内镜下减重手术的研究进展

Research progress of endoscopic bariatric therapy

肥胖是一种由多种因素引起的慢性代谢性疾病,主要与人体能量摄入过高,体内的脂肪组织堆积有关。肥胖及其相关疾病严重危害患者的身心健康,极大加重了医疗负担。饮食、运动及药物治疗肥胖的作用有限,外科减重手术虽然效果显著,但并发症较多,且大部分患者的耐受性较低。随着消化内镜技术的发展,内镜下减重治疗方式因其微创性、低成本、并发症少等优点受到越来越多的关注,并且已逐渐发展成熟。本文对现有的内镜下减重方式进行系统论述,以全面介绍消化内镜手术治疗肥胖的疗效。

Obesity is a chronic metabolic disease caused by a variety of factors,it mainly associated with high energy intake and accumulation of adipose tissue in the body.Obesity and its related diseases seriously harm the physical and mental health of patients,and greatly increase the medical burden.Diet,exercise and drugs play a limited role in the treatment of obesity.Although bariatric surgery has a significant effect,it has more complications and is poorly tolerated by most patients.With the development of digestive endoscopy,endoscopic bariatric therapy has attracted more and more attention due to its advantages such as minimally invasion,low cost and fewer complications,and has gradually developed and matured.In this paper,the existing methods of endoscopic bariatric therapies were systematically discussed in order to comprehensively introduce the efficacy of digestive endoscopic surgery in the treatment of obesity.