What are endoscopic bariatric procedures?
Endoscopic bariatric procedures are minimally invasive weight-loss interventions done via endoscopy, without surgical incisions. Common types:
• Endoscopic sleeve gastroplasty (ESG): suture-based gastric reduction. Average weight loss 12–15% body weight at 12 months. Reversible.
• Intragastric balloon: temporary device removed at 6–12 months. Weight loss 8–12% body weight.
These options bridge the gap between medical therapy and bariatric surgery. They're most appropriate for moderate obesity (BMI 30–35) where surgical thresholds aren't met.
Weight regain after device removal is common without behavioral support. These aren't permanent solutions; they're tools that work in conjunction with sustained lifestyle change.
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