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Endoscopic Treatment of Obesity

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Gastrointestinal Endoscopy

Abstract

Obesity affects a third of the adults in the USA. Current weight-loss therapies include lifestyle therapy, pharmacotherapy, and bariatric surgery. Bariatric surgery is the most effective therapy; however, only 1 % of the patients who qualify are actually treated with bariatric surgery. Moreover, a weight regain in 3–10 years after bariatric surgery occurs in a significant number of patients and has been difficult to treat. New endoscopic procedures and endoscopically placed devices are currently being studied for use in the treatment of obesity. These devices and procedures overcome many of the obstacles preventing patients from undergoing bariatric surgery and provide a safer mechanism for treating weight regain after Roux-en-Y gastric bypass (RYGB). With these new therapies, endoscopists are poised to fill an important gap in the treatment of obese patients. This chapter reviews the role of endoscopy for weight regain after RYGB and in primary bariatric therapy.

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Abbreviations

RYGB:

Roux-en-Y gastric bypass

BMI:

Body mass index

BPD:

Biliopancreatic diversion

GJ:

Gastrojejunostomy

EBT:

Endoscopic bariatric therapy

IGB:

Intragastric balloon

DJBL:

Duodenal jejunal bypass liner

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Authors and Affiliations

  1. Division of Gastroenterology and Center for Human Nutrition, Washington University School of Medicine, 660 S. Euclid Ave, 63110, Campus Box 8124, St. Louis, MO, USA

    Shelby Sullivan MD

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  1. Shelby Sullivan MD
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Correspondence to Shelby Sullivan MD .

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  1. Department of Gastroenterology, Saint Luke’s Health System, Kansas City, Missouri, USA

    Sreenivasa S. Jonnalagadda

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Sullivan, S. (2015). Endoscopic Treatment of Obesity. In: Jonnalagadda, S. (eds) Gastrointestinal Endoscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2032-7_4

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