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Primary Bariatric Procedures.

Pichamol Jirapinyo1,2, Christopher C Thompson3,4

  • 1Brigham and Women's Hospital, Boston, USA. pjirapinyo@bwh.harvard.edu.

Digestive Diseases and Sciences
|March 29, 2022
PubMed
Summary
This summary is machine-generated.

Obesity is a growing epidemic. This review covers endoscopic bariatric and metabolic therapies (EBMTs), detailing their procedures, mechanisms, and study data for gastroenterologists to guide patient referrals.

Keywords:
Bariatric EndoscopyEBMTsESGIGBObesityPOSE

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Area of Science:

  • Gastroenterology
  • Bariatric Medicine
  • Endoscopic Therapeutics

Background:

  • Obesity is a global pandemic, projected to affect half of the U.S. population by 2030.
  • Current obesity treatments include lifestyle changes, medications, bariatric surgery, and endoscopic bariatric and metabolic therapies (EBMTs).
  • The development of novel EBMTs necessitates increased awareness among gastroenterologists.

Purpose of the Study:

  • To provide a comprehensive overview of available and emerging EBMTs.
  • To familiarize gastroenterologists with the safety and efficacy of various EBMTs.
  • To aid in the appropriate referral of eligible patients for bariatric endoscopic therapies.

Main Methods:

  • Review of currently available and upcoming endoscopic bariatric and metabolic therapies.
  • Summarization of procedural details and mechanisms of action for each EBMT.
  • Analysis of data from pivotal studies evaluating EBMT safety and efficacy.

Main Results:

  • An increasing number of EBMTs are available, offering diverse treatment options.
  • EBMTs provide minimally invasive alternatives or adjuncts to traditional bariatric interventions.
  • Pivotal studies demonstrate varying degrees of safety and efficacy across different EBMTs.

Conclusions:

  • Gastroenterologists must be knowledgeable about EBMTs to effectively manage patients with obesity.
  • Familiarity with EBMTs enables informed patient counseling and timely referrals.
  • Endoscopic bariatric and metabolic therapies represent a significant and evolving field in obesity management.