[In what type of patient we may put the indication for endoscopic bariatric surgery?]
[Are there international guidelines?]
Not yet because the endoscopic techniques
are evolving, there is not only the ball,
there are other methods.
Like a kind of sock
who is placed in the small intestine,
from the duodenum to the small intestine,
that prevents an absorption of the substances
for the most part of the intestine
and so, basically, it shortens the
absorbent surface.
There are now methods similar to the surgical ones,
but applied via trans-esophageal approach,
this is how reductive gastroplasty is called,
so there aren't definitive guidelines yet.
As for the ball, which is perhaps the simplest
to apply and the most common,
it has two indications.
The first, as I said before, is the preparation
to the operation in super-obese patients,
because they can not have an operation
with their whole body mass
or otherwise
in the individual who has a low-medium level
of obesity
and wants to be helped from the ball
in his period of diet adjustment.
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