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Nonsurgical Procedures for Weight Loss

If you have tried to lose weight through traditional diet and exercise and haven’t succeeded, we can help. At Barnes-Jewish West County Hospital, our weight loss specialists offer every type of nonsurgical treatment available.

In addition to the nonsurgical procedures, our 12-month program includes a medical evaluation, monthly group sessions, and personalized lifestyle counseling from a behavior coach and registered dietitians.

Why Choose Barnes-Jewish West County Hospital for Nonsurgical Weight Loss Treatment?

Our team is focused on helping people achieve and maintain weight loss for their best possible health. People throughout the Midwest come to us for our:

  • Complete range of nonsurgical weight loss options: We are the only program in the St. Louis area that offers every nonsurgical weight loss therapy that has been approved by the U.S. Food and Drug Administration (FDA). Nonsurgical, or endoscopic, weight loss procedures allow us to treat a wider range of patients than ever before, and come with proven results for successful weight loss.
  • Expertise gained through clinical research trials: Washington University physicians at Barnes-Jewish West County Hospital have extensive experience in treating patients with endoscopic procedures. As participants in FDA approval and post-approval studies, the physicians have worked with these nonsurgical procedures and devices over several years with significant success.
  • Experience in several weight loss fields: Our weight loss experts combine their knowledge from gastroenterology, nutrition, behavior coaching and related fields to help you successfully lose weight and keep it off.

Advantages of Nonsurgical Weight Loss Procedures

The benefits of nonsurgical weight loss procedures include:

  • Lower risks than bariatric surgery: Without incisions, these procedures offer faster recovery times, a lower risk of infection, a shorter (or no) hospital stay and reduced pain.
  • Wider eligibility: Most procedures require lower excess weight for eligibility, making treatment available to a wider range of patients. At the same time, certain treatments, such as the endoscopic sleeve gastroplasty, can help people who have severe obesity and a higher body mass index (BMI).
  • Greater weight loss: Endoscopic procedures help people safely lose up to two to three times more weight than diet and exercise alone.

Nonsurgical Weight Loss Treatments We Offer

Find out more about the types of nonsurgical therapy for weight loss we offer, including:

  • Intragastric balloon devices: These balloons, inflated with either saline or a hydrogen gas mix, take up space in the stomach, creating a feeling of satiety (fullness). Our team offers all three FDA-approved devices, including the single- and dual-balloon devices and a swallowable balloon capsule system. Learn more about gastric balloons for weight loss.
  • Aspiration therapy: This weight loss system involves a stomach tube that attaches through a port to a companion device for removing part of the meal. Read about aspiration therapy.
  • Endoscopic sleeve gastroplasty: Physicians use an endoscope (thin, flexible tube with a lighted camera) to place sutures from inside the stomach to create a smaller, tube-shaped stomach pouch. Find out more about endoscopic sleeve gastroplasty.
  • Endoscopic gastric outlet repair: This procedure also involves sutures, placed from inside the stomach, to reduce the size of the stomach pouch and stoma (opening from pouch to small intestine). Learn more about endoscopic gastric outlet repair.

Additional components of our yearlong, comprehensive treatment program include:

  • Nutrition counseling: As part of the lifestyle behavioral coaching, you will have visits with a registered dietitian to develop a personalized calorie target. The dietitian typically calculates your calorie target at your initial evaluation. Read about our nutrition support for weight loss.
  • Behavior coaching: Our support program also includes behavior coaching to help you make healthy lifestyle changes to improve your quality of life. Attending monthly coaching groups will help you identify which strategies are right for you. Find out about our behavior coaching.

Comparing Weight Loss Treatment Options

The table shows potential weight loss amounts based on patients’ results in clinical trials, along with what you can expect from different weight loss options. Each person is different, and results will vary from patient to patient.

 

Balloon Devices

Aspiration Therapy

Endoscopic Sleeve Gastroplasty

Bariatric Surgery*

Endoscopic Gastric Outlet Repair**

Total body weight loss

8 to 12%

14 to 20%

15 to 20%

15 to 35%

About 25%

Time off from work

1 to 3 days

3 to 5 days

3 to 5 days

2 to 4 weeks

3 to 5 days

Symptoms after procedure

Nausea, vomiting

Few to none

Slight nausea, discomfort

Pain, nausea, vomiting

Slight nausea, discomfort

Hospital stay

Outpatient

Outpatient

Outpatient

1 to 5 days

Outpatient


*The potential percentage of total body weight loss varies among the different types of bariatric surgery: gastric bypass, gastric banding, gastric sleeve and duodenal switch.

** Endoscopic gastric outlet repair is for people who have had a previous gastric bypass and whose stomach pouch or stoma has stretched.

12-Month Intensive Lifestyle Therapy Program for Weight Loss

Nonsurgical procedures are one tool within an overall, one-year weight loss program. This intensive lifestyle therapy program offers support services to help you make lasting behavioral changes for your best possible health. 

Our comprehensive program includes:

  • Information session: You must attend one of our free sessions to get started. Review our criteria to determine if you are a candidate for nonsurgical weight loss treatment, and register online for the nonsurgical weight loss information session.
  • Medical evaluation and monitoring: You will meet with our physicians and nurse practitioner to assess your overall health, review the criteria, discuss your goals and set expectations. Bring a list of your current medications and any questions you may have. During your visits after the procedure, our care team checks your health to monitor your progress.
  • Nonsurgical procedure: The physician performs the outpatient procedure to place a device or perform an endoscopic procedure.
  • Twelve-month program: During the program, you visit regularly and work on your personalized treatment plan with our team:
    • Program coordinator
    • Physicians
    • Nurse practitioner
    • Registered dietitians
    • Behavior coach
    • Exercise specialists, as needed

Tools for success (dual-balloon patients only)

The dual-balloon system includes a WiFi scale that automatically connects with your other devices, such as a smartphone, tablet or computer. The scale allows you to track your weight, body mass index (BMI), and percentages of lean mass and body fat so you can see trends over time.

Along with the scale, a confidential, secure, online patient portal provides access to a community of patients who have the same balloon device. The portal also includes an online food diary for recording your calorie intake to help you stay on track.

Nonsurgical Weight Loss Information Sessions

If you’re considering any of our endoscopic procedures, you must attend one of our information sessions. You can read more about the criteria to determine whether you are a candidate for a procedure, and register online for the nonsurgical weight loss information session.

Contact Us for Weight Loss Treatment

For more information or to schedule an appointment with a bariatric physician, please call Barnes-Jewish West County Hospital at 314.542.WEST (9378) or toll-free at 844.542.9378

Referring physicians can call the Doctors’ Access Line at 800.252.DOCS (3627) 24 hours a day, seven days a week. You can also visit our referring physicians page.

Barnes-Jewish West County Hospital is conveniently located just one mile west of I-270 in Creve Coeur, Missouri – a west county suburb of St. Louis.

Our bariatric physicians have two locations on campus:

  • The Washington University Bariatric Endoscopic Therapy office is located in Medical Office Building 3, Suite 100. The address is 1020 North Mason Road, at the corner of North Mason and Executive Parkway. 
  • The Washington University Bariatric Surgery office is located in Medical Office Building 1, Suite 120. The address is 1040 North Mason Road, at the corner of North Mason and Olive Boulevard.

Get directions and maps.

REGISTER FOR AN INFORMATION SESSION ON NONSURGICAL WEIGHT LOSS OPTIONS

Washington University Physicians accepting new patients:

Vladimir M. Kushnir, MD
Daniel K. Mullady, MD
Dayna S. Early, MD

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Find a doctor or make an appointment: 314.542.WEST (9378) OR TOLL-FREE 1.844.542.9378
General Information: (314) 996.8000
12634 Olive Boulevard
Creve Coeur, Missouri 63141
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