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Quality in Sport

Emerging Endoscopic Strategies in Obesity Management Innovations and Future Perspectives
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  • Emerging Endoscopic Strategies in Obesity Management Innovations and Future Perspectives
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Emerging Endoscopic Strategies in Obesity Management Innovations and Future Perspectives

Authors

  • Aneta Rasińska Municipal Hospital No. 4 in Gliwice Ltd. Zygmunta Starego 20, 44-100, Poland https://orcid.org/0009-0007-2872-8000
  • Piotr Rzyczniok Private Healthcare Institution ProCordi in Jastrzębie Zdrój, 44-335 Jastrzębie Zdrój ul. Wyspiańskiego 8, Poland https://orcid.org/0009-0004-5899-2345
  • Weronika Rasińska Silesian University of Technology, 44-100 Gliwice, ul. Akademicka 2a, Poland https://orcid.org/0009-0004-2404-2958
  • Anna Rzyczniok Śląski Uniwersytet Medyczny https://orcid.org/0009-0007-6069-2650
  • Justyna Jachimczak Our Lady of Perpetual Help Hospital in Wołomin, 1/3 Gdyńska Street 05-200 Wołomin https://orcid.org/0009-0005-7614-9500
  • Justyna Matusik Academy of Silesia https://orcid.org/0009-0009-7907-9690
  • Paulina Bala Szpital Matki Bożej Nieustającej Pomocy w Wołominie, 05-200 Wołomin, Gdyńska 1/3 https://orcid.org/0009-0007-0604-8549
  • Mateusz Kopczyński Miejski Szpital Zespolony w Częstochowie, Ul. Mirowska 15 42-200 Częstochowa https://orcid.org/0009-0009-6592-3061

DOI:

https://doi.org/10.12775/QS.2025.41.60288

Keywords

aspiration therapies, endoscopic treatment of obesity, ESG, IGB, DJBS

Abstract

Emerging endoscopic strategies are revolutionizing the treatment of obesity by offering a less invasive alternative to traditional bariatric surgery. Conventional approaches, including lifestyle modifications and pharmacotherapy, often result in only moderate weight loss, while surgical interventions, despite their high efficacy, carry a significant risk of short- and long-term complications. This paper provides a comprehensive overview of current endoscopic modalities, such as various intragastric balloons (Orbera, ReShape, Obalon, Spatz3, Ellipse, Heliosphere), endoscopic sleeve gastroplasty, aspiration therapies, and duodenal–jejunal bypass sleeves. These techniques work by reducing gastric volume, modulating gut hormone secretion, and delaying gastric emptying, thereby enhancing satiety and promoting sustained weight loss. The review emphasizes that while early results are promising, demonstrating significant weight reduction and metabolic improvements with lower complication rates than surgical methods, further long-term studies are required to fully establish their efficacy and safety profile. Endoscopic bariatric interventions are positioned as a valuable addition to the obesity treatment armamentarium, particularly for patients who are not ideal candidates for surgery or who seek reversible treatment options.

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Quality in Sport

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2025-05-05

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RASIŃSKA, Aneta, RZYCZNIOK, Piotr, WERONIKA RASIŃSKA, RZYCZNIOK, Anna, JACHIMCZAK, Justyna, MATUSIK, Justyna, BALA, Paulina and KOPCZYŃSKI, Mateusz. Emerging Endoscopic Strategies in Obesity Management Innovations and Future Perspectives. Quality in Sport. Online. 5 May 2025. Vol. 41, p. 60288. [Accessed 20 June 2025]. DOI 10.12775/QS.2025.41.60288.
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Copyright (c) 2025 Aneta Rasińska, Piotr Rzyczniok, Weronika Rasińska, Anna Rzyczniok, Justyna Jachimczak, Justyna Matusik, Paulina Bala, Mateusz Kopczyński

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