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SAGES 内镜和微创减重干预审查:内镜和非手术减重干预的综述。

SAGES review of endoscopic and minimally invasive bariatric interventions: a review of endoscopic and non-surgical bariatric interventions.

机构信息

Department of Surgery, NYU Langone Medical Center, New York, NY, 10016, USA.

Department of Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

出版信息

Surg Endosc. 2018 Oct;32(10):4063-4067. doi: 10.1007/s00464-018-6238-5. Epub 2018 May 29.

Abstract

BACKGROUND

With obesity continuing as a global epidemic and therapeutic technologies advancing, several novel endoscopic and minimally invasive interventions will likely become available as treatment options. With improved technologies and different treatment strategies, as well as different patient populations being targeted, there will be greater application in the treatment armamentarium of specialists dedicated to treating obesity. We sought to review the existing technology and provide a review.

METHODS

Literature review was carried out for endoscopic and minimally invasive devices. Some of these products are not FDA approved, so limited data are available in their review.

RESULTS

A summary of the device and data currently available on weight loss and safety profile is provided. Several products are in clinical trials or will be soon. Some of the technology has limited data and companies will be submitting their results for FDA evaluation.

CONCLUSIONS

The obesity epidemic and associated weight-related diseases represent a tremendous burden to health care practitioners. As such, a multi-modal and progressive approach, with data and outcomes examined, is likely the best and most comprehensive method to care for these patients. SAGES endorses the benefits of minimally invasive and endoscopic approaches in the treatment of obesity and its related co-morbidities.

摘要

背景

随着肥胖问题继续在全球蔓延,治疗技术不断进步,一些新型的内镜和微创介入技术可能会成为治疗选择。随着技术的改进和不同的治疗策略,以及针对不同的患者群体,专门治疗肥胖症的专家的治疗手段将会更加丰富。我们旨在回顾现有的技术并进行综述。

方法

对内镜和微创设备的相关文献进行了回顾。其中一些产品尚未获得 FDA 批准,因此在审查时可用的数据有限。

结果

本文提供了关于减肥效果和安全性概况的现有设备和数据的总结。一些产品正在临床试验中或即将进行临床试验。一些技术的数据有限,相关公司将提交其结果供 FDA 评估。

结论

肥胖症的流行及其相关的与体重相关的疾病给医疗保健从业者带来了巨大的负担。因此,多模式和渐进式的方法,结合数据和结果进行评估,可能是治疗这些患者的最佳和最全面的方法。SAGES 支持在内镜和微创方法治疗肥胖症及其相关合并症方面的应用。

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