Endobariatrics and Metabolic Endoscopy: Can We Solve the Obesity Epidemic with Our Scope?

Adherence to Healthy Lifestyle Habits Is a Determinant of the Effectiveness of Weight Loss among Patients Undergoing Endoscopic Bariatric Therapies

“…As obesity has become one of the biggest pandemics of the 21st century, the number of treatment options for obesity has increased significantly [ 1 , 2 , 3 ]. Still, obesity figures continue to rise, and today, more people are dying from obesity than from being underweight [ 1 ].…”

“…Still, obesity figures continue to rise, and today, more people are dying from obesity than from being underweight [ 1 ]. Obesity treatment options range from lifestyle modification programs to other strategies including pharmacotherapy and bariatric surgery [ 2 , 3 , 4 , 5 ]. The latter is known as the most effective modality for long-term weight loss [ 5 ]; however, adoption of bariatric surgery is poor due to perceived complications, cost, and fear of undergoing surgery [ 2 , 6 ].…”

“…Obesity treatment options range from lifestyle modification programs to other strategies including pharmacotherapy and bariatric surgery [ 2 , 3 , 4 , 5 ]. The latter is known as the most effective modality for long-term weight loss [ 5 ]; however, adoption of bariatric surgery is poor due to perceived complications, cost, and fear of undergoing surgery [ 2 , 6 ]. In fact, only 1–2% of the patients eligible for bariatric surgery actually undergo the surgery [ 6 ].…”

“…In fact, only 1–2% of the patients eligible for bariatric surgery actually undergo the surgery [ 6 ]. Thus, there is a treatment gap for patients with severe obesity who do not want to undergo surgery, who are not candidates for surgery, and even for those patients with moderate obesity (BMI 30–40 kg/m 2 ) who cannot lose enough weight through lifestyle changes or pharmacotherapy [ 2 , 3 , 6 ].…”

“…In this context, endoscopic bariatric therapies (EBTs) have emerged as a group of procedures that can bridge the treatment gap between bariatric surgery and non-procedural treatments (e.g., pharmacotherapy and lifestyle therapy) for obesity [ 2 , 7 , 8 ]. Of the many devices and techniques that constitute EBTs, the intragastric balloon (IGB) and primary obesity surgery endoluminal (POSE) are two procedures that are widely used in the clinical setting.…”