Role of Endoscopic Gastroplasty Techniques in the Management of Obesity

Abstract

Health and wellness represent a major global concern. Trends such as a lack of exercise and excessive consumption of calories are major causes of the rapid increase in obesity worldwide. Obesity should be controlled because it can result in other illnesses, such as diabetes, high blood pressure, high cholesterol, coronary artery disease, stroke, breathing disorders, or cancer. However, many people have difficulty in managing obesity through exercise, dietary control, behavioral modifications, and drug therapy. Bariatric surgery is not commonly used due to a variety of complications, even though it has been demonstrated to produce reliable results with respect to adequate weight loss when performed using an open or a laparoscopic approach. Endoscopic bariatric procedures are emerging techniques that are less invasive and safer compared with current surgical approaches. However, the evaluation of endoluminal procedures is limited by the small number of studies and their short-term follow-up.

Keywords: Bariatric surgery; Obesity; Weight loss.

Fig. 1.

An illustration of the endoluminal vertical gastroplasty stitching pattern with cross-section views [18].

Fig. 2.

An illustration of the suturing sequence for the creation of the endoscopic sleeve gastroplasty [21].