Clin Endosc.  2017 Jan;50(1):11-16. 10.5946/ce.2017.007.

Recent Trends in Endoscopic Bariatric Therapies

Affiliations
  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine, Seoul, Korea. drchunhj@chol.com

Abstract

Obesity and its associated metabolic diseases including diabetes mellitus are severe medical problems that are increasing in prevalence worldwide and result in significant healthcare expenses. While behavioral and pharmacological treatment approaches are partly effective in the short term, their effects are not long-lasting. Although previous studies have described bariatric surgery as the most effective treatment for obesity, it is associated with morbidity, mortality, and economic burden. Endoluminal interventions performed entirely using gastrointestinal flexible endoscopy offer alternative approaches to the treatment of obesity that are safer and more cost-effective than current surgical approaches. The use of endoluminal techniques in the field of metabolic obesity disease has diverse promising applications including endoscopic gastroplasty, intragastric balloon, endoluminal malabsorptive bariatric procedures, and gastric electrical stimulation (GES) for the modulation of gastric emptying. This review discusses recent trends and roles in endoscopic bariatric therapies using the currently available endoluminal and transgastric technologies.

Keyword

Obesity; Endoscopy; Bariatrics; Gastroplasty

MeSH Terms

Bariatric Surgery
Bariatrics
Delivery of Health Care
Diabetes Mellitus
Electric Stimulation
Endoscopy
Gastric Emptying
Gastroplasty
Metabolic Diseases
Mortality
Obesity
Prevalence

Figure

  • Fig. 1. Therapeutic approach to obesity treatment. The effect of endoscopic bariatric treatment for weight loss is greater than that of drugs but lower than that of bariatric surgery, but endoscopic bariatric treatment features fewer complications than bariatric surgery. VBG, vertical band gastroplasty; RYGB, Rouxen-Y gastric bypass; DS, duodenal switch; BPD, biliopancreatic diversion.


Cited by  1 articles

Various Intragastric Balloons Under Clinical Investigation
Seong Ji Choi, Hyuk Soon Choi
Clin Endosc. 2018;51(5):407-415.    doi: 10.5946/ce.2018.140.


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