Tu HS, Chen ML, Hong J, He L. Beyond weight loss: Quality of life and internalized weight bias in endoscopic bariatric revision. World J Gastrointest Endosc 2026; 18(2): 115986 [DOI: 10.4253/wjge.v18.i2.115986]
Corresponding Author of This Article
Ling He, PhD, Chief Physician, Professor, Department of Gastroenterology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, No. 445 Bayi Avenue, Donghu District, Nanchang 330006, Jiangxi Province, China. heling118@126.com
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Gastroenterology & Hepatology
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Letter to the Editor
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Feb 16, 2026 (publication date) through Feb 4, 2026
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World Journal of Gastrointestinal Endoscopy
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1948-5190
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Tu HS, Chen ML, Hong J, He L. Beyond weight loss: Quality of life and internalized weight bias in endoscopic bariatric revision. World J Gastrointest Endosc 2026; 18(2): 115986 [DOI: 10.4253/wjge.v18.i2.115986]
World J Gastrointest Endosc. Feb 16, 2026; 18(2): 115986 Published online Feb 16, 2026. doi: 10.4253/wjge.v18.i2.115986
Beyond weight loss: Quality of life and internalized weight bias in endoscopic bariatric revision
Hou-Shu Tu, Meng-Lin Chen, Jing Hong, Ling He
Hou-Shu Tu, Meng-Lin Chen, Ling He, Department of Clinical Medicine, Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China
Jing Hong, Department of Otorhinolaryngology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, Jiangxi Province, China
Ling He, Department of Gastroenterology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, Jiangxi Province, China
Author contributions: Tu HS and Chen ML conceived and drafted the letter; Hong J contributed to critical content review; He L provided overall supervision and critical revision. All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ling He, PhD, Chief Physician, Professor, Department of Gastroenterology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, No. 445 Bayi Avenue, Donghu District, Nanchang 330006, Jiangxi Province, China. heling118@126.com
Received: October 31, 2025 Revised: January 7, 2026 Accepted: January 12, 2026 Published online: February 16, 2026 Processing time: 96 Days and 19 Hours
Abstract
We commend Agrawal et al for their insightful and pioneering study, which provides new evidence that revisional endoscopic bariatric therapy (EBT) can significantly improve quality of life and reduce internalized weight bias. Their work rightly demonstrates that these procedures provide benefit beyond weight loss alone. To build on these findings, we suggest that future studies should address certain remaining methodological issues. These include recruiting larger and more heterogeneous cohorts to assess generalizability, using multivariable analysis to control for the confounding effects of anti-obesity medications, and implementing longitudinal assessments to determine the duration of improvements in patient-reported outcomes. Establishing a causal link between early improvements in EBT and internalized weight bias with long-term weight control will be vital to establish the therapeutic value of revisional EBT as part of a comprehensive and multi-modal treatment for obesity.
Core Tip: The pioneering study of Agrawal et al shifts the focus of endoscopic bariatric revision from weight loss to two critical patient-reported outcomes: Quality of life and internalized weight bias. Their work provides foundational evidence that these procedures offer profound psychological benefits, and address these two core sequelae of obesity. This letter highlights the importance of this paradigm shift and outlines the essential next steps - use of larger cohorts, control for anti-obesity medications, and longitudinal data - to translate these promising findings into robust evidence for the holistic care of patients with obesity.
