Lee Hang Lak
Department of Internal Medicine, Hanyang University Hospital, Seoul, Korea.
Clin Endosc. 2017 Jan;50(1):17-20. doi: 10.5946/ce.2017.022. Epub 2017 Jan 30.
It is well recognized that obesity is a big problem and it can induce large economic burden. Obesity affects about 40% people in the America alone and obesity also is the worldwide problem, with about 400 million obese adults. Moreover, another problem of obesity is the increasing prevalence of overweight children. Though bariatric surgery remains the gold treatment modality in the obesity treatment, endoluminal approaches may have the meaningful role for weight control. Endoscopists should have a role in the management of obesity because endoluminal therapies demonstrate their safety and efficacy over the coming years. Endoluminal therapies can be summarized by above methods: space occupying, malabsorption method, and reduction of gastric volume. In this review, we will introduce various restrictive endoscopic procedures in obesity treatment.
众所周知，肥胖是一个大问题，它会带来巨大的经济负担。仅在美国，肥胖就影响了约40%的人口，而且肥胖也是一个全球性问题，约有4亿肥胖成年人。此外，肥胖的另一个问题是超重儿童的患病率不断上升。虽然减肥手术仍然是肥胖治疗的金标准治疗方式，但腔内治疗方法可能在体重控制方面发挥重要作用。内镜医师应该在肥胖管理中发挥作用，因为腔内治疗在未来几年将证明其安全性和有效性。腔内治疗可以通过上述方法概括：占位法、吸收不良法和减少胃容量法。在这篇综述中，我们将介绍肥胖治疗中各种限制性内镜手术。
