Are you struggling with obesity, maybe somebody in your family, neighbour, or co-worker? Nearly half of the Americans are projected to be affected by obesity by 2030. Bariatric endoscopy emerged as a transformative advancement in weight management. It offers a less invasive yet effective alternative for individuals struggling with obesity or related health conditions. It is gaining popularity because it bridges the gap between conventional lifestyle changes, pharmacological treatments, and more invasive traditional bariatric surgeries.
Who Is a Candidate for Bariatric Endoscopy?
These kinds of procedures are ideal for individuals seeking an effective weight loss solution but wish to avoid an invasive surgical procedure or are not eligible for one. You may be a good candidate for endoscopic procedures like Endoscopic Sleeve Gastroplasty (ESG) or Intragastric Balloons (IGBs), which we will review a bit later, if you meet the following criteria:
- Body Mass Index (BMI) is between 30 and 40
Especially if you have obesity-related conditions such as type 2 diabetes, high blood pressure, or sleep apnea.
- No previous success with diet and exercise alone
You’ve tried conventional weight loss methods without long-term success.
- Seeking a less invasive, reversible option
It's a great first step if you are hesitant about permanent surgical changes or looking for a bridge to future surgery.
- Willingness to commit to lifestyle changes
Commitment to long-term changes in diet, exercise, and behavior is a must.
- Not currently pregnant or planning pregnancy soon
Bariatric endoscopy is not recommended during pregnancy or if you plan to conceive shortly after the procedure.
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Most Common Procedures
Below, we'll take a look at two leading endoscopic procedures: Endoscopic Sleeve Gastroplasty (ESG) and Intragastric Balloons (IGBs).
Endoscopic Sleeve Gastroplasty (ESG)
ESG is a modern, FDA-approved, minimally invasive weight loss procedure. The doctor uses a flexible tube with a camera and a stitching device that goes through the mouth and into the stomach. They then place stitches inside the stomach to fold it, making it about 70–80% smaller and shaped like a tube. A smaller stomach means less food intake and a longer feeling of fullness. These two combined lead to losing weight.
Intragastric Balloons (IGBs)
Just like ESG, Intragastric Balloon placement is minimally invasive and also FDA-approved. In this case, a doctor places a soft, silicone balloon into the stomach and then fills it with air or saline. The balloon takes up about one-third of the stomach, which makes you feel full faster and helps you eat less. This solution is temporary. The balloon typically remains in the stomach for about 6 months, but newer types that can last for up to 12 months are emerging.
Why Bariatric Endoscopy Is Gaining Popularity
Here, we will review some of the key benefits of these minimally invasive procedures.
No Scars, No Cuts
As we've seen with both of the procedures described above, they are both minimally invasive and performed entirely through the mouth, eliminating the need for any external cuts. This also means patients avoid scars, which for some is a big cosmetic benefit. Additionally, the entire procedure can be a lot less traumatic and stressful, unlike more invasive surgeries. By offering a less daunting option, bariatric endoscopy is accessible to more individuals who may be hesitant about traditional surgical procedures.
Fast Recovery and Outpatient Benefits
The remarkably faster recovery period after endoscopy procedure is also a major plus. Because it is minimally invasive, patients typically experience minimal discomfort and can often resume work and their normal daily activities within a few days to a week. This means that patients can frequently return home on the same day.
Temporary and Reversible
Deciding on endoscopic procedures gives the freedom that comes with reversibility. The option to preserve the stomach's natural anatomy or to reverse the procedure provides patients with greater security and flexibility. Procedures like ESG are potentially reversible for most patients, while Intragastric Balloons are temporary and fully reversible.
Traditional bariatric surgeries involve permanent anatomical changes or removal of stomach tissue. It can be particularly reassuring if future medical interventions become necessary, such as in cases of weight regain, where the procedure can sometimes be repeated or revised.
Less Complications
The minimally invasive nature of endoscopic procedures means less risk of complications when compared to more invasive open or laparoscopic surgeries. While patients may experience common post-procedure discomforts such as nausea, abdominal pain, or temporary reflux, these symptoms are typically mild, and effectively managed with medication. Most individuals report feeling significantly better within just a few days.
Get a medical evaluation
Before undergoing any kind of procedure, a thorough medical evaluation by a multidisciplinary team is necessary to ensure safety and the best results. This includes consultations with a bariatric physician, dietitian, and possibly a psychologist to develop a completely personalized treatment plan.
Endoscopy is Just One Piece of the Puzzle
As we can see, the endoscopic approach to obesity treatment, including procedures like Endoscopic ESG and IGBs, is reshaping approaches to obesity treatment.
However, the procedure is just one part of the solution. Long-term success depends on adopting healthy habits, including dietary changes, regular exercise, and mental well-being strategies. If you are considering bariatric endoscopy, find a dedicated multidisciplinary team that will help you take control of your health in a safe and sustainable way.
FAQ
Is bariatric endoscopy safe?
Yes, bariatric endoscopic procedures like ESG and IGBs are FDA-approved and considered safe. They are less invasive than traditional surgery, with fewer complications, minimal recovery time, and no external scars.
How long do the results last?
Results can be long-lasting with consistent lifestyle changes. ESG can lead to sustained weight loss over several years. Intragastric Balloons are temporary (6–12 months), but can help kickstart long-term habits if followed by a structured wellness plan.
What is recovery like after the procedure?
Recovery is typically quick. Most patients experience mild discomfort, nausea, or bloating for a few days. Normal activities can usually resume within 3–5 days, and the procedure is done on an outpatient basis.
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