Role of Malabsorptive Endoscopic Procedures in Obesity Treatment

Jae Myung Park, Jae Myung Park

Abstract

The incidence of obesity is increasing, and more definitive treatment modalities are needed. Endoluminal procedures, including restrictive endoscopic procedures, endoscopic gastroplasty, and malabsorptive endoscopic procedures, can reduce weight in obese patients and control obesity-related comorbidities. Malabsorptive endoscopic interventions also offer the potential for an ambulatory procedure that may be safer and more cost-effective compared with laparoscopic surgery. Malabsorptive endoscopic intervention can induce weight reduction and improve obesity-related metabolic parameters, despite complications such as device migration, obstruction, and abdominal pain. Improvement in technique will follow the development of new devices.

Keywords: Endoscopy; Intestinal absorption; Obesity; Sleeve.

Conflict of interest statement

The author has no financial conflicts of interest.

Figures

Fig. 1.
Fig. 1.
Illustration of duodenal-jejunal bypass sleeve.
Fig. 2.
Fig. 2.
(A) Schematic image of Roux-en-Y gastric bypass. (B) Illustration of gastroduodenojejunal bypass sleeve.

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Source: PubMed

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