ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 8

Video Transcription

Video Summary

The video features a panel discussion with Dr. Shelby Sullivan, Dr. Bara Maboudaya, and Dr. Chris Thompson. They discuss different approaches to managing obesity and weight loss in patients. The panelists discuss the case of a 57-year-old woman with hypertension, type 2 diabetes, and obesity. The patient has tried various diets and exercise programs with limited success. They discuss the approach of shared medical decision making and considering factors such as patient characteristics, risk acceptance, and medication options. They also highlight the potential benefits and risks of different weight loss procedures, such as intragastric balloon placement and endoscopic sleeve gastroplasty (ESG). The panelists discuss considerations for patients with comorbidities like reflux and gastroparesis. They also touch upon the use of GLP-1 agonists for weight loss, discussing potential side effects and insurance coverage issues. The panelists emphasize the importance of individualized approaches and ongoing management for patients who undergo procedures such as balloon placement. They mention the potential future advancements in the field, including targeting small bowel mechanisms and combining gastric procedures with foregut concepts for more effective treatment of obesity-related comorbidities like diabetes.

Keywords

panel discussion

obesity management

weight loss

shared medical decision making

weight loss procedures