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Aug 9, 2017 · A review of endoscopic bariatric therapies published by Dr. Abu Dayyeh and colleagues in Non-Surgical Weight Management Program

Multiple endoscopic bariatric therapies are currently being evaluated or are in clinical use throughout the United States. These procedures are well positioned to fill an important gap in the management of obesity and metabolic disease.

Dr. Barham Abu Dayyeh and colleagues recently completed a review of these therapies in an American Gastroenterological Association Clinical Practice Update. The update also included best practices for providers who offer endoscopic bariatric therapies.

The review showed that while endoscopic bariatric therapies are effective in supporting a patient’s weight loss journey no individual medication, device, or surgical intervention likely will offer a cure. This makes it important for these procedures to be offered in conjunction with a multidisciplinary team taking care of patients with obesity, such as medical obesity specialists, behavioral therapy professionals, registered dietitians, and bariatric surgeons.

You can read the entire review here: Review-of-Endoscopic-Bariatric-Therapies-1.pdf

Aug 4, 2017 · Understanding how the intragastric balloon procedure works in Non-Surgical Weight Management Program

An intragastric balloon is a newer kind of weight-loss procedure. The steps below outline how it is performed.

First, a deflated silicone balloon is inserted into a patient’s stomach through the patients mouth as shown in the photo below. This allows the procedure to be done without surgical incisions or scars. This is done while the patient is asleep.


Once the balloon is inserted, it is inflated using a saline solution. The inflated balloon helps patients lose weight by limiting how much they can eat and making them feel fuller faster.


Like other weight-loss procedures, an intragastric balloon requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of the intragastric balloon procedure. Mayo Clinic’s program includes support from staff in our Healthy Living Program and other specialties to help patients make these changes.

After six months, the balloon is removed. Again, this portion is done using an endoscope so there are no surgical incisions or scars.

You can learn more about what to expect from the procedure on

Jul 28, 2017 · Understanding how the endoscopic sleeve gastroplasty procedure works in Non-Surgical Weight Management Program

MC2589-34How the procedure works

Endoscopic sleeve gastroplasty is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery.

As the diagram at the right illustrates, a suturing device is interested into your stomach through your mouth and throat to perform the procedure without surgical incisions or scars.

Using the endoscope, the doctor places approximately 12 sutures in the stomach. The sutures change the structure of your stomach, leaving it shaped like a tube as shown in the photo below. This restricts the amount of calories your body absorbs.

ESG Endoscopic View_full

You can learn more about what to expect from the procedure on


Jul 21, 2017 · Mayo Clinic combines new non-surgical weight loss procedures with the Mayo Clinic Diet Experience to maximize patient success in Non-Surgical Weight Management Program

HLP_Bari_EndoThe Mayo Clinic in Rochester recently launched a new program that combines non-surgical weight loss procedures with a unique personalized and comprehensive wellness program built around the New York Times best-selling book “The Mayo Clinic Diet.”

In addition to weight loss, the program helps patients achieve wellness goals and make lifelong changes for a healthier lifestyle. It is the first program in the nation to combine new state-of-the-art endoscopic weight-loss interventions, such as endoscopic sleeve gastroplasty and gastric balloons, with a comprehensive behavioral and wellness program through the state-of-the-art Mayo Clinic Healthy Living Program.

The ultimate goal is to have patients lose excess weight and maintain the weight loss long-term for an impactful health benefit.

You can learn more about the comprehensive program in the Non-Surgical Weight Management Program video . You can learn more about the Mayo Clinic Diet Experience on the Mayo Clinic Health Living Program website.


Jul 14, 2017 · Top questions about endoscopic weight loss procedures answered in Non-Surgical Weight Management Program

Patient QuestionsMany endoscopic weight loss procedures are fairly new offerings, and as a result, many individuals have questions about the procedures and how they work. The video below answers some of the most common questions Mayo Clinic’s experts get from patients considering endoscopic procedures, ranging from why it can be so difficult to loose weight and what they can expect in terms of weight from the procedures to what additional support can help them get the best results.

Jul 7, 2017 · First patient in the nation to receive the Orbera Intragastric Balloon shares the results of his journey six months after the procedure in Non-Surgical Weight Management Program

Patient JourneyIn the summer of 2015, Mayo Clinic doctors were the first in the U.S. to implant a new weight-loss device ─ an intragastric balloon ─ for those who need medical help, but don’t qualify for bariatric surgery. Six months later, the first patient is back for a follow-up appointment and sharing the results of his journey:

You can view the first part of his journey in a previous Mayo Clinic Connect post.

Jun 28, 2017 · Mayo Clinic patient first in the nation to receive the Orbera Intragastric Balloon for weight loss journey in Non-Surgical Weight Management Program

First Balloon ProcedureIn the United States, two-thirds of the population is said to be either overweight or obese. Mayo Clinic was one of the first institutions to offer a new option for those who might need medical help to lose weight but don’t qualify for weight loss surgery. In 2015, Mayo Clinic surgeons were the first in the U.S. to implant a device recently approved by the FDA. The procedure involves the temporary placement of a special balloon in the stomach and has the potential for lasting results.

You can learn more about the procedure and the journey of the first patient to receive it in this video:

View a follow-up with the patient six months after his procedure in this Mayo Clinic Connect post.