Lenox Hill Hospital/Northwell Gastroenterology
New York, New York
New York, New York

Nearly 40% of American adults are obese.1 Although bariatric surgery has been a mainstay in the treatment of obesity in patients with a body mass index (BMI) of 40 kg/m2 or greater without comorbid illness or 35.0 to 39.9 kg/m2 with at least one obesity-related comorbidity,2 there has been a treatment gap in patients with a BMI of 30 to 35 kg/m2 and those who may not be ideal surgical candidates. Endoscopic