Endoscopic Bariatric Therapy in NASH Cirrhosis

Obesity is the underlying constant for the development of the most common modern diseases such as insulin resistance, high blood pressure, lipid metabolism disorders, non-alcoholic steatohepatitis (fatty liver), joint problems and various malignancies. The role of endoscopic diagnostic and therapy in obese patients is highlighted in this chapter. In this chapter all devices and methods used in flexible endoscopy for diagnostic and treatment in obese patients are introduced. Role of endoscopy is presented in three parts: in preoperative setting, in post-operative complication management and instead of surgery as endoscopic bariatric therapy. If possible presentation of the effectiveness is compiled with study data. Finally, the interaction between endoscopy and surgery in the treatment of obesity is complex, essential and promising. Endoscopy is indispensable in preoperative preparation, as a primary therapeutic approach, and also in the detection and treatment of acute complications and long-term complications of obesity surgery.

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S1258 Long-term Efficacy of a Multidisciplinary Minimally Invasive Approach to Weight Management Compared to a Single Endoscopic Bariatric Therapy: A Cohort Study

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000778564.90245.98 ◽

2021 ◽

Vol 116 (1) ◽

pp. S579-S579

Author(s):

Sigrid S. Young ◽

Sharnendra Sidhu ◽

Jose O. Aleman ◽

Violeta Popov

Keyword(s):

Cohort Study ◽

Minimally Invasive ◽

Weight Management ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Term Efficacy ◽

Endoscopic Bariatric Therapy

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S1026 Safety and Feasibility of Same Day Discharge for Endoscopic Bariatric Therapy

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000777636.70670.0a ◽

2021 ◽

Vol 116 (1) ◽

pp. S487-S488

Author(s):

Philip Kozan ◽

Jennifer Phan ◽

Adarsh Thaker ◽

Alireza Sedarat ◽

Danny Issa

Keyword(s):

Endoscopic Bariatric Therapy ◽

Same Day Discharge

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The First Endoscopic Sleeve Gastroplasty and Transoral Outlet Reduction in Thailand: Case Report and Literature Review

Siriraj Medical Journal ◽

10.33192/smj.2021.37 ◽

2021 ◽

Vol 73 (4) ◽

pp. 282-288

Author(s):

Nonthalee Pausawasdi

Keyword(s):

Bariatric Surgery ◽

Treatment Options ◽

Revision Procedure ◽

Universal Healthcare ◽

Endoscopic Sleeve Gastroplasty ◽

Endoscopic Bariatric Therapy ◽

Diet And Exercise ◽

Prevalence Of Obesity ◽

Sleeve Gastroplasty

Obesity is becoming a universal healthcare problem. The role of endoscopic bariatric and metabolic therapies is emerging in the management of obesity and its related conditions. The endoscopic treatment can be used as a primary weight loss procedure and a revision procedure after bariatric surgery. While the prevalence of obesity has been rising over the past two decades in Thailand, the treatment options have been limited to diet and exercise, pharmacological treatment, and bariatric surgery until recently. In 2020, an endoscopic full-thickness suturing device was introduced to Thailand, leading to successful endoscopic bariatric therapy using a suturing device in Thai patients. This article intends to report the first successful endoscopic sleeve gastroplasty and transoral outlet reduction in Thailand with a mini-review focusing on these two procedures' outcomes.

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