Endoscopic and Bariatric Surgery for Obesity Treatment

Obesity Is a Chronic, Progressive Disease

Obesity is a chronic, multifactorial and relapsing disease, not simply a matter of lifestyle or willpower. It involves complex metabolic, hormonal, genetic and environmental mechanisms that require structured medical management.

While many patients benefit from comprehensive medical programs such as medical obesity therapy and pharmacological treatments (including GLP-1–based therapy), some individuals require more advanced interventions to achieve meaningful and durable results.

In selected cases, endoscopic or bariatric surgical procedures represent safe and evidence-based therapeutic options.

Endoscopic Bariatric Procedures

Endoscopic procedures are minimally invasive treatments performed through the mouth without surgical incisions.

They are particularly suitable for:

  • Patients with BMI 30–40

  • Individuals seeking a less invasive alternative to surgery

  • Patients not eligible for surgery

  • Bridge therapy before bariatric surgery

Main Endoscopic Options

Intragastric Balloon
A temporary device placed inside the stomach to promote early satiety and portion control.

Endoscopic Sleeve Gastroplasty (ESG)
An advanced suturing technique that reduces gastric volume without removing any part of the stomach.

Advantages

  • No abdominal incisions

  • Short recovery time

  • Lower procedural risk compared to surgery

  • Can be integrated with medical and pharmacological therapy

Endoscopic treatments are always part of a structured metabolic program that includes nutritional guidance and long-term monitoring.

Bariatric (Metabolic) Surgery

Bariatric surgery remains the most effective long-term treatment for severe obesity and obesity-related metabolic disease.

Indications

  • BMI ≥35

  • BMI ≥30 with obesity-related comorbidities

  • Selected metabolic indications according to international guidelines

Main Surgical Procedures

Sleeve Gastrectomy
A laparoscopic procedure that reduces stomach size and positively influences appetite-regulating hormones.

Roux-en-Y Gastric Bypass
A combined restrictive and metabolic procedure with strong effects on weight loss and type 2 diabetes remission.

Expected Outcomes

  • Significant and sustained weight loss

  • Improvement or remission of type 2 diabetes

  • Reduction in cardiovascular risk

  • Improvement in obstructive sleep apnea

  • Enhanced quality of life

Integrated Multidisciplinary Care

Endoscopic and surgical treatments are never standalone solutions. They are part of a comprehensive pathway that includes:

  • Medical metabolic assessment

  • Nutritional planning

  • Psychological evaluation

  • Physical activity programming

  • Long-term follow-up

  • Remote monitoring when needed

International patients can benefit from structured telemedicine consultations for follow-up and metabolic supervision.

Obesity requires long-term management — not short-term solutions.

Safety and International Standards

All procedures are performed in accredited medical facilities following international bariatric and metabolic surgery guidelines.

Patient safety, evidence-based decision-making and ethical practice are central to my clinical approach.

You can learn more about my professional background and experience in obesity and metabolic surgery on the About page.

Book a Specialist Consultation

Choosing the right therapeutic strategy requires a personalized evaluation.

During the consultation, we will:

  • Review your medical history

  • Evaluate previous treatments

  • Analyze metabolic and cardiovascular risk

  • Discuss all available options

  • Define a tailored treatment plan

You may schedule your visit through the dedicated booking page: Book an Obesity Consultation

FAQ

Who is eligible for endoscopic obesity treatment?

Patients with mild to moderate obesity (BMI 30–40) or those seeking a minimally invasive option may be eligible. A specialist evaluation is required.

What is the difference between ESG and sleeve gastrectomy?

ESG is an endoscopic procedure that reduces stomach volume using internal sutures without removing tissue. Sleeve gastrectomy is a surgical procedure that permanently removes part of the stomach and provides stronger metabolic effects.

Is bariatric surgery safe?

Modern bariatric surgery is performed laparoscopically and follows strict international guidelines. When carried out in experienced centers, complication rates are comparable to other common abdominal procedures.

Will I need long-term follow-up?

Yes. Obesity is a chronic disease. Long-term medical and nutritional monitoring is essential to maintain results and prevent relapse.