内镜袖状胃成形术——原发性肥胖治疗的微创疗法。
ENDOSCOPIC SLEEVE GASTROPLASTY - MINIMALLY INVASIVE THERAPY FOR PRIMARY OBESITY TREATMENT.
作者信息
Galvão-Neto Manoel Dos Passos, Grecco Eduardo, Souza Thiago Ferreira de, Quadros Luiz Gustavo de, Silva Lyz Bezerra, Campos Josemberg Marins
机构信息
Mário Covas State Hospital, Digestive Endoscopy Department, ABC School of Medicine, Santo André, SP.
Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
出版信息
Arq Bras Cir Dig. 2016;29Suppl 1(Suppl 1):95-97. doi: 10.1590/0102-6720201600S10023.
BACKGROUND
Less invasive and complex procedures have been developed to treat obesity. The successful use of Endoscopic Sleeve Gastroplasty using OverStitch(r) (Apollo Endosurgery, Austin, Texas, USA) has been reported in the literature.
AIM
Present technical details of the procedure and its surgical/ endoscopic preliminary outcome.
METHOD
The device was used to perform plications along the greater curvature of the stomach, creating a tubulization similar to a sleeve gastrectomy.
RESULT
A male patient with a BMI of 35.17 kg/m2 underwent the procedure, with successful achievement of four plications, and preservation of gastric fundus. The procedure was successfully performed in 50 minutes, time without bleeding or other complications. The patient presented mild abdominal pain and good acceptance of liquid diet.
CONCLUSIONS
The endoscopic gastroplasty procedure was safe, with acceptable technical viability, short in duration and without early complications.
背景
已开发出侵入性较小且操作较简单的手术来治疗肥胖症。文献报道了使用OverStitch(r)（美国得克萨斯州奥斯汀市阿波罗内镜外科公司）进行内镜袖状胃成形术的成功案例。
目的
介绍该手术的技术细节及其手术/内镜初步结果。
方法
使用该设备沿胃大弯进行折叠，形成类似于袖状胃切除术的管状结构。
结果
一名体重指数为35.17kg/m²的男性患者接受了该手术，成功完成了四次折叠，并保留了胃底。手术在50分钟内成功完成，术中无出血或其他并发症。患者出现轻度腹痛，对流食接受良好。
结论
内镜胃成形术安全，技术可行性可接受，手术时间短且无早期并发症。
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