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Multidisciplinary Approach to Obesity Management: A Case Report
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Building an endobariatric program: lessons learned.

Dilhana Badurdeen1, Abdellah Hedjoudje1,2, Mohamad Itani1

  • 1Johns Hopkins Medical Institutions - Division of Gastroenterology and Hepatology, Baltimore, Maryland, United States.

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Summary
This summary is machine-generated.

Building an endobariatric program requires overcoming barriers like cost and marketing challenges. Endobariatric therapies (EBTs) show significant weight loss, with a preference for ESG over IGB.

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Area of Science:

  • Medical Science
  • Surgical Innovation
  • Healthcare Management

Background:

  • Obesity treatment is critical but complex due to new procedures and insurance issues.
  • Establishing endobariatric programs faces challenges like high costs and limited insurance coverage.
  • Effective marketing is crucial for program growth, especially with limited early finances.

Purpose of the Study:

  • To educate on building a successful endobariatric program.
  • To identify and provide solutions for common barriers in endobariatric program development.
  • To report on the 3-year weight loss outcomes of endobariatric therapies (EBTs).

Main Methods:

  • Program development strategy based on 3 years of experience.
  • Analysis of weight loss outcomes for endoscopic sleeve gastroplasty (ESG) and intragastric balloon (IGB) procedures.
  • Compilation of lessons learned and business development strategies.

Main Results:

  • ESG achieved 17.8% and 20.6% total body weight loss (%TBWL) at 6 and 12 months.
  • IGB procedures (Orbera and Reshape) resulted in 14.9% and 12.6% %TBWL at 6 months.
  • A trend towards preferring ESG over IGB placement was observed over the 3 years.

Conclusions:

  • Successful endobariatric programs need physician leadership, surgical collaboration, institutional support, and marketing.
  • Anticipate increased patient demand as insurance coverage for EBTs expands.
  • Proactive preparation is essential for managing future patient influx.