Department of Surgery, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
JSLS. 2022 Jan-Mar;26(1). doi: 10.4293/JSLS.2021.00066.
Obesity is a chronic, multifactorial disease associated with multiple cardiometabolic conditions. The successful management of this condition includes a multidisciplinary approach with interventions focused on lifestyle modification, pharmaceutical therapies, and bariatric surgery. Endoscopic bariatric therapies (EBT) have been proposed as a way to bridge the gap between medical management and bariatric surgery. The Association for Bariatric Endoscopy in conjunction with the American Society for Gastrointestinal Endoscopy published the position statement approving and integrating EBT into practice. The aim of this article is to review the most common primary EBT's, their indications, outcomes, and complications.
A medical literature review was conducted using the defined keywords. Databases included PubMed, Google Scholar, Embase, and EBSCO. Articles in English were considered for review from June 1, 2000 to June 30, 2021.
Endoscopic bariatric therapies should be offered in conjunction with lifestyle modification and with nutritional guidance, as part of a multidisciplinary approach in obesity management. They require a formal training process for endoscopists and bariatric surgeons to obtain the endoscopic skills needed before performing these procedures. Longer follow-up and larger trials are needed to validate current evidence, in order to enhance the process of standardization of these techniques.
肥胖是一种慢性的、多因素的疾病，与多种心血管代谢疾病有关。这种疾病的成功管理包括多学科的方法，干预措施侧重于生活方式的改变、药物治疗和减肥手术。内镜减肥治疗（EBT）已被提议作为一种在医疗管理和减肥手术之间架起桥梁的方法。内镜减肥治疗协会与美国胃肠内镜学会联合发表了一项立场声明，批准并整合了 EBT 进入实践。本文的目的是回顾最常见的主要 EBT，及其适应证、结果和并发症。
使用定义的关键字进行了医学文献综述。数据库包括 PubMed、Google Scholar、Embase 和 EBSCO。从 2000 年 6 月 1 日至 2021 年 6 月 30 日，考虑了英语文章进行审查。
内镜减肥治疗应该与生活方式的改变和营养指导一起提供，作为肥胖管理多学科方法的一部分。它们需要内镜医生和减肥外科医生进行正式的培训过程，以获得进行这些手术所需的内镜技能。需要更长时间的随访和更大规模的试验来验证当前的证据，以促进这些技术的标准化过程。
