ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Case Discussion #2 and Panel Q&A

Video Transcription

Video Summary

In this video, Dr. Sullivan presents data showing that 70 to 100% of patients who had intragastric balloon treatment were able to maintain their weight loss at six months after balloon removal. Based on this data, the recommendation is to consider adding pharmacotherapy either at the time of balloon removal or when patients start experiencing weight regain. The timing may depend on individual patient preferences and circumstances. Dr. Schumann discusses the use of pigtails as a treatment for leaks after bariatric surgery. He explains that pigtails can be used earlier for leaks, but caution must be exercised to avoid complications. The decision to use pigtails as a bridge to remove an IR drain sooner depends on individual patient cases. Dr. Millard describes the referral pathway for patients with obesity at the University of Colorado, with patients being referred to either obesity medicine experts or bariatric endoscopy experts based on their needs and preferences. For patients with weight regain, medication or endoscopic revision may be considered depending on individual circumstances. The discussion also touches on the approach to medication management for weight loss and when it may be appropriate to consider bariatric endoscopic procedures.

Keywords

intragastric balloon treatment

weight loss maintenance

pharmacotherapy

bariatric surgery leaks

referral pathway for obesity