内镜减重手术治疗肥胖症的研究进展

Research progress of endoscopic bariatric surgery for obesity

目前,全世界肥胖症患者和超重人群逐年增加。减重手术是治疗肥胖症的有效方法,但由于风险高、创伤大、手术不可逆、费用高以及患者偏好等问题,患者总体接受程度不高。随着内镜技术和材料设备的发展,各种内镜减重手术不断出现,其创伤性小、具有可逆性、减重效果与传统减重手术相似等特点,临床应用越来越多。笔者查阅相关文献,根据内镜减重手术干预的不同部位,探讨其研究进展和临床疗效。

At present,obesity and overweight patients are increasing year by year in the world.Bariatric surgery is the most effective method for treating obesity at present.Due to its high risk,large trauma,irreversible operation,high cost and patient preference,the overall acceptance degree is not high at present.With the development of endoscopic technology and materials and equipment,various surgical methods emerge one after another.They are less invasive,reversible and similar to traditional bariatric surgery in weight loss effect.They are more and more widely used in obesity and metabolism.Depending on the site of the endoscopic intervention:The authors review the advances in endoscopic bariatric surgery for obesity,including the different principles of surgery and the effects of bariatric surgery on different sites.