Endoscopic bariatric therapies for obesity: a review

Medical Journal of AustraliaVolume 215, Issue 4 p. 183-188 Narrative review Endoscopic bariatric therapies for obesity: a review Dominic A Staudenmann, Corresponding Author Dominic A Staudenmann dominic.staudenmann@magendarmsuisse.ch orcid.org/0000-0003-3721-0741 AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW Praxis Balsiger Seibold und Partner, Bern, Switzerland Université de Fribourg, Fribourg, SwitzerlandSearch for more papers by this authorZhixian Sui, Zhixian Sui University of New South Wales, Sydney, NSWSearch for more papers by this authorPayal Saxena, Payal Saxena Royal Prince Alfred Hospital, Sydney, NSWSearch for more papers by this authorArthur J Kaffes, Arthur J Kaffes AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSWSearch for more papers by this authorGeorge Marinos, George Marinos The BMI Clinic, Sydney, NSWSearch for more papers by this authorVivek Kumbhari, Vivek Kumbhari Mayo Clinic, Jacksonville, FL, United StatesSearch for more papers by this authorPatrick Aepli, Patrick Aepli Luzerner Kantonsspital (LUKS), Lucerne, SwitzerlandSearch for more papers by this authorAdrian Sartoretto, Adrian Sartoretto The BMI Clinic, Sydney, NSWSearch for more papers by this author Dominic A Staudenmann, Corresponding Author Dominic A Staudenmann dominic.staudenmann@magendarmsuisse.ch orcid.org/0000-0003-3721-0741 AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW Praxis Balsiger Seibold und Partner, Bern, Switzerland Université de Fribourg, Fribourg, SwitzerlandSearch for more papers by this authorZhixian Sui, Zhixian Sui University of New South Wales, Sydney, NSWSearch for more papers by this authorPayal Saxena, Payal Saxena Royal Prince Alfred Hospital, Sydney, NSWSearch for more papers by this authorArthur J Kaffes, Arthur J Kaffes AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSWSearch for more papers by this authorGeorge Marinos, George Marinos The BMI Clinic, Sydney, NSWSearch for more papers by this authorVivek Kumbhari, Vivek Kumbhari Mayo Clinic, Jacksonville, FL, United StatesSearch for more papers by this authorPatrick Aepli, Patrick Aepli Luzerner Kantonsspital (LUKS), Lucerne, SwitzerlandSearch for more papers by this authorAdrian Sartoretto, Adrian Sartoretto The BMI Clinic, Sydney, NSWSearch for more papers by this author First published: 01 August 2021 https://doi.org/10.5694/mja2.51179 Podcast with Adrian Sartoretto available at mja.com.au/podcasts Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Summary ▪ 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. Volume215, Issue4August 2021Pages 183-188 RelatedInformation