Published online Feb 27, 2022. doi: 10.4240/wjgs.v14.i2.185
Peer-review started: July 29, 2021
First decision: October 3, 2021
Revised: October 14, 2021
Accepted: February 12, 2022
Article in press: February 12, 2022
Published online: February 27, 2022
Obesity is a chronic and multifactorial disease with a variety of potential treatment options available. Currently, there are several multidisciplinary therapeutic options for its management, including conservative, endoscopic, and surgical treatment.
To clarify indications, technical aspects, and outcomes of bariatric endoscopy.
Narrative review of current literature based on electronic databases including MEDLINE (PubMed), Cochrane Library, and SciELO.
Bariatric endoscopy is in constant development and comprises primary and revisional treatment options as well as management of surgical complications. Various devices act upon different mechanisms of action, which may be individualized to each patient. Despite favorable results for the endoscopic treatment of obesity, prospective randomized studies with long-term follow-up are required to fully validate primary and revisional endoscopic therapies. Regarding the management of bariatric surgery complications, endoscopic therapy may be considered the procedure of choice in a variety of situations. Still, as there is no standardized algorithm, local experience should be considered in decision-making.
The treatment of patients with obesity is complex, and a multidisciplinary approach is essential. Bariatric endoscopy has shown impressive results both in the treatment of obesity and its surgical complications, and therefore, must be part of the armamentarium in the fight against this disease.
Core Tip: Obesity is a chronic and recurrent disease with multiple treatment options available. Currently, there are several multidisciplinary therapeutic options for its management, including conservative, endoscopic, and surgical treatment. This study aims to clarify indications, technical aspects, and results of bariatric endoscopy based upon a detailed literature review and individual authors’ experience.