New endoscopic procedures for diabetes mellitus type 2 and obesity treatment
Francesco Frattini, Giacomo Borroni, Matteo Lavazza, Xiaoli Liu, Hoon Yub Kim, Renbin Liu, Angkoon Anuwong, Stefano Rausei, Gianlorenzo Dionigi, Francesco Frattini, Giacomo Borroni, Matteo Lavazza, Xiaoli Liu, Hoon Yub Kim, Renbin Liu, Angkoon Anuwong, Stefano Rausei, Gianlorenzo Dionigi
Abstract
Background: Obesity continues to be a growing epidemic worldwide. Obese patients have severe comorbidities that make risky and technically demanding the execution of bariatric surgery from both surgical and anesthetic point of view; therefore, the focus of bariatric surgeons is increasingly moving towards minimally invasive, endoscopic techniques.
Methods: The present review presents and discusses recent endoscopic techniques employed in obesity treatment, their features and results.
Results: Endoscopic treatment can be primary or revisional; we can mainly divide the endoscopic devices into five categories: space-occupying devices, restrictive procedures, bypass liner, aspiration therapy and endoscopic revision of gastric bypass for dilated gastric pouch.
Conclusions: Endoscopic treatments for obesity are promising techniques for selected patients but each procedure should be tailored on the patient in a multimodal approach.
Keywords: Endoscopy; bariatric surgery; obesity; weight loss.
Conflict of interest statement
The authors have no conflicts of interest to declare.
Source: PubMed