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[Current Endoscopic Methods in Bariatric Surgery].
Christine Stroh1, Uwe Will2, Frank Meyer3
1Klinik für Allgemein-, Viszeral- und Kinderchirurgie, SRH Wald-Klinikum Gera gGmbH, Deutschland.
Zentralblatt Fur Chirurgie
|October 6, 2018
Summary
Endoscopic methods offer a less invasive approach for treating obesity and diabetes mellitus, particularly for high-risk patients. This review highlights new endoscopic techniques in metabolic surgery based on literature and clinical experience.
Area of Science:
- Bariatric Endoscopy
- Metabolic Surgery
- Obesity Treatment
Background:
- Global epidemics of diabetes mellitus and morbid obesity reported by the 2011 World Health Summit.
- High prevalence of overweight (62.7% BMI > 25 kg/m²) and obesity (21.9% BMI > 30 kg/m²) in Germany.
- Significant disparities in metabolic surgery rates across Europe (Germany: 10.5, France: 86.0, Sweden: 114.8 per 100,000 inhabitants).
Purpose of the Study:
- To review novel endoscopic methods for managing obese patients.
- To present the authors' experience with endoscopic interventions in metabolic surgery.
- To discuss the potential of endoscopy in bridging high-risk patients before surgical intervention.
Main Methods:
- Literature review of endoscopic techniques in metabolic surgery.
- Analysis of clinical experience with endoscopic procedures for obesity.
- Focus on the specialized treatment concepts required for endoscopic bariatric interventions.
Main Results:
- Endoscopic procedures offer a low-complication alternative for high-risk patients.
- Endoscopy requires combined expertise in both endoscopic techniques and metabolic surgery.
- Emerging endoscopic methods provide new avenues for obesity treatment.
Conclusions:
- Endoscopic interventions are a valuable adjunct in the multidisciplinary approach to obesity management.
- Specialized training and a tailored treatment strategy are crucial for successful endoscopic metabolic surgery.
- Further development and application of endoscopic techniques can improve outcomes for obese patients.
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