不同内镜减重技术在治疗肥胖症中的优势与存在的问题——《中国肥胖症消化内镜治疗专家共识》解读
Advantages and challenges of different endoscopic bariatric technologies in the treatment of obesity — interpretation of Expert consensus on digestive endoscopic treatment for obesity in China
Received date: 2025-07-27
Online published: 2025-12-09
肥胖已成为全球性公共健康挑战，其相关并发症显著增加。传统外科减重手术疗效确切，但创伤大、风险高，解剖改变不可逆，限制其广泛应用。随着消化内镜技术的快速发展，内镜减重治疗逐渐成为一种兼具安全性和有效性的微创替代方案。本文介绍多种内镜减重技术的研究进展与临床应用，包括通过占位效应减少胃容量的胃内球囊置入术、内镜胃袖状成形术和腔内减重手术，以及经口装置实现的缝合与吻合技术。还介绍以清除胃内容物为核心的吸引疗法，以及模拟外科旁路和黏膜重建的十二指肠-空肠旁路套管和十二指肠黏膜消融等新兴方法。内镜减重技术已展现出广阔的应用前景，有望成为肥胖综合治疗体系中的重要组成部分。
孙浩文 , 尹钰哲 , 王怡婷 , 薛育政 . 不同内镜减重技术在治疗肥胖症中的优势与存在的问题——《中国肥胖症消化内镜治疗专家共识》解读[J]. 外科理论与实践, 2025 , 30(05) : 392 -399 . DOI: 10.16139/j.1007-9610.2025.05.04
Obesity has emerged as a major global public health challenge, accompanied by a significant rise in obesity-related comorbidities. Although conventional bariatric surgery achieves reliable outcomes, its invasiveness, potential risks, and irreversible anatomical alterations have limited widespread application. With the rapid advancement of digestive endoscopy, endoscopic bariatric therapies are increasingly recognized as minimally invasive alternatives that combine safety and efficacy. This review summarized the current progress and clinical applications of various endoscopic bariatric techniques, including intragastric balloons, endoscopic sleeve gastroplasty, and primary obesity surgery endoluminal procedures that reduced gastric volume via space-occupying, or suture and anastomosis technology achieved by oral devices. In addition, aspiration therapy, which removes gastric contents, and innovative methods such as duodenal-jejunal bypass liners and duodenal mucosal resurfacing that mimic surgical bypass or induce mucosal remodeling were discussed. Endoscopic bariatric technologies showed promising prospects and were expected to become an important component of comprehensive obesity management.
Key words： Endoscopy; Bariatric technology; Obesity; Complication
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