内镜减重治疗：当前疗法与未来方向。
Endoscopic bariatrics: current therapies and future directions.
作者信息
Reja Debashis, Zhang Clark, Sarkar Avik
机构信息
Division of Internal Medicine, Department of Medicine, Robert Wood Johnson Medical Center, New Brunswick, New Jersey, USA.
Division of Gastroenterology, Department of Medicine, Robert Wood Johnson Medical Center, New Brunswick, New Jersey, USA.
出版信息
Transl Gastroenterol Hepatol. 2022 Apr 25;7:21. doi: 10.21037/tgh.2020.03.09. eCollection 2022.
Abstract
Endoscopic bariatric therapies (EBTs) are endoscopic procedures indicated for weight loss in the obese population. They are shown to be safe and effective for patients who do not quality for bariatric surgery. There are currently no randomized controlled studies comparing bariatric surgery with EBTs. However, EBTs are more cost effective and have fewer complications. This review will examine currently available EBTs with published data.
摘要
内镜减重治疗（EBTs）是针对肥胖人群进行减重的内镜手术。对于不符合减重手术条件的患者，这些手术已被证明是安全有效的。目前尚无比较减重手术与EBTs的随机对照研究。然而，EBTs更具成本效益且并发症更少。本综述将研究目前有已发表数据的可用EBTs。
相似文献
1
Endoscopic bariatrics: current therapies and future directions.内镜减重治疗：当前疗法与未来方向。
Transl Gastroenterol Hepatol. 2022 Apr 25;7:21. doi: 10.21037/tgh.2020.03.09. eCollection 2022.
2
Endobariatrics: a Still Underutilized Weight Loss Tool.内镜减重术：一种仍未得到充分利用的减肥工具。
Curr Treat Options Gastroenterol. 2023;21(2):172-184. doi: 10.1007/s11938-023-00420-6. Epub 2023 May 6.
3
Endoscopic therapy for weight loss: Gastroplasty, duodenal sleeves, intragastric balloons, and aspiration.内镜减肥治疗：胃成形术、十二指肠袖状切除术、胃内球囊置入术及抽吸术。
World J Gastrointest Endosc. 2015 Jul 25;7(9):847-59. doi: 10.4253/wjge.v7.i9.847.
4
Do Endoscopic Bariatric Procedures Improve Postprocedural Quality of Life and Mental Health? A Systematic Review and Meta-analysis.内镜减重术是否能提高术后生活质量和心理健康？系统评价和荟萃分析。
Obes Surg. 2020 Oct;30(10):4091-4100. doi: 10.1007/s11695-020-04860-2. Epub 2020 Aug 6.
5
ASGE Bariatric Endoscopy Task Force systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting endoscopic bariatric therapies.美国胃肠内镜学会减肥内镜工作组进行系统评价和荟萃分析，评估美国胃肠内镜学会采用内镜减肥治疗的PIVI阈值。
Gastrointest Endosc. 2015 Sep;82(3):425-38.e5. doi: 10.1016/j.gie.2015.03.1964. Epub 2015 Jul 29.
6
Endoscopic Bariatric Therapies: Intragastric Balloons, Tissue Apposition, and Aspiration Therapy.内镜减肥疗法：胃内球囊、组织贴附及抽吸疗法。
Curr Treat Options Gastroenterol. 2019 Jun;17(2):187-201. doi: 10.1007/s11938-019-00232-7.
7
Endoscopic Management.内镜管理
Gastroenterol Clin North Am. 2016 Dec;45(4):673-688. doi: 10.1016/j.gtc.2016.07.005.
8
Endoscopic suturing and plication in the stomach for weight loss.胃内镜缝合和皱缩术用于减肥。
Minim Invasive Ther Allied Technol. 2022 Mar;31(3):325-331. doi: 10.1080/13645706.2020.1818582. Epub 2020 Sep 23.
9
Endoscopic Bariatric and Metabolic Therapies: New and Emerging Technologies.内镜减重与代谢治疗：新技术与新进展
Gastroenterology. 2017 May;152(7):1791-1801. doi: 10.1053/j.gastro.2017.01.044. Epub 2017 Feb 10.
10
Endoscopic bariatric and metabolic therapies for non-alcoholic fatty liver disease: Evidence and perspectives.非酒精性脂肪性肝病的内镜减肥和代谢疗法：证据与展望。
Liver Int. 2020 Jun;40(6):1262-1268. doi: 10.1111/liv.14441. Epub 2020 Apr 6.
引用本文的文献
1
Glucagon-like peptide-1 receptor agonists: Evolution, gastrointestinal adverse effects, and future directions.胰高血糖素样肽-1受体激动剂：演变、胃肠道不良反应及未来方向。
World J Gastrointest Pharmacol Ther. 2025 Sep 5;16(3):107148. doi: 10.4292/wjgpt.v16.i3.107148.
2
Endoscopic Sleeve Gastroplasty: a Proposal for a Minimal Invasive Endoscopic Approach to Adolescent Obesity.内镜袖状胃成形术：一种针对青少年肥胖的微创内镜治疗方法的提议
Obes Surg. 2025 Aug 13. doi: 10.1007/s11695-025-08139-2.
3
Impact of Bariatric Surgery and Endoscopic Therapies on Liver Health in Metabolic Dysfunction-Associated Steatotic Liver Disease: A Review.减重手术和内镜治疗对代谢功能障碍相关脂肪性肝病肝脏健康的影响：综述
J Clin Med. 2025 Jun 6;14(12):4012. doi: 10.3390/jcm14124012.
4
Efficacy of Intragastric Balloon Treatment: Outcomes and Patient Satisfaction 6 Months After Removal.胃内球囊治疗的疗效：移除后6个月的结果及患者满意度
Medicina (Kaunas). 2025 Mar 28;61(4):616. doi: 10.3390/medicina61040616.
5
The Risk of Leakage and Bleeding After Using the Ezisurg Endostapler Technique for Bariatric Surgery.使用EziSurg腔内吻合器技术进行减肥手术后的渗漏和出血风险。
Cureus. 2024 Dec 14;16(12):e75695. doi: 10.7759/cureus.75695. eCollection 2024 Dec.
6
Intragastric botulinum toxin injection for weight loss: current trends, shortcomings and future perspective.胃内注射肉毒杆菌毒素用于减肥：当前趋势、缺点及未来展望
Clin Endosc. 2025 Jan;58(1):10-24. doi: 10.5946/ce.2024.153. Epub 2024 Nov 5.
7
Phenotyping of Obesity Treatment Candidates: A Narrative Review.肥胖症治疗候选者的表型分析：一项叙述性综述。
Curr Obes Rep. 2024 Sep;13(3):564-573. doi: 10.1007/s13679-024-00576-x. Epub 2024 Jun 14.
8
Nutritional Challenges and Treatment After Bariatric Surgery.减重手术后的营养挑战和治疗。
Annu Rev Nutr. 2024 Aug;44(1):289-312. doi: 10.1146/annurev-nutr-061121-101547. Epub 2024 Aug 12.
9
Overview on the endoscopic treatment for obesity: A review.肥胖的内镜治疗概述：综述。
World J Gastroenterol. 2023 Oct 28;29(40):5526-5542. doi: 10.3748/wjg.v29.i40.5526.
本文引用的文献
1
Endoscopic Sleeve Gastroplasty in 109 Consecutive Children and Adolescents With Obesity: Two-Year Outcomes of a New Modality.内镜袖状胃切除术治疗 109 例肥胖儿童和青少年：一种新方法的两年结果。
Am J Gastroenterol. 2019 Dec;114(12):1857-1862. doi: 10.14309/ajg.0000000000000440.
2
Efficacy and Safety of Endoscopic Sleeve Gastroplasty: A Systematic Review and Meta-Analysis.内镜袖状胃切除术的疗效和安全性：系统评价和荟萃分析。
Clin Gastroenterol Hepatol. 2020 May;18(5):1043-1053.e4. doi: 10.1016/j.cgh.2019.08.022. Epub 2019 Aug 20.
3
Five-year results of endoscopic gastrojejunostomy revision (transoral outlet reduction) for weight gain after gastric bypass.胃旁路术后内镜胃空肠吻合口再手术（经口输出道缩小术）增加体重的 5 年结果。
Surg Endosc. 2020 May;34(5):2164-2171. doi: 10.1007/s00464-019-07003-6. Epub 2019 Jul 25.
4
Endoscopic duodenal mucosal resurfacing for the treatment of type 2 diabetes mellitus: one year results from the first international, open-label, prospective, multicentre study.内镜下十二指肠黏膜表面重建术治疗 2 型糖尿病：首个国际、开放标签、前瞻性、多中心研究的一年结果。
Gut. 2020 Feb;69(2):295-303. doi: 10.1136/gutjnl-2019-318349. Epub 2019 Jul 22.
5
Aspiration therapy for the treatment of obesity: 4-year results of a multicenter randomized controlled trial.经口内镜下胃袖状成形术治疗肥胖症的 4 年随访结果：多中心随机对照研究
Surg Obes Relat Dis. 2019 Aug;15(8):1348-1354. doi: 10.1016/j.soard.2019.04.026. Epub 2019 May 2.
6
Endoscopic sleeve gastroplasty is safe and effective: pitfalls of a flawed systematic review.内镜下袖状胃成形术安全有效：一项有缺陷的系统评价的缺陷
Surg Obes Relat Dis. 2019 Aug;15(8):1423-1424. doi: 10.1016/j.soard.2019.05.011. Epub 2019 May 21.
7
Endoscopic sleeve gastroplasty in the management of overweight and obesity: an international multicenter study.内镜袖状胃成形术治疗超重和肥胖：一项国际多中心研究。
Gastrointest Endosc. 2019 Nov;90(5):770-780. doi: 10.1016/j.gie.2019.06.013. Epub 2019 Jun 19.
8
Endoscopic sleeve gastroplasty for obesity: defining the risk and reward after more than 1600 procedures.内镜袖状胃成形术治疗肥胖症：1600多例手术后的风险与获益分析
Gastrointest Endosc. 2019 Jun;89(6):1139-1140. doi: 10.1016/j.gie.2019.02.025.
9
Endoscopic bariatric therapies for treating obesity: a learning curve for gastroenterologists.用于治疗肥胖症的内镜减肥疗法：胃肠病学家的学习曲线
Transl Gastroenterol Hepatol. 2019 Mar 18;4:16. doi: 10.21037/tgh.2019.03.01. eCollection 2019.
10
Endoscopic Bariatric Therapies: Intragastric Balloons, Tissue Apposition, and Aspiration Therapy.内镜减肥疗法：胃内球囊、组织贴附及抽吸疗法。
Curr Treat Options Gastroenterol. 2019 Jun;17(2):187-201. doi: 10.1007/s11938-019-00232-7.
Zotero 插件