Role of the Gastroenterologist in Managing Obesity

John K DiBaise; Amy E Foxx-Orenstein


Expert Rev Gastroenterol Hepatol. 2013;7(5):439-451. 

In This Article

Impact of Obesity on GI Procedures

The impact of obesity on the development of GI disorders and the subsequent demand for GI procedures deserves careful consideration. GI endoscopic (esophagogastroduodenoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography) and motility (esophageal manometry, ambulatory esophageal pH ± impedance testing) procedures play a role in the diagnosis or management of the GI symptoms and conditions associated with obesity described previously. As a consequence of the impact of obesity on GI disorders, gastroenterologists can expect an increased need for GI procedures for both diagnosis and treatment.[52] Of course, GI endoscopy also plays a critical role in the bariatric surgery patient including the preoperative, intraoperative and particularly, postoperative management.[53] Finally, bariatric endotherapy is an emerging area of endoscopy in obesity. These areas will be discussed further in sections to follow.