Galvão Neto Manoel Dos Passos, Silva Marco, Grecco Eduardo, de Souza Thiago Ferreira, Baldim Luana Leite, Teixeira André, Gomes Sara, Macedo Guilherme, de Quadros Luiz Gustavo
ABC Medical School, Santo André, Brazil.
Gastroenterology Department, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.
ACG Case Rep J. 2019 May 14;6(5):e00079. doi: 10.14309/crj.0000000000000079. eCollection 2019 May.
Endoluminal treatments such as endoscopic gastroplasty have been gaining ground in obesity treatment. A 52-year-old woman gained weight 5 months after endoscopic gastroplasty. Thus, it was decided to resuture the greater curvature of the stomach 8 months after the initial procedure by reducing the gastric pouch even further. The patient lost 16% of her total body weight with this procedure. Endoscopic gastroplasty, which can be reperformed in patients who regain weight, reach a plateau, or do not achieve the initial planned weight loss, is an effective and safe first-line obesity treatment.
诸如内镜胃成形术等腔内治疗方法在肥胖症治疗中越来越受到青睐。一名52岁女性在内镜胃成形术后5个月体重增加。因此,决定在初次手术后8个月通过进一步缩小胃囊对胃大弯进行再次缝合。通过该手术,患者体重减轻了16%。对于体重反弹、体重不再下降或未达到最初计划减重目标的患者,可以再次进行内镜胃成形术,它是一种有效且安全的肥胖症一线治疗方法。