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中华肥胖与代谢病电子杂志 ›› 2020, Vol. 06 ›› Issue (04) : 252 -256. doi: 10.3877/cma.j.issn.2095-9605.2020.04.009

所属专题: 文献

综述

经内镜的减重手术研究进展及展望
吴迪1, 张梦茹1, 杨丹兰1, 唐艺嘉1, 罗邢洋1, 李伟正2,()   
  1. 1. 410013 长沙,中南大学湘雅医学院
    2. 中南大学湘雅三医院普外科
  • 收稿日期:2020-11-11 出版日期:2020-11-30
  • 通信作者: 李伟正
  • 基金资助:
    湖南省自然科学基金(2020JJ5856)

Research progress and prospect of endoscopic bariatric surgery

Di Wu1, Mengru Zhang1, Danlan Yang1   

  • Received:2020-11-11 Published:2020-11-30
引用本文:

吴迪, 张梦茹, 杨丹兰, 唐艺嘉, 罗邢洋, 李伟正. 经内镜的减重手术研究进展及展望[J]. 中华肥胖与代谢病电子杂志, 2020, 06(04): 252-256.

Di Wu, Mengru Zhang, Danlan Yang. Research progress and prospect of endoscopic bariatric surgery[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2020, 06(04): 252-256.

表1 内镜减重手术分类
作用机制 分类 名称 生产商 效果(%EWL)
空间占用 胃内球囊 液体球囊 Orbera 美国加州 6个月34%~42%
    Medsil 俄罗斯 6个月19%
    Spatz 美国纽约 12个月46%
    Silimed 巴西 6个月8 kg
    ReshapeMedical 美国加州 6个月25%
  气体球囊 Heliosphere BAG 法国 6个月18%
    Obalon 美国加州 12周5 kg
    Ullorex 美国佛州 2周1.5 kg
  其他空间占据装置 半静态的球囊 巴西 4个月6.5 kg
    TransPyloric 美国加州 3个月25%
    shuttle(TPS) SatiSphere 美国 3个月18.4 kg
    Gelesis 美国波士顿 24周29%
限胃术   Endocini缝合系统 美国新泽西 3个月40%
    Restore Suturing缝合系统 美国沃里克 12个月28%
    Overstich缝合系统 美国德州 6个月30%
    经口腔胃成形术(TOGA) 美国加州 6个月25%~46%
    经口限制性种植系统(TERIS ) 美国加州 6个月30%
    POSE手术 美国加州  
    Endomina 比利时 12个月45%EWL
        6个月41%EWL
影响胃吸收   十二指肠——空肠旁路套管(DJBS) 美国明尼苏达 6个月32%
    胃十二指肠空肠旁路套管 美国明尼苏达 3个月40%
    无创磁力吻合系统 美国波士顿 6个月28.3%
延长胃排空   肉毒毒素注射   2个月12 kg
    胃电刺激   6个月5 kg
    腹腔镜迷走神经阻滞   12个月17%
    胃抽吸 美国宾夕法尼亚 6个月41%
其他手术   十二指肠粘膜重建 美国肯塔基州 糖化血红蛋白水平降低2.5%
    硬化剂注射   2个月5.8 kg
    射频消融   12个月30.4%
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