Endoscopic Interventions for Weight Loss Surgery
Endoscopic Interventions for Weight Loss Surgery
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DOI：
10.1038/oby.2008.588
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发表时间：
2009-05-01
期刊：
影响因子：
6.9
通讯作者：
Kaplan, Lee M.
中科院分区：
文献类型：
--
作者：
Ellsmere, James C.;Thompson, Christopher C.;Kaplan, Lee M.
在本文中，我们回顾了内镜介入治疗肥胖的最新技术，并提出了减肥手术（WLS）的最佳实践建议。我们对MEDLINE和科克伦图书馆2004年4月至2008年6月发表的关于WLS和内镜介入、内镜置入器械、微创手术、图像引导手术、腔内手术、内镜器械、介入胃肠病学、经腔手术和自然腔道经腔手术的英文文献进行了系统检索。我们还检索了关于内镜介入和WLS以及患者安全性的文献。我们确定了36篇相关文章，对所有文章进行了详细综述;评估了WLS内镜介入治疗的当前科学;并根据最新可用证据提出了最佳实践建议。我们的研究结果表明，内窥镜介入和内窥镜下放置的设备可能提供有价值的方法来管理WLS并发症和肥胖的主要管理。鉴于内镜技术和方法的快速变化，需要进行系统的文献综述，以解决与腔内手术在肥胖治疗中的新兴作用相关的问题。这些干预措施应成为发展和调查的高度优先事项。
In this paper we review the state-of-the-art in endoscopic interventions for obesity treatment and make best practice recommendations for weight loss surgery (WLS). We performed a systematic search of English-language literature published between April 2004 and June 2008 in MEDLINE and the Cochrane Library on WLS and endoscopic interventions, endoscopically placed devices, minimally invasive surgery, image-guided surgery, endoluminal surgery, endoscopic instrumentation, interventional gastroenterology, transluminal surgery, and natural orifice transluminal surgery. We also searched the literature on endoscopic interventions and WLS and patient safety. We identified 36 pertinent articles, all of which were reviewed in detail; assessed the current science in endoscopic interventions for WLS; and made best practice recommendations based on the latest available evidence. Our findings indicate that endoscopic interventions and endoscopically placed devices may provide valuable approaches to the management of WLS complications and the primary management of obesity. Given the rapid changes in endoscopic technologies and techniques, systematic literature review is required to address issues related to the emerging role of endoluminal surgery in the treatment of obesity. These interventions should be a high priority for development and investigation.