Endoscopic Obesity Therapy

Obesity has grown as a world-wide disorder that is impacting morbidity, quality of life, and mortality rates. The treatment of obesity remains difficult in the majority of patients as maintaining a healthy weight is not possible for all. Sometimes dietary and lifestyle changes fail in bringing out weight loss outcomes. Endoscopic approaches for managing obesity has been established with a purpose of effective, and safer methods of weight reduction. These latest procedures have evolved and offer imperative options to patients who want to lose weight. Endoscopic treatments provide good weight loss and even without any side effects and involve less involvement of surgical instruments.
Benefits of Endoscopic Obesity Therapy

  • Patients who choose this procedure have many advantages than other weight loss methods such as:
  • Incision-free as endoscopy is done by inserting the scope via mouth inside the stomach.
  • Fast recovery as most patients go home on the same day of the day after the procedure.
  • Reversible as while endoscopy physicians do not permanently remove or rearrange any part of the intestinal tract.
  • Those weight loss endoscopies have reduced the possible risk associated with diabetes, elevated cholesterol, high blood pressure, acid reflux, and sleep apnea.   

Procedures of Endoscopic Obesity Therapy
Those endoscopic methods are done by progressing flexible instruments inside your mouth to the stomach. With these, precise instruments are used to place stitches and those comprise of the tiny camera for visualizing and magnifying concerned area.
Endoscopic Suturing: Endoscopic suturing is done by placing narrow tune fitted with a camera inside the stomach via an oral route. Once this apparatus reaches your stomach tiny instruments are inserted through a tube that helps in suturing the stomach without any external incision.
Advantages of Endoscopic Suturing:

  • There is no need of external incision.
  • There is no need for medicines.
  • The patient can have drop in their weight by 30%.

Intragastric balloon: This is a reversible approach towards weight loss. A narrow tube is inserted through the mouth and towards the stomach. A small device carrying a balloon device is placed through the tube and delivered towards the stomach. After that, it is inflated by pumping about 24-36 ounces of fluid. The inflated balloon occupies space inside the stomach and lessens your appetite. This causes the patient to eat less and in smaller parts. This procedure is also done under sedation. This balloon is taken out after 6 months’ time as beyond this time there is the possibility of balloon deflation. The balloon is punctured and saline is emptied through the catheter. Using snare polypectomy or grasping forceps this balloon is removed. The location of the balloon must be verified and should be removed to prevent bowel obstructions.
Obesity is rising world-wide and so newer techniques such as endoscopic obesity therapy allow gastroenterologist to play a greater role in managing obese patients.