1. Endoscopic bariatric therapies for obesity: a review.
- Author
-
Staudenmann DA, Sui Z, Saxena P, Kaffes AJ, Marinos G, Kumbhari V, Aepli P, and Sartoretto A
- Subjects
- Adult, Australia, Bariatric Surgery trends, Gastric Balloon statistics & numerical data, Gastroplasty adverse effects, Gastroplasty methods, Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Weight Loss, Bariatric Surgery adverse effects, Bariatric Surgery methods, Endoscopy adverse effects, Endoscopy methods, Obesity surgery
- Abstract
▪ Obesity is reaching pandemic proportions globally, with overweight or obesity affecting at least two-thirds of Australian adults. ▪ Bariatric surgery is an effective weight loss strategy but is constrained by high resource requirements and low patient acceptance. ▪ Multiple endoscopic bariatric therapies have matured, with well established and favourable safety and efficacy profiles in multiple randomised controlled trials (RCTs), and are best used within a multidisciplinary setting as an adjuvant to lifestyle intervention. ▪ Three types of intragastric balloon are currently in use in Australia offering average total weight loss ranging from 10% to 18%, with others available internationally. ▪ Endoscopic sleeve gastroplasty produces average total weight loss of 15-20% with low rates of severe complications, with RCT data anticipated in December 2021. ▪Bariatric and metabolic endoscopy is rapidly evolving, with many novel, promising therapies currently under investigation., (© 2021 AMPCo Pty Ltd.)
- Published
- 2021
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