Primary Endoluminal Techniques for Weight Loss
Though bariatric surgery remains the gold standard in the treatment and management of obesity, endoluminal approaches may offer the potential for significant weight loss with an improved safety and cost profile. Endoluminal therapies can be broadly organized by three approaches: space occupying, malabsorptive, and gastric volume reduction. These combined groups may be safer and more cost-effective compared with traditional operative approaches. For all endoluminal procedures targeted to bariatric surgery, physicians must demand clear outcome measures and well-designed prospective studies. It is imperative that gastroenterologists and bariatric surgeons work together within a multidisciplinary culture and structure to ensure safe adoption of these new techniques. Ultimately, these procedures should be performed within a bariatric program that can provide expert pre- and post-procedure evaluations of the morbidly obese patient.
KeywordsBariatric Surgery Excess Weight Loss Gastric Volume BioEnterics Intragastric Balloon Natural Orifice Surgery
- 1.National Health and Nutrition Examination Survey Prevalence of overweight, obesity and extreme obesity among adults: United States, trends 1976–80 through 2005–2006. World Health organization Fact sheet No. 311 Sept 2006.Google Scholar
- 2.Finkelstein EA, Fiebelkorn IC, Wang G. National medical spending attributable to overweight and obesity: how much, and who’s paying? Health Aff. 2003;W3:219–26.Google Scholar
- 10.Fugel et al. Digestive Disease Week (DDW). 2009: Abstract 1426. Presented 2 June 2009.Google Scholar
- 11.Brethauer SA, Chand B, Schauer PR, Thompson CC. Transoral gastric volume reduction as intervention for weight management: 12-month follow-up of TRIM trial. Surg Obes Relat Dis. 2011;8(3):303–4.Google Scholar
- 16.Personal Communication, July 2009.Google Scholar
- 17.ClinicalTrials.gov Clinical Trial Registration. Reshape intragastric balloon for the treatment of obesity (Italy III). 2010. http://clinicaltrials.gov/ct2/show/NCT01024465. Accessed Apr 2010.
- 18.Personal Communication, June 2009.Google Scholar
- 19.Personal Communication, June 2009.Google Scholar
- 22.Innovations in Surgery Presentation May 2009, Cleveland Clinic Foundation, Chris Thompson, MD Presenting, Philip R. Schauer MD, Moderating.Google Scholar
- 23.Personal Communication, April 2010.Google Scholar
- 24.The Advisory Board Company, “Bariatric Surgery Volumes 2008–2018”, 2010 Outlook for Bariatric Surgery, 2010.Google Scholar