Endoscopic bariatrics: Current status and emerging technologies

Nov 3, 2025World journal of gastrointestinal endoscopy

Current methods and new technologies in weight-loss treatments using flexible tubes

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Abstract

Endoscopic bariatrics has emerged as a minimally invasive alternative to traditional bariatric procedures.

Significant progress in endoscopic techniques has improved the safety and efficacy of weight loss procedures.
Methods like intragastric balloons and endoscopic sleeve gastroplasty are associated with promoting weight loss and improving metabolic health.
Combining endoscopic procedures with pharmacological agents may enhance their effectiveness.
Emerging technologies such as robotic-assisted devices and advanced imaging systems could improve procedural precision and minimize complications.
Novel approaches like microbiome modulation may have a supportive role in enhancing patient outcomes.

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Endoscopic bariatrics has emerged as a minimally invasive alternative to traditional bariatric procedures. Over the last decade, significant progress in endoscopic techniques and technologies has improved the safety, efficacy, and accessibility of these procedures. Current methods, such as intragastric balloons, endoscopic sleeve gastroplasty, and endoscopic-assisted gastrojejunostomy, have promoted weight loss, improving the metabolic health of obese individuals, with emerging evidence suggesting that their combination with pharmacological agents could further maximize their benefit. Emerging technologies, such as robotic-assisted endoscopic devices, advanced imaging systems, and biodegradable implants, could enhance procedural precision, minimize complications, and provide more personalized treatment options. In contrast, novel approaches such as microbiome modulation and tissue regeneration could have an adjunct role in improving patient outcomes. This review provides a brief overview of the current status of endoscopic bariatrics, highlighting the most common procedures and emerging technologies. It also discusses the challenges and future directions for the field, emphasizing the importance of multidisciplinary collaboration, patient selection, and research priorities to establish the long-term benefit and effectiveness of the available endoscopic bariatric interventions.

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Endoscopic bariatrics: Current status and emerging technologies

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