American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy guideline on primary endoscopic bariatric and metabolic therapies for adults with obesity

Pichamol Jirapinyo, Alia Hadefi, Christopher C. Thompson, Árpád V. Patai, Rahul Pannala, Stefan K. Goelder, Vladimir Kushnir, Marc Barthet, Caroline M. Apovian, Ivo Boskoski, Christopher G. Chapman, Paul Davidson, Gianfranco Donatelli, Vivek Kumbhari, Bu Hayee, Janelle Esker, Tomas Hucl, Aurora D. Pryor, Roberta Maselli, Allison R. SchulmanFrancois Pattou, Shira Zelber-Sagi, Paul A. Bain, Valérie Durieux, Konstantinos Triantafyllou, Nirav Thosani, Vincent Huberty, Shelby Sullivan

Research output: Contribution to journalArticlepeer-review

Abstract

This joint ASGE-ESGE guideline provides an evidence-based summary and recommendations regarding the role of endoscopic bariatric and metabolic therapies (EBMTs) in the management of obesity. The document was developed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework. It evaluates the efficacy and safety of EBMT devices and procedures that currently have CE mark or FDA-clearance/approval, or that had been approved within five years of document development. The guideline suggests the use of EBMTs plus lifestyle modification in patients with a BMI of ≥30 kg/m 2, or with a BMI of 27.0-29.9 kg/m 2with at least 1 obesity-related comorbidity. Furthermore, it suggests the utilization of intragastric balloons and devices for endoscopic gastric remodeling (EGR) in conjunction with lifestyle modification for this patient population.

Original languageEnglish
JournalEndoscopy
Early online date16 Apr 2024
DOIs
StateE-pub ahead of print - 16 Apr 2024
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2024 Georg Thieme Verlag. All rights reserved.

ASJC Scopus subject areas

  • Gastroenterology

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