Advanced Bariatric Endoscopy

Understanding Bariatric Endoscopy

Bariatric endoscopy can refer to techniques to treat obesity and manage its related health complications, or to manage the complications of surgical procedures. Bariatric endoscopy relies on specialised endoscopic tools to access the stomach and digestive system through the mouth, this may reduce the risk of some complications. While endoscopic procedures are shown to be less effective than surgery for obesity, it may provide an effective weight-loss options for people who are seeking non-surgical interventions or require revision procedures after previous bariatric surgery.

In Australia, obesity rates have reached unprecedented levels, affecting over 31% of adults and leading to an increased demand for effective, minimally invasive treatments. Advanced bariatric endoscopy has become a valuable tool in the field of weight management, providing options such as endoscopic sleeve gastroplasty (ESG) and gastric balloon placements. These procedures offer patients a safe, effective solution without the downtime and risks associated with traditional surgery. With advanced techniques and technology, bariatric endoscopy has become a promising option in helping Australians achieve lasting weight loss and improve their health outcomes.

Bariatric Endoscopy and Obesity in Australia

As one of the leading causes of preventable diseases, obesity is a pressing public health concern in Australia. The country has one of the highest obesity rates globally, with 31% of adults classified as obese. This trend has led to a rise in obesity-related health conditions like type 2 diabetes, cardiovascular disease, and obstructive sleep apnea. Advanced bariatric endoscopy offers a non-surgical intervention for those struggling with weight loss, allowing for more accessible and effective treatments. With these minimally invasive options, more Australians can address their weight concerns early, prevent complications, and improve their quality of life.

Symptoms of Obesity

Difficulty controlling hunger, snacking, and/or meal sizes
Distracting and troublesome thoughts about food (also called food noise)
Fatigue and difficulty with physical activity
Shortness of breath and sleep-related issues like sleep apnea
Metabolic issues such as pre-diabetes or diabetes
Problems with blood pressure and/or cholesterol
Polycysitic Ovarian Syndrome (PCOS) and Infertility
Metabolic Associated Liver Disease (also called fatty liver disease)
Back and joint pain
Increased body fat (as can be shown by high waist circumference or body mass index – BMI)

Causes

Obesity can stem from a variety of factors, mainly related to genetics and the effect of the modern environment. Underlying medical conditions and medications can also play an important role as can a sedentary lifestyle, high-calorie diet, and metabolic issues. Examples include:

Genetics: Family history can influence body weight and metabolism.
Lifestyle: Sedentary lifestyle and high-calorie diets contribute significantly to weight gain.
Medical Conditions: Conditions like hypothyroidism, Cushing’s syndrome, and polycystic ovary syndrome (PCOS) can predispose individuals to obesity.
Medications: Certain medications, such as antidepressants and corticosteroids, may lead to weight gain.
Psychological Factors: Emotional eating, stress, and mental health conditions like depression can drive weight gain.

Diagnostic Tests

Waist Circumference and BMI Calculation: Simple tools to assess obesity, but insufficient by themselves to assess risk and guide treatment.
Blood Tests: To check for obesity-related conditions, such as diabetes and high cholesterol.
Liver Function Tests: Often performed to detect liver damage, commonly linked to obesity.
Cardiac Screening: To evaluate cardiovascular risks related to excess weight.
Sleep Study: For assessing conditions like sleep apnea that are frequently associated with obesity.
Imaging Tests: In some cases, imaging like an abdominal ultrasound may be recommended to assess fat distribution and organ health.

Complications of Obesity

If untreated, obesity can lead to severe health complications, including:

Type 2 Diabetes: Due to increased insulin resistance.
Heart Disease: Elevated risk of hypertension, heart attacks, and stroke.
Joint Disorders: Such as osteoarthritis due to excess pressure on the joints.
Sleep Apnoea: Higher likelihood of airway obstruction during sleep.
Certain Cancers: Higher risk for cancers of the breast, colon, and pancreas.
Psychological Disorders: Such as depression, anxiety, and social isolation.
Organ failure: Including Heart and Kidney failure

Endoscopic Treatments for Obesity

Advanced bariatric endoscopy offers several non-surgical treatment options. It should be noted that while often more effective than medications, they are known to be less effective than surgery.

Endoscopic Gastroplasty (ESG): Sometimes called endoscopic ‘sleeve’ gastroplasty (though it should be noted that the procedure does not truly imitate a sleeve gastrectomy and is significantly less effective). This procedure reshapes the stomach using endoscopic sutures to reduce its size, limiting food intake and aiding weight loss.
Gastric Balloon: A temporary balloon is placed in the stomach to promote fullness and reduce food consumption. Some will require removal, others may spontaneously deflate and pass through the digestive tract.
Endoscopic Revision Procedures: Often used for patients who have regained weight after bariatric surgery, these techniques help tighten or reshape previous surgeries.
Lifestyle Modifications: Comprehensive diet and exercise plans, along with behaviour therapy, to complement endoscopic treatments.

For more information or to book a consultation with Dr Craven, please call us on (03) 9852 3777 or email us at info@dralexcraven.com.au.

Dr Alex Craven Provides Specialised Care In

Surgery for Obesity

Upper Gastrointestinal Surgery

General Surgery

Endoscopy

Weight and Obesity Control

Frequently Asked Questions

How does bariatric endoscopy differ from traditional weight-loss surgery?

Bariatric endoscopy is a less invasive option that does not require incisions, with an effect similar to some medications but less effective than surgery,

Is bariatric endoscopy safe?

Yes, it is a generally safe and effective procedure when performed by an experienced specialist. Risks are lower than those of traditional surgery, though some side effects like nausea may occur.

What are the weight-loss expectations after a bariatric endoscopy?

Weight loss results vary based on individual factors. However, most patients experience significant weight reduction within six months to a year with proper lifestyle adjustments.

Will I need ongoing follow-up after the procedure?

Yes, follow-up is essential for monitoring your progress, adjusting your treatment plan, and ensuring long-term success.

Can I undergo bariatric endoscopy if I’ve already had other weight-loss surgeries?

Yes, endoscopic revision is an option for patients seeking additional weight loss after previous bariatric surgeries.

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