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Aspiration Therapy
Eric C Swei1, Shelby A Sullivan1
1University of Colorado Anschutz Medical Center, Department of Gastroenterology and Hepatology, Aurora, CO.
Techniques in Vascular and Interventional Radiology
|March 21, 2020
Summary
Aspiration therapy, using a device to remove food after eating, offers a novel endoscopic bariatric approach for significant weight loss. This safe method has demonstrated effectiveness with low adverse events in patients with obesity.
Area of Science:
- Bariatric Endoscopy
- Gastroenterology
- Obesity Medicine
Background:
- Obesity is a complex chronic disease requiring effective long-term management strategies.
- Traditional bariatric surgeries carry risks, necessitating exploration of less invasive alternatives.
- Aspiration therapy presents a novel endoscopic approach to reduce caloric intake.
Purpose of the Study:
- To describe the authors' experience with aspiration therapy for weight loss.
- To outline patient selection criteria, procedural details, and complication management.
- To highlight the efficacy and safety of aspiration therapy in managing obesity.
Main Methods:
- Aspiration therapy involves a modified percutaneous gastrostomy tube (A-Tube) to remove a portion of ingested meals.
- Patient selection based on body mass index (BMI) 35-55 and duration of therapy (>6 months).
- The AspireAssist device, FDA-approved in 2016, is the first commercial device for this therapy.
Main Results:
- Studies demonstrate significant weight loss effectiveness with aspiration therapy.
- The procedure is associated with low rates of adverse events and no reported deaths.
- No evidence of eating disorders developed during aspiration therapy in studied patients.
Conclusions:
- Aspiration therapy is a novel, safe, and effective endoscopic bariatric therapy for weight loss.
- It offers an alternative for patients with obesity who may not be candidates for or prefer not to undergo traditional surgery.
- Careful patient selection and management are key to successful outcomes.
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