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

. 2024 Jun ; 99 (6) : 867-885.e64. [epub] 20240419

Language English Country United States Media print-electronic

Document type Journal Article, Practice Guideline

Links

PubMed 38639680
DOI 10.1016/j.gie.2023.12.004
PII: S0016-5107(23)03148-6
Knihovny.cz E-resources

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.

Bibliothèque des Sciences de la Santé Université Libre de Bruxelles Brussels Belgium

Center for Interventional and Therapeutic Endoscopy Division of Digestive Diseases and Nutrition Rush University Chicago Illinois USA

Center for Interventional Gastroenterology at UTHealth Division of Gastroenterology Hepatology and Nutrition McGovern Medical School Houston Texas USA

Countway Library of Medicine Harvard Medical School Boston Massachusetts USA

Department of Biomedical Sciences Humanitas University Pieve Emanuele Italy and Humanitas Clinical and Research Center IRCCS Endoscopy Unit Rozzano Italy

Department of Endocrine and Metabolic Surgery CHU Lille University of Lille Inserm Institut Pasteur Lille Lille France

Department of Gastroenterology and Hepatology Institute of Clinical and Experimental Medicine Prague Czech Republic

Department of Gastroenterology and Hepatology Mayo Clinic Scottsdale Arizona USA

Department of Gastroenterology Hepatopancreatology and Digestive Oncology CUB Hôpital Erasme Université Libre de Bruxelles Hôpital Universitaire de Bruxelles Brussels Belgium

Department of Gastroenterology University Hospital Augsburg Augsburg Germany

Department of Hepatogastroenterology Faculty of Medicine Aix Marseille University Chemin des Bourrely Marseille France

Department of Medicine Division of Gastroenterology Washington University Washington University School of Medicine in St Louis St Louis Missouri USA

Department of Surgery Brigham and Women's Hospital Boston Massachusetts USA

Department of Surgery Long Island Jewish Medical Center Queens New York USA

Department of Surgery Transplantation and Gastroenterology Semmelweis University Budapest Hungary

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

Division of Endocrinology Diabetes and Hypertension Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA

Division of Gastroenterology and Hepatology Mayo Clinic Jacksonville Florida USA

Division of Gastroenterology and Hepatology University of Colorado School of Medicine Aurora Colorado USA

Division of Gastroenterology and Hepatology University of Michigan Ann Arbor Michigan USA

Division of Gastroenterology Hepatology and Endoscopy Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA

Division of Gastroenterology Kings College London London United Kingdom

Hepatogastroenterology Unit 2nd Department of Internal Medicine Propaedeutic Medical School National and Kapodistrian University of Athens Attikon University General Hospital Athens Greece

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

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 2 Naples Italy

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