Abstract
Obesity is an expanding disease responsible for significant deterioration in the Health-Related Quality of Life (HRQL) of those who suffer from it. Bariatric Endoscopy (BE) therapies have proven to be an effective treatment for this pathology. A multidisciplinary approach is essential for the successful therapeutic management of BE. This article addresses the multidisciplinary treatment of BE by considering the possible variables that can influence treatment. In particular, the variables that can facilitate or hinder changes in patients’ habits are discussed. These include the neuropsychological, emotional, and social implications that may influence the formation of healthy habits necessary for improvement in a patient’s quality of life; the individual and environmental psychological factors that influence the monitoring of nutritional and physical activity indications; and different psychological disorders such as depression, anxiety, or disorders related to eating. The main objective of BE treatment, except in certain special biological situations, must be to establish a long-term sustainable change in habits such that patients, once they reach a healthy weight, do not revert to the lifestyle that caused their obesity, as well as identifying and addressing major problems that may exist prior to, or arise during, treatment.
Highlights
Obesity is a growing disease in Western countries
Traditional treatments based on diet and nutritional advice have proven ineffective in the treatment of obesity [5]; bariatric endoscopic (BE) treatments have yielded improved results [6,7,8,9]
There were over 181 patients who underwent EBT in a standardized multidisciplinary follow-up program, and we showed that at 9 months, the weight lost and the increase in physical activity improved HealthRelated Quality of Life (HRQL)
Summary
Obesity is a growing disease in Western countries. According to the WHO, 13% of the world’s population suffered from obesity in 2016 [1]. BE is postulated to be a less invasive alternative to surgical interventions and useful for high-risk morbidly obesity [10] Scientific interest in these treatments has increased over recent years, with some studies employing these techniques demonstrating effective weight control up to 5 years later [6]. To achieve maximum effectiveness in this type of technique, multidisciplinary intervention by specialists in nutrition and psychology is required [15,16] as well as incorporating or increasing physical activity. There were over 181 patients who underwent EBT in a standardized multidisciplinary follow-up program, and we showed that at 9 months, the weight lost and the increase in physical activity improved HRQL measured by the Short Form-36 health survey with the physical (PSC) and mental (MSC). Most of the information included in this review manuscript is derived from the clinical experience included in the follow-up program of a BE unit with long experience in the multidisciplinary follow-up of patients with BE, mainly by the team’s psychologists
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