Recent Trends in Endoscopic Management of Obesity
| Autor: | Davor Štimac, Milan Ličina, Sanja Klobučar Majanović |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
obesity medicine.medical_specialty Malabsorption bariatric endoscopy Bariatric Surgery 030209 endocrinology & metabolism Risk Assessment Management of obesity Body Mass Index 03 medical and health sciences endoscopic gastric stapling 0302 clinical medicine Weight loss Adaptation Psychological Weight Loss Medicine Humans BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine Monitoring Physiologic BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina Postoperative Care duodenal-jejunal bypass sleeve medicine.diagnostic_test business.industry General surgery Endoscopy Gastric pacing space-occupying devices medicine.disease Obesity Adaptation Physiological intragastric balloon weight loss procedures Obesity Morbid Treatment Outcome 030211 gastroenterology & hepatology Surgery Female medicine.symptom business Risk assessment Weight Loss Surgery |
| Zdroj: | Surgical innovation Volume 23 Issue 5 |
| ISSN: | 1553-3506 |
| DOI: | 10.1177/1553350616643615 |
| Popis: | Obesity remains a tremendous public health, clinical, and scientific challenge globally. Conventional approaches in the management of obesity offer limited potential for sustained weight loss. Bariatric surgery, although it represents the most effective weight loss treatment, has its own risks and is associated with substantial costs and limited patient applicability. Endoscopic weight loss procedures are considered as the major breakthrough in the management of obesity. Endoluminal interventions performed entirely through the gastrointestinal tract have evolved as a result of an attempt to replicate some of the anatomical features and the physiological effects of the traditional weight loss surgery while being reversible, less invasive, and more cost-effective. Restrictive procedures act to decrease gastric volume by space-occupying devices and/or by suturing or stapling techniques that alter gastric anatomy, whereas malabsorptive procedures tend to create malabsorption by preventing food contact with the duodenum and proximal jejunum. Other procedures act by influencing gastric function (gastric botulinum injections, gastric pacing, and vagal nerve blocking) or by gastric aspiration. It is important to underline that the majority of endoscopic weight loss procedures are still being evaluated and are not yet available routinely. Even though some of the techniques and devices that have recently emerged have demonstrated promising short-term results, evidence on their safety and long-term efficacy from well-designed and well-conducted research should be given before they can become an inherent part of everyday clinical practice. Given the rapid development of endoscopic weight loss procedures, this review considers the current state and recent trends in endoscopic management of obesity. |
| Databáze: | OpenAIRE |
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