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Endoscopic Bariatric Therapies: Current Status and Future Perspectives.
Baraa Kamal Ibrahim Mohamed1, Juan S Barajas-Gamboa1, John Rodriguez1
1Department of Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 21, 2022
Summary
Endoscopic bariatric therapies (EBT) offer a minimally invasive option for obesity management, bridging the gap between medical treatments and surgery. This review covers common EBTs, their uses, results, and potential complications.
Area of Science:
- Gastroenterology
- Bariatric Medicine
- Endoscopic Surgery
Background:
- Obesity is a complex, chronic disease linked to numerous cardiometabolic issues.
- Current management involves lifestyle changes, medications, and bariatric surgery.
- Endoscopic bariatric therapies (EBTs) represent an emerging minimally invasive option.
Purpose of the Study:
- To review primary endoscopic bariatric therapies (EBTs).
- To outline indications, outcomes, and complications associated with EBTs.
- To inform the integration of EBTs into multidisciplinary obesity care.
Main Methods:
- A comprehensive medical literature review was performed.
- Searches included PubMed, Google Scholar, Embase, and EBSCO.
- English-language articles published between June 2000 and June 2021 were analyzed.
Main Results:
- The review details common primary EBTs, including their specific applications.
- Data on the efficacy and safety profiles of various EBTs are presented.
- Complications associated with EBT procedures are discussed.
Conclusions:
- EBTs should be integrated into a comprehensive, multidisciplinary obesity treatment plan.
- Formal training is essential for endoscopists and surgeons performing EBTs.
- Further research with longer follow-up is needed to standardize EBT techniques.
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