Combination Therapies: Anti-Obesity Medications and Endoscopic Bariatric Procedures

Gastrointest Endosc Clin N Am. 2024 Oct;34(4):743-756. doi: 10.1016/j.giec.2024.06.003. Epub 2024 Aug 16.

Abstract

The obesity epidemic continues to worsen in the United States with currently 40% of adults with obesity. While lifestyle changes, pharmacologic and surgical treatments are the mainstay of therapy, they often are either inadequate to meet desired weight loss or underutilized due to patient preference. Endoscopic bariatric treatment can fill these gaps. Combination of endoscopic therapy with pharmacologic therapy can help narrow the gap between endoscopic and surgical bariatric treatment, as well as treat weight recidivism, inadequate weight loss, or further improve associated medical comorbidities in patients who have undergone or are undergoing endoscopic bariatric treatment.

Keywords: Combination therapy; Endoscopic bariatric treatment; Obesity; Pharmacotherapy.

Publication types

  • Review

MeSH terms

  • Anti-Obesity Agents* / therapeutic use
  • Bariatric Surgery* / methods
  • Combined Modality Therapy
  • Endoscopy, Gastrointestinal / methods
  • Humans
  • Obesity* / complications
  • Obesity* / surgery
  • Weight Loss

Substances

  • Anti-Obesity Agents