The document discusses various current and emerging bariatric surgery procedures and technologies, including sleeve gastrectomy, revisional surgeries, endoscopic procedures like TOGA and gastric stimulation devices. It provides an overview of the effectiveness and long-term outcomes of sleeve gastrectomy based on available studies. The future of obesity treatment is explored with possibilities like implantable gastric stimulators and technologies that monitor eating and activity patterns.

1. Abeezar I. Sarela MSc MS MD FRCS Consultant in Upper GI & Bariatric Surgery St James’s University Hospital, Leeds, UK PN Hinduja National Hospital, Mumbai, India Bariatric Surgery: What Does The Future Hold?

4. Sleeve Gastrectomy: The Rise…

8. Success & Failure Sleeve Gastrectomy Failure Success: Sleeve with >50% EWL Revisional Surgery Lost to Follow-Up Sleeve with <50% EWL

9. Sleeve Gastrectomy: Long-Term Follow-Up (…and ? Fall) 45% 20 8+ years Sarela et al Leeds, 2010 64% 53 6+ years Himpens et al Brussels, 2010 Failure No. of patients Follow-Up Author

10. Evolution of Surgery Open Surgery (big cuts) Laparoscopic Surgery (key-hole sized cuts) Natural Orifice Surgery (no cuts)

11. Endoscopic Bariatric Procedures ROSE, POSE (USGI) Anchors TOGa (Satiety Inc.) Staplers EndoBarrier (GI Dynamics) ValenTx Sleeves StomaphyX (Endogastric Solutions) T-Fasteners EndoCinch (Bard) Spiderman (J&J) Suturing Sclerotherapy Product Technique

12. TOGA

13. TOGA: ex-vivo Anatomy

16. Implantable Gastric Electrical Stimulators

19. IntraPace: abiliti ™ GSA102 Analyzer P102 Programmer W102 Programmer Wand LGS102 Stimulator LGL102 Lead

20. Endoscopy 6 Months Post-Implant

21. Abiliti ™: Weight Loss Unpublished data