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Role of GI in Baraitics... a TOGA party?

Discussion in 'Gastroenterology' started by FreeWeezy, Jul 28, 2011.

  1. FreeWeezy

    Aug 14, 2010
    Likes Received:
    Medical Student
    While they are still somewhat experimental (although approved in Canada and elsewhere), transoral gastroplasty (TOGA), balloons, and similar endoscope based alternatives to bariatric surgery seem promising. While no one has a crystal ball, does anyone have any perspective on how widely they might be used 10 years out? Also, all these procedures are now done under general anesthesia by bariatric surgeons as part of "endoscope surgery." I surprised to learn this since I always thought GI had a monopoly on scopes. How likely is it that these procedures would become done by GI docs? If that happens, would there still be a role for surgeons, a turf battle, or really enough obese patients to go around for both fields?
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  3. Gastrapathy

    Gastrapathy no longer apathetic
    Physician Lifetime Donor Classifieds Approved 10+ Year Member

    Feb 27, 2007
    Likes Received:
    Attending Physician
    10 years? I can't predict what's coming next month.

    NOTES and all of the similar procedures will probably (and should IMHO) remain the domain of physicians who can open the abd and fix a mistake.

    Its possible that some of the endoscopic bariatric and antireflux techniques will filter into GI but our track record with this has been poor.

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