[1]吴良平,戴晓江,黄红艳.内镜下袖状胃成形术的机遇和挑战[J].南方医科大学学报,2020,(06):916-918.[doi:10.12122/j.issn.1673-4254.2020.06.22]
 Opportunities and challenges of endoscopic sleeve gastroplasty[J].Journal of Southern Medical University,2020,(06):916-918.[doi:10.12122/j.issn.1673-4254.2020.06.22]
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内镜下袖状胃成形术的机遇和挑战()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2020年06期
页码:
916-918
栏目:
出版日期:
2020-06-17

文章信息/Info

Title:
Opportunities and challenges of endoscopic sleeve gastroplasty
作者:
吴良平戴晓江黄红艳
关键词:
内镜下袖状胃成形术减重外科肥胖
Keywords:
endoscopic sleeve gastroplasty bariatric surgery obesity
DOI:
10.12122/j.issn.1673-4254.2020.06.22
文献标志码:
A
摘要:
肥胖及其相关伴发病,如2型糖尿病、高血压、高脂血症、非酒精性脂肪肝等是困扰全世界公共卫生的严重问题。内镜下袖状胃成形术(ESG)通过模拟外科袖状胃切除术,在胃腔内以全层缝合的方式减少胃的长度和宽度从而减少胃容量;是一种安全、可行、减重效果良好的减肥方法;具有非侵入、不切胃、可重复、操作简单、无切口疤痕、并发症极少、住院时间短、术后康复快的优点。ESG可以作为内科治疗与外科手术的中间手段,为不能耐受或不愿接受外科手术的肥胖患者提供新的减肥方法。本文追溯了ESG在国外的起源,分析了ESG独特的缝合优势,探索了ESG发展过程中的技术改进,简述了ESG的减重效果及其与腹腔镜袖状胃切除术的疗效对比。在外科微创极致化的大趋势下,ESG将迎来快速发展和成熟的历史性机遇,同时它将面临建立标准流程、厘清减重机制、确立适应人群等挑战,展望未来ESG将成为主流的减重术式。
Abstract:
Obesity and its complications, such as type 2 diabetes, hypertension, hyperlipidemia, nonalcoholic fatty liver, are serious global public health problems. Endoscopic sleeve gastroplasty (ESG) can reduce the length and width of the stomach by simulating the anatomical structure of surgical sleeve gastrectomy to reduce the capacity of the stomach, and is safe and effective to reduce weight. ESG has the advantages of non- invasiveness, no gastrectomy, repeatability, simple operation, no incision scar, few complications, short hospital stay and quick postoperative recovery. As an intermediate means of medical treatment and surgery, ESG provides a new method for weight loss for obese patients who cannot tolerate or are unwilling to undergo surgery. Herein we trace the origin of ESG, analyze the unique advantages of ESG suture, explore the technical improvement in the development of ESG, and briefly describe the weight reduction effect of ESG and compare the curative effect of ESG with laparoscopic sleeve gastrectomy. ESG has undergone rapid development and maturity but also faces such challenges as the lack of established standard procedures, unclear weight reduction mechanism, and clarification of the indications for operation. Still, ESG is expected to become the mainstream technique for weight reduction.
更新日期/Last Update: 2020-06-17