Skip to main content

Research Repository

Advanced Search

A commentary review on endoscopic sleeve gastroplasty: Indications, outcomes and future implications

Abuawwad, Mahmoud; Tibude, Ameya; Bansi, Devinder; Idris, Iskandar; Madhok, Brijesh


Mahmoud Abuawwad

Ameya Tibude

Devinder Bansi

Professor of Diabetes and Metabolic Medicine

Brijesh Madhok


Metabolic and bariatric surgeries have been shown to be the most effective strategy to induce and maintain significant weight loss for people living with severe obesity. However, ongoing concerns regarding operative risks, irreversibility and excess costs limit their broader clinical use. Endoscopic bariatric therapies are pragmatic alternatives for patients who are not suitable for metabolic and bariatric surgeries or who are concerned regarding their long-term safety. Endoscopic sleeve gastroplasty has emerged as a novel technique of endoscopic bariatric therapies, which have garnered significant interest and evidence in the past few years. Its safety, efficacy and cost-effectiveness have been shown in various studies, while comparisons with sleeve gastrectomy have been widely made. This review brings together current evidence pertaining to the technicality of the procedure itself, current indications, safety and efficacy, cost-effectiveness, as well as its future role and development.

Journal Article Type Review
Acceptance Date Apr 9, 2024
Online Publication Date Apr 29, 2024
Publication Date 2024-07
Deposit Date Apr 11, 2024
Publicly Available Date Apr 30, 2025
Journal Diabetes, Obesity and Metabolism
Print ISSN 1462-8902
Electronic ISSN 1463-1326
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 26
Issue 7
Pages 2546-2553
Keywords endoscopic sleeve gastrectomy; bariatric; obesity; diabetes
Public URL
Publisher URL
Additional Information This is the peer reviewed version of the following article: Abuawwad, M., Tibude, A., Bansi, D., Idris, I., & Madhok, B. A commentary review on endoscopic sleeve gastroplasty: Indications, outcomes and future implications. Diabetes, Obesity and Metabolism, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.