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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.
Jirapinyo, Pichamol; Hadefi, Alia; Thompson, Christopher C; Patai, Árpád V; Pannala, Rahul; Goelder, Stefan K; Kushnir, Vladimir; Barthet, Marc; Apovian, Caroline M; Boskoski, Ivo; Chapman, Christopher G; Davidson, Paul; Donatelli, Gianfranco; Kumbhari, Vivek; Hayee, Bu; Esker, Janelle; Hucl, Tomas; Pryor, Aurora D; Maselli, Roberta; Schulman, Allison R; Pattou, Francois; Zelber-Sagi, Shira; Bain, Paul A; Durieux, Valérie; Triantafyllou, Konstantinos; Thosani, Nirav; Huberty, Vincent; Sullivan, Shelby.
Afiliação
  • Jirapinyo P; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: pjirapinyo@bwh.harvard.edu.
  • Hadefi A; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Brussels, Belgium.
  • Thompson CC; Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Patai ÁV; Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary.
  • Pannala R; Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA.
  • Goelder SK; Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
  • Kushnir V; Department of Medicine-Division of Gastroenterology, Washington University, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
  • Barthet M; Department of Hepatogastroenterology, Faculty of Medicine, Aix-Marseille University, Chemin des Bourrely, Marseille, France.
  • Apovian CM; Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Boskoski I; 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.
  • Chapman CG; Center for Interventional and Therapeutic Endoscopy, Division of Digestive Diseases and Nutrition, Rush University, Chicago, Illinois USA.
  • Davidson P; Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Donatelli G; 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.
  • Kumbhari V; Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
  • Hayee B; Division of Gastroenterology, Kings College London, London, United Kingdom.
  • Esker J; Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, Aurora, Colorado, USA.
  • Hucl T; Department of Gastroenterology and Hepatology, Institute of Clinical and Experimental Medicine, Prague, Czech Republic.
  • Pryor AD; Department of Surgery, Long Island Jewish Medical Center, Queens, New York, USA.
  • Maselli R; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy and Humanitas Clinical and Research Center IRCCS, Endoscopy Unit, Rozzano, Italy.
  • Schulman AR; Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA.
  • Pattou F; Department of Endocrine and Metabolic Surgery, CHU Lille, University of Lille, Inserm, Institut Pasteur Lille, Lille, France.
  • Zelber-Sagi S; 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.
  • Bain PA; Countway Library of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
  • Durieux V; Bibliothèque des Sciences de la Santé, Université Libre de Bruxelles, Brussels, Belgium.
  • Triantafyllou K; Hepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece.
  • Thosani N; Center for Interventional Gastroenterology at UTHealth, Division of Gastroenterology Hepatology and Nutrition, McGovern Medical School, Houston, Texas, USA.
  • Huberty V; Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Hôpital Universitaire de Bruxelles, Brussels, Belgium.
  • Sullivan S; Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Gastrointest Endosc ; 99(6): 867-885.e64, 2024 06.
Article em En | MEDLINE | ID: mdl-38639680
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Balão Gástrico / Endoscopia Gastrointestinal / Cirurgia Bariátrica / Obesidade Limite: Adult / Humans Idioma: En Revista: Gastrointest Endosc Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Balão Gástrico / Endoscopia Gastrointestinal / Cirurgia Bariátrica / Obesidade Limite: Adult / Humans Idioma: En Revista: Gastrointest Endosc Ano de publicação: 2024 Tipo de documento: Article