ABSTRACT

Bariatric Surgery (originally referred to as “weight loss surgery”) as currently performed, consistently results in meaningful and sustainable weight loss. Furthermore, the procedures positively affect, and even “cure” the comorbid conditions associated with severe obesity such as type 2 diabetes mellitus, sleep apnea, hypertension, and gastroesophageal reflux. Additionally, these procedures are consistently being performed with extremely low rates of morbidity and mortality. However, despite these accomplishments, less than 1% of prospective candidates have surgery. One of the reasons for this is that many prospective candidates still find these procedures to be too risky and too invasive. This has led to the introduction and development of a number of novel endoscopic or laparoscopic procedures. These procedures are less invasive and less risky. Some are now commercially available while others are still under development or have been abandoned due to insufficient efficacy, safety, or funding. Some prospective candidates have chosen these new procedures instead of the more conventional procedures. This chapter will review some of the most successful new procedures.