西方国家的减肥内镜的演变和当前状态
Maria Valeria Matteo1,2, Vincenzo Bove1,2, Valerio Pontecorvi1,2
1Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Clinical endoscopy
|June 26, 2024
概括
肥胖症的治疗方法正在推进,包括最少的侵入性内镜性减肥手术. 这些技术提供有效的减肥和并发症改善,并具有良好的安全性,包括气球和新型小肠干预措施.
科学领域:
- 胃肠病学 胃肠病学
- 减肥医学 减肥医学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 肥胖率的上升需要先进的治疗选择.
- 最少侵入性内镜技术为肥胖管理提供了更安全的替代方案.
- 目前的内镜减肥手术显示了显著的体重减轻和并发症的改善.
研究的目的:
- 审查目前在西方国家可用的减肥内镜技术.
- 为不断发展的代谢和腹内镜领域提供最新信息.
- 要突出既定和新兴的内镜减肥干预措施.
主要方法:
- 限制性减肥手术的审查 (胃内气球,胃改造).
- 针对小肠的代谢内镜的探索 (十二指肠-十指肠绕道线,十二指肠粘膜重新表面化,无切口解剖).
- 分析所述技术的疗效,安全性和临床应用.
主要成果:
- 像胃内气球这样的限制性内镜手术是有效的,并且被广泛使用.
- 针对小肠的技术显示出希望,但在常规实践中不那么成熟.
- 这两种方法都提供了有利的安全概况和显著的患者益处.
结论:
- 腹腔内镜为肥胖症治疗提供了可行的,最少侵入性的选择.
- 目前正在进行的针对小肠内镜的研究有望在未来取得进展.
- 内镜减肥手术对于控制肥胖流行病至关重要.
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