Endoscopic Devices for Obesity.
The obesity epidemic, recognized by the World Health Organization in 1997, refers to the rising incidence of obesity worldwide. Lifestyle modification and pharmacotherapy are often ineffective long-term solutions; bariatric surgery remains the gold standard for long-term obesity weight loss. Despite the reported benefits, it has been estimated that only 1% of obese patients will undergo surgery. Endoscopic treatment for obesity represents a potential cost-effective, accessible, minimally invasive procedure that can function as a bridge or alternative intervention to bariatric surgery. We review the current endoscopic bariatric devices including space occupying devices, endoscopic gastroplasty, aspiration technology, post-bariatric surgery endoscopic revision, and obesity-related NOTES procedures. Given the diverse devices already FDA approved and in development, we discuss the future directions of endoscopic therapies for obesity.
Section of Gastroenterology and Hepatology, Department of Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA. kartik.sampath@hitchcock.org.|Gastroenterology Fellow, Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA. kartik.sampath@hitchcock.org.
Kartik
K
Sampath
Section of Gastroenterology and Hepatology, Department of Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Amreen M
AM
Dinani
Section of Gastroenterology and Hepatology, Department of Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Richard I
RI
Rothstein
D050110:Bariatric Surgery / Q000295:instrumentation* / Q000379:methods / Q000639:trends; D003362:Cost-Benefit Analysis; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D015905:Gastric Balloon; D006801:Humans; D009765:Obesity / Q000517:prevention & control / Q000601:surgery*; D018579:Patient Selection
Bariatrics; Devices; Endoscopy; Obesity