Endoscopic Bariatric and Metabolic Therapies: New and Emerging Technologies

被引:102
|
作者
Sullivan, Shelby [1 ]
Edmundowicz, Steven A. [1 ]
Thompson, Christopher C. [2 ]
机构
[1] Univ Colorado, Sch Med, Div Gastroenterol, Aurora, CO USA
[2] Brigham & Womens Hosp, Div Gastroenterol, Boston, MA 02115 USA
关键词
Endoscopic Bariatric Therapy; Intragastric Balloons; Transpyloric Shuttle; Aspiration Therapy; Primary Surgery Obesity Endoluminal; Endoscopic Sleeve Gastroplasty; Duodenojejunal Bypass Liner; Duodenal Mucosal Resurfacing; Incisionless Magnet Anastomosis System; Gastroduodenojejunal Bypass Sleeve; JEJUNAL BYPASS LINER; DUAL INTRAGASTRIC BALLOON; SMALL BOWEL OBSTRUCTION; SHAM-CONTROLLED TRIAL; WEIGHT-LOSS; GASTRIC BUBBLE; SLEEVE GASTROPLASTY; ASPIRATION THERAPY; HUMAN-EXPERIENCE; PRIMARY OBESITY;
D O I
10.1053/j.gastro.2017.01.044
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic bariatric and metabolic therapies (EBMT) are a new addition to the treatment arsenal for obesity. These include devices that are placed or removed via flexible endoscopy, and procedures that utilize instruments that require flexible endoscopy for the indications of weight loss or treatment of glucose intolerance (from pre-diabetes to diabetes). The EBMTs are generally divided into gastric and small bowel categories, and although individual EBMTs may have unique mechanisms of action, similar themes in proposed mechanism of action are seen in the gastric and small bowel EBMTs, respectively. In this review we will describe the therapies approved for use in the United States or currently in the process of obtaining approval for use in the United States. We will discuss potential mechanisms of action and examine safety and efficacy data.
引用
收藏
页码:1791 / 1801
页数:11
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