BMI equal or more than 30kg/m2 (27.5kg/m2 for Chinese or South Asian) to 40kg/m2, or BMI equal or more than 40kg/m2 and patient is either high risk for surgery or unwilling to undergo surgery, AND
failed standard obesity therapy of diet, exercise, behavior modification, and pharmacologic agents either alone or in combination
You may not be if
Previous upper GI surgery (e.g. bariatric surgery, anti-reflux surgery; gastrectomy; esophageal surgery)
Gastroparesis
Active smoking
An ongoing or a history of treatment with opioids in the last 12 months prior to enrollment
Previous pyloromyotomy or pyloroplasty
Gastrointestinal obstruction
Use of any medication that may interfere with weight loss or gastric emptying
Severe coagulopathy
Esophageal or gastric varices and/or portal hypertensive gastropathy
Underlying uncontrolled endocrine problem that leads to obesity. (e.g. Hypothyroidism, Cushing syndrome, eating disorder etc.)
Any inflammatory disease of the gastrointestinal tract (including but not limited to severe (LA Grade C or D) esophagitis, active gastric ulceration, active duodenal ulceration, or specific inflammation such as Crohn's disease)
Malignancy
Pregnant or breast feeding
Patients not fit for general anesthesia
ASA grade IV or V
Mental or psychiatric disorder; Drug or alcohol addiction
Other cases deemed by the examining physician as unsuitable for safe treatment
