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内镜袖子胃整形:对青少年肥胖症的最小侵入性内镜方法的建议
Gloria Pelizzo1,2, Francesca Destro3, Silvana Perretta4,5
1Department of Pediatric Surgery, Buzzi Children's Hospital, Milan, Italy. gloria.pelizzo@unimi.it.
Obesity surgery
|August 12, 2025
概括
内镜套胃形成术 (ESG) 是青少年肥胖症的安全,最少侵入的选择,比其他治疗方法显著减肥,并发症较少. 需要进一步的研究来确定其在儿科护理中的长期作用.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 腹腔内镜检查 腹腔内镜检查 腹腔内镜检查
- 青少年健康 青少年健康
背景情况:
- 青少年肥胖是一个关键的全球健康问题,有效治疗方法有限.
- 腹部外科手术是有效的,但对于儿科患者来说是侵入性的.
- 内镜外套胃形成术 (ESG) 是一种不那么侵入性的替代方案.
研究的目的:
- 提供对青少年内镜套胃形成术 (ESG) 的综合性审查.
- 评估ESG的有效性,安全性,机制,并与其他肥胖干预措施进行比较.
- 检查当前关于儿童群体ESG的指导方针建议.
主要方法:
- 对21岁以下的个人对ESG的英语研究进行叙述性审查.
- 在PubMed,Scopus,EMBASE和Web of Science进行的搜索截至2025年4月.
- 包括标准集中在ESG结果,安全,机制,迹象和专家共识上.
主要成果:
- 儿科数据显示,6个月的总体体重减轻率为14.4%,12个月的16.2%,24个月的13.7%.
- ESG 显示出良好的安全性,轻微的不良事件 (2-3%) 和没有严重的并发症或生长障碍.
- 在TBWL中,ESG的表现优于生活方式和药物治疗,并且比腹腔镜袖子胃切除术的并发症少.
结论:
- 内镜套胃形成术 (ESG) 是对青少年肥胖的安全,解剖学保护和适度有效的选择.
- ESG可以作为保守疗法和手术干预之间的桥梁.
- 长期数据和随机对照试验对于确定ESG在儿科肥胖护理途径中的作用至关重要.
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