Bariatric Endoscopy Expertise at Mayo Clinic in Florida
At Mayo Clinic in Florida, you’ll find a team of recognized experts in bariatric endoscopy, a specialized field of non-surgical procedures designed to help people lose weight. We focus on helping you maintain a lifelong commitment to managing overweight and obesity and associated health conditions.
Bariatric endoscopy may be an option if:
- You don’t meet criteria for invasive bariatric surgery.
- You are unable to safely undergo invasive bariatric surgery.
- You don’t want bariatric surgery but need more intense weight loss interventions.
- You’re experiencing issues after bariatric surgery such as leaks, fistula or stenosis.
- You’re experiencing weight regain and dumping syndrome after certain bariatric surgeries, including Roux-en-Y gastric bypass and sleeve gastrectomy.
Innovative Non-Surgical Procedures
Mayo Clinic in Florida offers several well validated endoscopic bariatric procedures for non-surgical treatment of weight gain, overweight, obesity, and obesity-related conditions.
Endoscopic Sleeve Gastroplasty (ESG). This reversible, nonsurgical, restrictive endoluminal procedure reduces stomach volume by more than 70%. An endoscopic suturing apparatus is used to delay stomach contents from emptying into the intestine. This results in early satiety, decreased hunger, and reduced food intake. ESG is performed with general anesthesia. Our patients typically go home the same day or have the option to stay at an onsite hotel for overnight care.
ESG has gained significant global adoption, and level 1 evidence has shown it is a safe intervention that results in significant and sustainable weight loss, in addition to improving metabolic comorbidities.
Intragastric balloon (IGB) therapy. A balloon filled with fluid or air is placed in the stomach for a period of time to create a feeling of fullness and early satiety, and to delay stomach contents from emptying into the intestine. This results in decreasing food intake and hunger sensation. The balloon is placed and removed with a quick outpatient upper endoscopy. Clinical trial data has shown that a combination of IGB therapy and lifestyle modification resulted in three times more weight loss compared to lifestyle modification alone.
Endoscopic Transoral Outlet Reduction (TORe). This revisional therapy can help manage weight regain after Roux-en-Y gastric bypass (RYGB). An endoscopic suturing system is used to reduce the size of the gastrojejunal anastomosis, which delays gastric pouch emptying and enhances the sensation of satiety.
Recognized Expertise and Research
Our internationally recognized physicians have extensive clinical and research experience in obesity and metabolic disease. Mayo Clinic’s bariatric endoscopy physicians are board certified in obesity medicine and are diplomates of the American Board of Obesity Medicine (D-ABOM).
Our experts conduct ongoing clinical studies to evaluate new and upcoming interventions to help manage weight and associated metabolic comorbidities. This includes gastric mucosal ablation (GMA) and interventions of the small intestine for treatment of type 2 diabetes mellitus.
Active Clinical Trials
- Assessing the Safety and Effectiveness of Endoscopic Intestinal Re-Cellularization Therapy in Individuals With Type II Diabetes (ReCET)
- Dietary Sugar Absorptive Phenotype for Prediction of Weight Loss Outcome (Listed as “Closed-enrolled by invitation”)
- Sugar Hyperabsorption Impact on Post-Bariatric Surgery Weight Loss Outcomes in African American Patients
- A Mayo Clinic Enteroid Biorepository
- Determining if Duodenal Sugar Absorption Correlates With Jejunal Sugar Absorption in the Same Patient
- Metabolic Dysfunction-Associated Steatotic Liver Disease Altered Fructose Absorption
Comprehensive Team Care
Mayo Clinic’s model of team care means your care team will include highly skilled specialists in bariatric endoscopy working together with medical bariatricians, behavioral psychologists, dedicated dietitians, and nurse coordinators to optimize your outcomes.
Jane Diamond, APRN
Contact us to request an appointment.
Jacksonville, FL
4500 San Pablo Road
Jacksonville, FL 32224
8 a.m. to 5 p.m. Eastern Time
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