1. מפגש מומחים: השמנה - טיפולים בריאטריים פרופ' זמיר הלפרן

2. Life style modification Maintain a Healthy Weight
Management Algorithm
Surgery
Medications
Life style modification
Avoid Gain weight
Maintain a Healthy Weight
OVERWEIGHT= Weight Loss

3. Bariatric Surgery

5. ENDOSCOPIC THERAPY OF OBESITY: A new paradigm in bariatric care
Bariatric Surgery with No medication and no scar
But also new opportunities

6. Spectrum of Treatment Modalities
Cardiovascular disease
Noninvasive – Diet/ medication
Minimal invasive – Stents
Invasive – Coronary bypass
Obesity
Noninvasive –
Diet/ sport
Minimal invasive – Endoscopic surgery
Invasive – Bariatric surge

7. Potential Endoscopic Obesity Procedure Opportunities
Providing weight loss or stabilization in early stage obese patients who do not yet qualify for traditional surgery
Early intervention
Reducing the obesity-related operative risk for various bariatric and non-bariatric surgeries
Bridge to surgery
Primarily addressing co morbid illness (e.g., diabetes)
Metabolic
Endoscopic option for the traditional surgical population, with outcomes and risk profiles similar to those of current surgeries
Primary
Repairing failed bariatric surgical procedure
Revision

8. Metabolic Surgery

9. Post-surgical Weight Recurrence How to Achieve Weight Loss after the “Honey Moon” is Over
Ineffective weight loss or complications following bariatric surgery may require a corrective re-intervention
As surgical revisions carry high morbidity rates
Post-surgical endoscopic interventions may prove to be a valuable alternative

10. F. Treatment Of Surgical Complications
Dilation of anastomotic/ post gastroplasty stenoses
Removal of partially migrated Rings and Lapbands
Treatment of leakages
Gastrointest.Endosc.2005;61:594

11. Summary
Endoscopic obesity procedures may offer a solution by providing improved effectiveness compared with medications, with a lower risk profile than traditional surgery

12. FIN