Section of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue, Mail Code A-100, Cleveland, OH 44195, USA.
Section of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue, Mail Code A-100, Cleveland, OH 44195, USA.
Surg Clin North Am. 2021 Apr;101(2):373-379. doi: 10.1016/j.suc.2020.12.002.
Although obesity rates are growing across the world, endoscopic modalities to treat obesity and its metabolic consequences are advancing rapidly. Multiple devices and techniques dedicated to weight management are being developed and have either been approved for use or are undergoing clinical trial. This article reviews many of these endoscopic interventions in bariatric surgery, including gastric aspiration devices, incisionless magnetic anastomotic systems, endoluminal bypass barrier sleeves, primary surgery obesity endoluminal, endoscopic sleeve gastroplasty, and duodenal mucosal resurfacing. These effective techniques may serve either as a primary therapy or as a bridge to bariatric surgery.
尽管全球肥胖率不断上升,但用于治疗肥胖及其代谢后果的内镜方法正在迅速发展。目前正在开发多种专门用于体重管理的设备和技术,这些设备和技术有的已经获得批准使用,有的正在进行临床试验。本文综述了减重手术中的许多内镜干预措施,包括胃抽吸装置、无创磁性吻合系统、腔内旁路屏障袖套、原发性手术肥胖腔内、内镜袖状胃成形术和十二指肠黏膜再成形术。这些有效的技术既可以作为主要治疗方法,也可以作为减重手术的桥梁。