Advances and future directions in endoscopic bariatric therapies

doi:10.4253/wjge.v17.i11.109157

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Nov 16, 2025; 17(11): 109157
Published online Nov 16, 2025. doi: 10.4253/wjge.v17.i11.109157

Table 2 A quick-reference summary of endoscopic bariatric therapies in obese patients

	IGB	ESG	DJBS	TOGA	BTX-A	GES
EWL%	20%-30%	50%-60%	30%-40%	30%-40%	Uncertain	25%-35%
Reversible	Yes	Partially	Yes	No	Yes	Yes
Difficulty¹	1	4	2	4	1	2
Metabolic effect	Moderate	Significant	Marked	Good	Limited	Mild
Safety	High	Medium-high	Moderate	Moderate	High	Moderate

¹Difficulty rating scale is based on technical complexity, instrument coordination, and training experience (number of procedures performed); the levels from 1 to 4 correspond to basic, intermediate, advanced, and expert, respectively.

IGB: Intragastric balloon; ESG: Endoscopic sleeve gastroplasty; DJBS: Duodenal-jejunal bypass sleeve; TOGA: Transoral gastroplasty; BTX-A: Botulinum toxin A; GES: Gastric electrical stimulation; EWL: Excess weight loss.

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Citation: Zhai YX, Mao T, Li XY, Ren LL, Tian ZB. Advances and future directions in endoscopic bariatric therapies. World J Gastrointest Endosc 2025; 17(11): 109157
URL: https://www.wjgnet.com/1948-5190/full/v17/i11/109157.htm
DOI: https://dx.doi.org/10.4253/wjge.v17.i11.109157

Zhai YX, Mao T, Li XY, Ren LL, Tian ZB. Advances and future directions in endoscopic bariatric therapies. World J Gastrointest Endosc 2025; 17(11): 109157 [PMID: 41256307 DOI: 10.4253/wjge.v17.i11.109157]

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