Abstract
endoscopic privileges and 52% perform at least 1-2 endoscopies/ week. The acceptable level of risk to achieve 10-20% EWL after primary and revisional procedures was equivalent to a therapeutic endoscopic procedure for 82% and 77% of respondents, respectively. The acceptable level of risk to achieve 30-40% EWL after primary and revisional procedures was equivalent to LAGB for 47% and 35% of respondents, respectively, and equivalent to LRYGB for 7% and 22%, respectively. 60% would find 10-30% EWL acceptable for revisional procedures. 35% would find 1030% EWL acceptable after a primary procedure. The primary concern is unproven efficacy followed by durability, poor weight loss, availability of equipment, and procedural risk. 62% would not be willing to recommend an endoluminal procedure until efficacy is established, regardless of risk. Conclusion: Risk tolerance and weight loss expectations among bariatric surgeons are different for primary and revisional endoscopic procedures. The majority of surgeons were unwilling to consider endoluminal procedures for their patients until efficacy is proven.
Published Version
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