Learning Objectives:

• Discuss endoscopic sleeve gastroplasty (ESG) compared to lap sleeve gastrectomy and review differences in patient outcomes
• Define the necessary steps for optimally training clinicians to perform ESG successfully
• Assess possible factors involved in a proposed EndoFLIP algorithm for predictive outcomes of gastroesophageal surgery
• Discuss specific bariatric biomarkers present in patients who require bariatric surgical treatment