Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies

Over the past two decades, numerous endoscopic bariatric and metabolic therapies (EBMTs) have been developed with the goal of providing additional effective and safe tools for the treatment of obesity. These treatments are an ultra-minimally invasive option for patients with class I, class II, and c...

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Main Authors: Ronan P. Allencherril, Thomas R. McCarty
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2025-02-01
Series:Methodist DeBakey Cardiovascular Journal
Subjects:
Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1518
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author Ronan P. Allencherril
Thomas R. McCarty
author_facet Ronan P. Allencherril
Thomas R. McCarty
author_sort Ronan P. Allencherril
collection DOAJ
description Over the past two decades, numerous endoscopic bariatric and metabolic therapies (EBMTs) have been developed with the goal of providing additional effective and safe tools for the treatment of obesity. These treatments are an ultra-minimally invasive option for patients with class I, class II, and class III obesity. Many of these EBMTs can be utilized as primary therapies for treatment-naïve patients or as a treatment for weight regain after bariatric surgery. While the role of EBMTs is not to compete with bariatric surgery, which provides the most effective treatment of obesity, they provide greater weight loss than lifestyle modifications and pharmacotherapy; additionally, when combined with pharmacotherapy, they may help achieve surgical weight loss without the risk of invasive surgery. This review summarizes the most currently available EBMTs, including intragastric balloons (IGBs), endoscopic sleeve gastroplasty (ESG), and endoscopic surgical revision procedures for treating obesity.
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language English
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publisher Houston Methodist DeBakey Heart & Vascular Center
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series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-e31e00da06bf41e4a1ebfa2eb0e373fd2025-08-20T02:22:17ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082025-02-01212748310.14797/mdcvj.15181496Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic TherapiesRonan P. Allencherril0https://orcid.org/0000-0002-1266-9102Thomas R. McCarty1https://orcid.org/0000-0003-4517-5261Houston Methodist Hospital, Houston, TexasUnderwood Center for Digestive Disorders, Houston Methodist Hospital, Houston, Texas; Weill Cornell Medical College, New York; Texas A&M University, School of Medicine, Bryan College Station, TexasOver the past two decades, numerous endoscopic bariatric and metabolic therapies (EBMTs) have been developed with the goal of providing additional effective and safe tools for the treatment of obesity. These treatments are an ultra-minimally invasive option for patients with class I, class II, and class III obesity. Many of these EBMTs can be utilized as primary therapies for treatment-naïve patients or as a treatment for weight regain after bariatric surgery. While the role of EBMTs is not to compete with bariatric surgery, which provides the most effective treatment of obesity, they provide greater weight loss than lifestyle modifications and pharmacotherapy; additionally, when combined with pharmacotherapy, they may help achieve surgical weight loss without the risk of invasive surgery. This review summarizes the most currently available EBMTs, including intragastric balloons (IGBs), endoscopic sleeve gastroplasty (ESG), and endoscopic surgical revision procedures for treating obesity.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1518obesityendoscopic bariatric and metabolic therapies (ebmts)intragastric balloon (igb)endoscopic sleeve gastroplasty (esg)transoral outlet reduction (tore)duodenal mucosal resurfacing (dmr)
spellingShingle Ronan P. Allencherril
Thomas R. McCarty
Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
Methodist DeBakey Cardiovascular Journal
obesity
endoscopic bariatric and metabolic therapies (ebmts)
intragastric balloon (igb)
endoscopic sleeve gastroplasty (esg)
transoral outlet reduction (tore)
duodenal mucosal resurfacing (dmr)
title Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
title_full Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
title_fullStr Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
title_full_unstemmed Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
title_short Strategies to Manage Obesity: Endoscopic Bariatric and Metabolic Therapies
title_sort strategies to manage obesity endoscopic bariatric and metabolic therapies
topic obesity
endoscopic bariatric and metabolic therapies (ebmts)
intragastric balloon (igb)
endoscopic sleeve gastroplasty (esg)
transoral outlet reduction (tore)
duodenal mucosal resurfacing (dmr)
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1518
work_keys_str_mv AT ronanpallencherril strategiestomanageobesityendoscopicbariatricandmetabolictherapies
AT thomasrmccarty strategiestomanageobesityendoscopicbariatricandmetabolictherapies