New Era: Endoscopic treatment options in obesity–a paradigm shift

Figure 1 Common bariatric surgical procedures. A: Rou-en-Y gastric bypass; B: Adjustable gastric band; C: Sleeve gastrectomy; D: Biliopancreatic diversion with duodenal switch. Reprinted from “Nguyen NT, Varela JE. Bariatric surgery for obesity and metabolic disorders: State of the art. Nat Rev Gastroenterol Hepatol 2017; 14: 160-169”. With permission from RightsLink.

Figure 2 A step wise approach to obesity management. A shift in the paradigm of current trends of obesity. The authors of this manuscript suggest that bariatric endoscopy should be incorporated in the armamentarium of obesity treatment, with the potential of using each modality in combination (when clinically feasible).

Figure 3 A summary of bariatric endoscopic techniques. EBTs: Endoscopic bariatric treatments; GI: Gastrointestinal; ESG: Endoscopic sleeve gastroplasty; IGB: Intragastric balloon. Reprinted from “ASGE Bariatric Endoscopy Task Force; ASGE Technology Committee, Abu Dayyeh BK, Edmundowicz SA, Jonnalagadda S, Kumar N, Larsen M, Sullivan S, Thompson CC, Banerjee S. Endoscopic bariatric therapies. Gastrointest Endosc 2015; 81: 1073-1086”. With permission from Elsevier.