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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 16, 2026; 18(2): 115986
Published online Feb 16, 2026. doi: 10.4253/wjge.v18.i2.115986
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, 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 Gastro
Received: October 31, 2025
Revised: January 7, 2026
Accepted: January 12, 2026
Published online: February 16, 2026
Processing time: 96 Days and 19.1 Hours
Revised: January 7, 2026
Accepted: January 12, 2026
Published online: February 16, 2026
Processing time: 96 Days and 19.1 Hours
Core Tip
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.