Endoscopic bariatric and metabolic therapies: Another tool for the management of diabetes and obesity.
Shreya ChablaneyNikhil A KumtaPublished in: Journal of diabetes (2019)
Endoscopic bariatric and metabolic therapies (EBMTs) have sparked significant interest as minimally invasive therapeutic options for weight loss. Although bariatric surgery remains an effective option for sustained weight loss and improvement in the metabolic syndrome, access and utilization are limited. Various EBMTs have been designed to emulate the physiologic effects of established surgical interventions, including space-occupying and non-space-occupying gastric therapies, gastric remodeling procedures, and small bowel therapies. This review discusses the safety and efficacy of available US Food and Drug Administration-approved minimally invasive endoscopic bariatric interventions, as well as those currently under investigation. In addition, the role of endoscopic revision after failed surgical intervention is discussed.
Keyphrases
- endoscopic submucosal dissection
- weight loss
- bariatric surgery
- minimally invasive
- roux en y gastric bypass
- gastric bypass
- drug administration
- glycemic control
- metabolic syndrome
- obese patients
- small bowel
- physical activity
- randomized controlled trial
- type diabetes
- weight gain
- cardiovascular disease
- total knee arthroplasty
- robot assisted
- ultrasound guided
- skeletal muscle
- climate change
- adipose tissue