Advantages and challenges of different endoscopic bariatric technologies in the treatment of obesity — interpretation of Expert consensus on digestive endoscopic treatment for obesity in China
10.16139/j.1007-9610.2025.05.04
- VernacularTitle:不同内镜减重技术在治疗肥胖症中的优势与存在的问题——《中国肥胖症消化内镜治疗专家共识》解读
- Author:
Haowen SUN
;
Yuzhe YIN
;
Yiting WANG
- Publication Type:Journal Article
- From:
Journal of Surgery Concepts & Practice
2025;30(5):392-399
- CountryChina
- Language:Chinese
-
Abstract:
Obesity has emerged as a major global public health challenge, accompanied by a significant rise in obesity-related comorbidities. Although conventional bariatric surgery achieves reliable outcomes, its invasiveness, potential risks, and irreversible anatomical alterations have limited widespread application. With the rapid advancement of digestive endoscopy, endoscopic bariatric therapies are increasingly recognized as minimally invasive alternatives that combine safety and efficacy. This review summarized the current progress and clinical applications of various endoscopic bariatric techniques, including intragastric balloons, endoscopic sleeve gastroplasty, and primary obesity surgery endoluminal procedures that reduced gastric volume via space-occupying, or suture and anastomosis technology achieved by oral devices. In addition, aspiration therapy, which removes gastric contents, and innovative methods such as duodenal-jejunal bypass liners and duodenal mucosal resurfacing that mimic surgical bypass or induce mucosal remodeling were discussed. Endoscopic bariatric technologies showed promising prospects and were expected to become an important component of comprehensive obesity management.
