Endoscopy 2024; 56(06): 437-456
DOI: 10.1055/a-2292-2494
Guideline

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

Pichamol Jirapinyo‡   ‡
1   Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
,
Alia Hadefi‡   ‡
2   Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Brussels, Belgium
,
Christopher C. Thompson
1   Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
,
Árpád V. Patai
3   Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary
,
Rahul Pannala
4   Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA
,
Stefan K. Goelder
5   Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany
,
Vladimir Kushnir
6   Department of Medicine-Division of Gastroenterology, Washington University, Washington University School of Medicine in St Louis, St Louis, Missouri, USA
,
Marc Barthet
7   Department of Hepatogastroenterology, Faculty of Medicine, Aix-Marseille University, Chemin des Bourrely, Marseille, France
,
Caroline M. Apovian
8   Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
,
Ivo Boskoski
9   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, and Centre for Endoscopic Research Therapeutics and Training, Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, Italy
,
Christopher G. Chapman
10   Center for Interventional and Therapeutic Endoscopy, Division of Digestive Diseases and Nutrition, Rush University, Chicago, Illinois USA
,
Paul Davidson
11   Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
,
Gianfranco Donatelli
12   Unité d'Endoscopie Interventionnelle, Hôpital Privé des Peupliers, Ramsay Générale de Santé, Paris, France and Department of Clinical Medicine and Surgery, University of Naples "Federico II," Naples, Italy
,
Vivek Kumbhari
13   Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA
,
Bu Hayee
14   Division of Gastroenterology, Kings College London, London, United Kingdom
,
Janelle Esker
15   Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, Aurora, Colorado, USA
,
Tomas Hucl
16   Department of Gastroenterology and Hepatology, Institute of Clinical and Experimental Medicine, Prague, Czech Republic
,
Aurora D. Pryor
17   Department of Surgery, Long Island Jewish Medical Center, Queens, New York, USA
,
Roberta Maselli
18   Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy and Humanitas Clinical and Research Center IRCCS, Endoscopy Unit, Rozzano, Italy
,
Allison R. Schulman
19   Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA
,
Francois Pattou
20   Department of Endocrine and Metabolic Surgery, CHU Lille, University of Lille, Inserm, Institut Pasteur Lille, Lille, France
,
Shira Zelber-Sagi
21   School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel and Department of Gastroenterology, Tel Aviv Medical Center, Tel Aviv, Israel
,
Paul A. Bain
22   Countway Library of Medicine, Harvard Medical School, Boston, Massachusetts, USA
,
Valérie Durieux
23   Bibliothèque des Sciences de la Santé, Université Libre de Bruxelles, Brussels, Belgium
,
Konstantinos Triantafyllou
24   Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece
,
Nirav Thosani
25   Center for Interventional Gastroenterology at UTHealth, Division of Gastroenterology Hepatology and Nutrition, McGovern Medical School, Houston, Texas, USA
,
Vincent Huberty‡   *
2   Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Brussels, Belgium
,
Shelby Sullivan‡   *
15   Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, Aurora, Colorado, USA
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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/m2, or with a BMI of 27.0–29.9 kg/m2 with 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.

‡ Drs Jirapinyo and Hadefi share co–first authorship.


* Drs Huberty and Sullivan share co–senior authorship.


Supplementary Material



Publication History

Article published online:
19 April 2024

© 2024. American Society for Gastrointestinal Endoscopy and European Society of Gastrointestinal Endoscopy. Published by Elsevier Inc on behalf of American Society for Gastrointestinal Endoscopy and by Georg Thieme Verlag KG Stuttgart on behalf of European Society of Gastrointestinal Endoscopy. All rights reserved

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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