Kumar Nitin
Bariatric Endoscopy Institute, 1450 W Lake Street, Suite 101, Addison, IL 60101, USA.
Gastrointest Endosc Clin N Am. 2017 Apr;27(2):257-265. doi: 10.1016/j.giec.2016.12.003.
Endoscopic gastric plication techniques are effective for weight loss. These procedures offer the potential for higher efficacy than conservative modalities, such as medications and lifestyle modifications, and lower invasiveness than bariatric surgery. Gastric plication techniques include endoscopic sleeve gastroplasty, primary obesity surgery endolumenal, transoral gastroplasty, and plication with the Articulating Endoscopic Circular (ACE) stapler. Currently, primary obesity surgery endolumenal is under review by the US Food and Drug Administration, and endoscopic sleeve gastroplasty is gaining acceptance. Gastric plication procedures, as with any endoscopic bariatric therapy, should be applied in the setting of a multidisciplinary weight management program with long-term follow-up.
内镜下胃折叠技术对减肥有效。这些手术比药物和生活方式改变等保守方法更有可能获得更高的疗效，且比减肥手术的侵入性更低。胃折叠技术包括内镜袖状胃成形术、原发性肥胖症腔内手术、经口胃成形术以及使用关节式内镜环形（ACE）吻合器进行的折叠术。目前，原发性肥胖症腔内手术正在接受美国食品药品监督管理局的审查，内镜袖状胃成形术越来越被认可。与任何内镜减肥治疗一样，胃折叠手术应在多学科体重管理计划并进行长期随访的背景下应用。
