orbera balloons have been distributed worldwide.

Will I Gain The Weight Back After Removing The Orbera Balloon?

Published clinical studies of Orbera have shown that, provided you keep to the prescribed diet and exercise regime, you will maintain weight loss through dieting post-removal. So, if you stick to your new, healthy lifestyle, you will be well on the way to maintaining your weight loss.

Do I Qualify For Orbera?

Insurance may NOT cover the ORBERA balloon. However, we understand that the Orbera gastric balloon placement can be a significant investment in your health, so we offer a financing option to make the Orbera balloon cost accessible.



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If You're Not Prepared For Surgical and Non-Surgical  Weight Loss, We Also Provide Medication Assisted Weight Loss Solutions.

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