How to establish an endoscopic bariatric practice

Table 2 Common barriers to establishing an endoscopic bariatric therapy program

Common barriers
Lack of practice, administration, departmental, or partner support
Endoscopist skillset, specifically endoscopic suturing
Facility limitations, particularly the need for general anesthesia capability
Cost-prohibitive facility fees
Difficulty establishing a cash-pay model
Need for nutrition support
Inadequate marketing (limited patient awareness)
Poor patient intake process
External pressures (anti-obesity medication growth and competitive forces)