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内镜减重与代谢治疗的进展

Updates in Endoscopic Bariatric and Metabolic Therapies.

作者信息

Qureshi Hammad, Saeed Naba, Jovani Manol

机构信息

Division of Hospital Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY 40536, USA.

Division of Gastroenterology, Department of Internal Medicine, University of Kentucky, Lexington, KY 40536, USA.

出版信息

J Clin Med. 2023 Jan 31;12(3):1126. doi: 10.3390/jcm12031126.

Abstract

The rising prevalence of obesity, and related morbidity and mortality, has necessitated the development of therapeutic weight loss strategies. Lifestyle modifications alone have only yielded modest benefit, and while bariatric surgery has shown significant short- and long-term results, only a minority of eligible patients end up receiving this treatment. Endoscopic bariatric and metabolic therapies (EBMTs) are a rapidly evolving field, which provides a less invasive middle ground treatment option for weight loss. Here we discuss the efficacy, as well as short- and long-term outcomes with restrictive, malabsorptive/metabolic and aspiration endoscopic techniques, and their effects on metabolic parameters.

摘要

肥胖患病率的不断上升以及相关的发病率和死亡率,使得有必要制定治疗性减肥策略。仅靠生活方式的改变所带来的益处有限,虽然减肥手术已显示出显著的短期和长期效果,但最终只有少数符合条件的患者接受这种治疗。内镜下减肥和代谢疗法(EBMTs)是一个快速发展的领域,它为减肥提供了一种侵入性较小的中间治疗选择。在此,我们讨论了限制性、吸收不良/代谢性和抽吸性内镜技术的疗效以及短期和长期结果,以及它们对代谢参数的影响。

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