Endoscopic Bariatric Therapies

Authors: Deepinder Goyal Rabindra R Watson

Publish Date: 2016/04/20

Volume: 18, Issue: 6, Pages: 26-

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Abstract

Obesity and its associated cardiometabolic comorbidities have emerged as a global pandemic The efficacy of various hypocaloric diets and prescription drugs has been poor with respect to sustained weight loss Recent advancements in endoscopic technology and techniques have opened a new field of minimally invasive endoscopic treatment options for combatting obesity both as a first line and adjunctive therapy Presently two endoscopic spaceoccupying devices in the form of intragastric balloons have received FDA approval for 6month implantation in patients within a BMI range of 30–40 kg/m2 Furthermore fullthickness suturing has led to the development of primary endoscopic sleeve gastroplasty and RouxenY gastric bypass revision as viable endoscopic alternatives to surgical approaches These techniques have the potential to reduce adverse events cost and recovery times Looking forward a variety of promising and novel medical devices and endoscopic platforms that target obesity and diabetes are in various phases of development and investigation The present review aims to discuss the current and forthcoming endoscopic bariatric therapies with emphasis on relevant procedural technique and review of available evidence

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