American Society for Metabolic and Bariatric Surgery review of endobariatric procedures

This systematic review summarizes current endoluminal bariatric therapies, highlighting indications, outcomes, safety, and progress in both primary and revisional obesity treatments.

Abstract

Background

Endoscopic bariatrics is a growing area of interest in the battle against obesity. This systematic review provides a review of the pertinent endoluminal approaches to bariatrics. The purpose of this review is to describe the current indications, clinical outcomes, safety profile, and the progress of endoluminal bariatric therapies for both primary and revisional indications.

Methods

We conducted a systematic review based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A review of databases were performed and all studies were then evaluated based on inclusion and exclusion criteria: all studies with participants over the age of 18 years, a meta-analysis design, a randomized trial design, or a cohort study design were included. All case reports, letters, comments, and animal and in vitro studies were excluded.

Results

A total of 9586 articles were retrieved from our search. After removing duplicates, 7778 studies remained. After applying inclusion and exclusion criteria, and adding one study from our review of citations, a total of 46 studies were included in our study (Fig. 1).

Discussion

This review was conducted utilizing all aspects of the PRISMA model for systematic review. The 46 studies included summaries the various approaches to endoluminal bariatrics and provides a thorough overview of outcomes and complications.

Authors

  • Salvatore Docimo, Jr., DO MBA
  • Rodopho Oviedo, MD
  • Cheguevara Afaneh, MD
  • Bruce Schirmer, MD
  • Fady Moustarah, MD
  • Karen Grothe, PhD
  • R. Wesley Vosburg, MD
  • Jonathan Carter, MD