1.1
Use endoscopic sleeve gastroplasty as an option to treat obesity in adults with standard arrangements in place for clinical governance, consent and audit.
Guidance
1 Recommendations
1 Recommendations
1.2
Patient selection, assessment, and monitoring should be done by a multidisciplinary team within a specialist weight management service experienced in managing obesity (see the section on initial assessment and discussions with the multidisciplinary team in the NICE guideline on obesity).
1.3
This procedure should only be done in specialist weight management centres by clinicians with specific training and experience in the procedure.
1.4
Details about everyone having endoscopic sleeve gastroplasty for obesity should be submitted into the National Bariatric Surgery Registry.
Why the committee made these recommendations
Evidence on safety shows this procedure is safe in the short and long term. Evidence on efficacy shows that, when combined with lifestyle changes, people with a body mass index (BMI) over 30 kg/m2 who have the procedure lose weight. So, it can be used with standard arrangements.