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Small bowel endoscopic bariatric therapies

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초록

Endoscopic bariatric therapies that emulate some of the principles of bariatric surgery have been developed as a less invasiveoption for the treatment of obesity and related comorbidities. Small bowel endoscopic bariatric therapies include bypasssleeves, incisionless anastomosis systems, and duodenal mucosal resurfacing. Clinical experience with small bowel devicessuggests that endoscopic bariatric procedures can be safely implemented and that these devices are effective for both weightloss and metabolic improvement. Although the mechanisms behind these effects should be further elucidated, endoscopicbariatric therapies may be more effective and safer adjunctive interventions than lifestyle modifications and pharmacologicalregimens for patients with obesity or obesity-related comorbidities.

Abstract

Endoscopic bariatric therapies that emulate some of the principles of bariatric surgery have been developed as a less invasiveoption for the treatment of obesity and related comorbidities. Small bowel endoscopic bariatric therapies include bypasssleeves, incisionless anastomosis systems, and duodenal mucosal resurfacing. Clinical experience with small bowel devicessuggests that endoscopic bariatric procedures can be safely implemented and that these devices are effective for both weightloss and metabolic improvement. Although the mechanisms behind these effects should be further elucidated, endoscopicbariatric therapies may be more effective and safer adjunctive interventions than lifestyle modifications and pharmacologicalregimens for patients with obesity or obesity-related comorbidities.

참고문헌 (35)

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