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Endoluminal Gastroplasty for Obesity Treatment: Emerging Technology and Obstacles비만치료를 위한 내시경 위 성형술: 새로운 기술과 장애물

Other Titles
비만치료를 위한 내시경 위 성형술: 새로운 기술과 장애물
Authors
김승한최혁순전훈재
Issue Date
Jun-2017
Publisher
KOREAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY
Keywords
Endoscopy; Bariatrics; Endoscopic bariatric treatment; Gastroplasty; Obesity
Citation
JOURNAL OF METAOBOLIC AND BARIASTRIC SURGRY, v.6, no.1, pp.12 - 18
Journal Title
JOURNAL OF METAOBOLIC AND BARIASTRIC SURGRY
Volume
6
Number
1
Start Page
12
End Page
18
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4913
DOI
10.17476/jmbs.2017.6.1.12
ISSN
2508-5956
Abstract
Obesity is a complex metabolic disease. Currently, obesity treatment includes lifestyle modification, obesity drug treatment, and bariatric surgery. Lifestyle modification is an essential part of obesity treatment, but it is limited by itself. And anti-obesity treatment drugs also showed limited weight loss effect, about 3-9% per year, and can cause serious side effects such as cardiovascular side events. Surgical treatment requires high cost, permanent resection of the gastrointestinal tract and can cause complication related to surgery. Recently, several promising endoscopic bariatric therapies are emerging. Endoluminal bariatric treatment using flexible gastrointestinal endoscopy could offer a minimally invasive treatment aimed at achieving an effect comparable to obesity surgery, while offering advantages of low cost and safety. In this paper, we described a new technological method, recent clinical data, and the latest findings on obstacles to be overcome for endoscopic gastroplasty using endoscopic suture instruments. Endoscopic gastroplasty presented reduced gastric volume, effective weight loss and maintenance effect without severe adverse events. It could suggest an attractive treatment option for obesity.
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Kim, Seung Han
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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