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New endoscopic procedures for diabetes mellitus type 2 and obesity treatment #MMPMID27867859
Frattini F; Borroni G; Lavazza M; Liu X; Kim HY; Liu R; Anuwong A; Rausei S; Dionigi G
Gland Surg 2016[Oct]; 5 (5): 458-64 PMID27867859show ga
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.