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小肠治疗代谢性疾病和肥胖。

Small Bowel Therapies for Metabolic Disease and Obesity.

机构信息

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168, Roma, Italy; Università Cattolica del Sacro Cuore, Roma 00168, Italy.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168, Roma, Italy; Università Cattolica del Sacro Cuore, Roma 00168, Italy.

出版信息

Gastrointest Endosc Clin N Am. 2024 Oct;34(4):715-732. doi: 10.1016/j.giec.2024.06.002. Epub 2024 Aug 3.

Abstract

The small bowel has a crucial role in metabolic homeostasis. Small bowel endoscopic bariatric metabolic treatments (EBMTs) include several devices aimed at providing minimally invasive approaches for the management of metabolic disorders. The aim of this review is to provide an updated and exhaustive overview of the EBMTs targeting the small bowel developed to date, including the duodenal mucosa resurfacing, the duodenal-jejunal bypass liners, gastro-jejunal bypass sleeve, and the incisioneless magnetic anastomosis system, as well as to mention the future perspectives in the field.

摘要

小肠在代谢稳态中起着至关重要的作用。小肠内镜减重代谢治疗(EBMT)包括几种旨在提供微创方法来治疗代谢紊乱的设备。本综述的目的是提供迄今为止针对小肠开发的 EBMT 的最新和全面的概述,包括十二指肠黏膜表面重建、十二指肠空肠旁路衬垫、胃空肠旁路袖套和无切口磁性吻合系统,并提及该领域的未来展望。

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