Endoscopic bariatric and metabolic therapies: Another tool for the management of diabetes and obesity
- PMID: 30447101
- DOI: 10.1111/1753-0407.12878
Endoscopic bariatric and metabolic therapies: Another tool for the management of diabetes and obesity
Abstract
Endoscopic bariatric and metabolic therapies (EBMTs) have sparked significant interest as minimally invasive therapeutic options for weight loss. Although bariatric surgery remains an effective option for sustained weight loss and improvement in the metabolic syndrome, access and utilization are limited. Various EBMTs have been designed to emulate the physiologic effects of established surgical interventions, including space-occupying and non-space-occupying gastric therapies, gastric remodeling procedures, and small bowel therapies. This review discusses the safety and efficacy of available US Food and Drug Administration-approved minimally invasive endoscopic bariatric interventions, as well as those currently under investigation. In addition, the role of endoscopic revision after failed surgical intervention is discussed.
内镜下减肥与代谢治疗(Endoscopic bariatric and metabolic therapies，EBMTs)是一种微创的减肥治疗方法，目前这种方法已经引起人们的极大兴趣。尽管减肥手术一直是一种有效的可以用来持续减肥与改善代谢综合征的方法，但是目前人们接触与使用这种方法却是有限的。已经设计了各种EBMTs，使用已有的外科干预措施，包括胃占位与非胃占位疗法、胃重建手术以及小肠疗法来模拟生理效应。本综述对目前已有的美国食品与药品监督管理局批准的内窥镜下微创减肥手术的安全性与有效性进行了讨论，除此之外也讨论了目前正处于研究阶段的微创减肥手术方法。另外，还讨论了外科干预失败后内镜下修正术的作用。.
Keywords: bariatrics; diabetes; endoscopy; minimally invasive; obesity; 内窥镜; 减肥; 微创; 糖尿病; 肥胖.
© 2018 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
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