Kansas City, KS – As a busy nurse and mother of two, Lori Ferguson was exhausted, struggling with her weight and unable to keep up with her children. She knew something needed to change. Doctors at The University of Kansas Health System offered an option: endoscopic sleeve gastroplasty (ESG). This is a procedure performed through the mouth educing the stomach's volume without abdominal incisions. Since undergoing the procedure in April 2025, Lori has lost nearly 90 pounds, transformed her relationship with food and regained the energy to play with her children.
Lori Ferguson, Patient, Registered Nurse, The University of Kansas Health System
Lori chose ESG in part because of its shorter recovery time, returning to work the following Monday after a Friday procedure.
She says previously an emotional eater, she now feels full much sooner, eats smaller portions and works with a dietitian to meet her nutritional goals.
Has regained the energy to play outside with her children and recently traveled to Alaska, where she was able to hike in the mountains. She says her healthier habits are also influencing her children's food choices.
Dr. Mitesh Patel, Surgical Gastroenterologist, The University of Kansas Health System
Dr. Patel explains where ESG fits among weight loss treatments, offering an option between medication-based therapies and traditional bariatric surgery.
He discusses potential risks, including rare injuries to surrounding organs, and how ESG compares with traditional bariatric procedures.
He explains why ESG does not alter nutrient absorption in the same way as gastric bypass surgery, because it does not reroute the small intestine.
Emphasizes the importance of long-term follow-up with weight management specialists, dietitians and other care providers to support lasting results.
Dr. Eric Malloy, Surgical Gastroenterologist, The University of Kansas Health System
Dr. Malloy demonstrates how ESG uses an endoscope and specialized suturing device inserted through the mouth to reduce stomach volume by approximately 70% - 80% without external incisions.
He explains the procedure takes about an hour and patients can generally expect to lose 15% - 20% of their total body weight.
He discusses which patients may qualify, including BMI considerations, and why traditional bariatric surgery may be more appropriate for patients who need greater weight loss.
Dr. Mallow discusses long-term results, including studies showing sustained weight loss at five years, as well as options for patients who need additional treatment.
