Clin Endosc.  2018 Sep;51(5):420-424. 10.5946/ce.2018.150.

Experimental Gastric Non-Balloon Devices

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Korea. kkoimge@naver.com

Abstract

Endoscopic bariatric therapies (EBTs) are promising alternatives to the conventional surgeries used to treat obesity and related metabolic conditions, targeting gastrointestinal anatomical and physiological processes. Many EBTs are at various stages of development and are aimed at promoting an early sense of satiety via anatomical and physiological mechanisms. In the present study, we focused on relevant clinical issues and future perspectives with regard to gastric non-balloon methods treating obesity.

Keyword

Obesity; Stomach; Endoscopic bariatric therapy; Therapeutic endoscopy; Device

MeSH Terms

Obesity
Physiological Processes
Stomach

Figure

  • Fig. 1. The Full-Sense bariatric device (Baker, Foote, Kemmeter, Walburn Lit LC, Grand Rapids, MI, USA). The device puts pressure on the top of the stomach to trigger signals and hormones that cause weight loss.

  • Fig. 2. Transpyloric shuttle (BAROnova, Goleta, CA, USA). The device consists of large and small bulbs.

  • Fig. 3. Articulating circular endoscopic stapling (Boston Scientific Co., Natick, MA, USA). The articulating circular endoscopic stapler is a modified version of the laparoscopic circular stapler for endoscopic use.

  • Fig. 4. Transoral gastroplasty (TOGA; Satiety, Inc., Palo Alto, CA, USA). In TOGA, natural orifices such as the mouth are used in the surgery as an alternative to making cuts or incisions in the patient’s skin.

  • Fig. 5. A transoral endoscopic restrictive implant system.

  • Fig. 6. Primary obesity surgery endoluminal (USGI Medical, San Clemente, CA, USA). A peroral incisionless operating platform is used to place transmural plications in the gastric fundus and distal body with a specialized tissue anchor.


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