Development of minimally invasive techniques for management of medically-complicated obesity. [Review]
Citation: World Journal of Gastroenterology. 20(37):13424-45, 2014 Oct 7.PMID: 25309074Institution: MedStar Washington Hospital CenterDepartment: Medicine/Gastroenterology | Surgery/Colorectal SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Bariatric Surgery/mt [Methods] | *Endoscopy, Gastrointestinal | *Laparoscopy | *Obesity/su [Surgery] | Adipose Tissue/me [Metabolism] | Adipose Tissue/pp [Physiopathology] | Bariatric Surgery/ae [Adverse Effects] | Endoscopy, Gastrointestinal/ae [Adverse Effects] | Gastrointestinal Hormones/me [Metabolism] | Humans | Laparoscopy/ae [Adverse Effects] | Obesity/co [Complications] | Obesity/di [Diagnosis] | Obesity/me [Metabolism] | Obesity/pp [Physiopathology] | Postoperative Complications/et [Etiology] | Risk Factors | Signal Transduction | Treatment Outcome | Weight LossYear: 2014ISSN:- 1007-9327
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 25309074 | Available | 25309074 |
The field of bariatric surgery has been rapidly growing and evolving over the past several decades. During the period that obesity has become a worldwide epidemic, new interventions have been developed to combat this complex disorder. The development of new laparoscopic and minimally invasive treatments for medically-complicated obesity has made it essential that gastrointestinal physicians obtain a thorough understanding of past developments and possible future directions in bariatrics. New laparoscopic advancements provide patients and practitioners with a variety of options that have an improved safety profile and better efficacy without open, invasive surgery. The mechanisms of weight loss after bariatric surgery are complex and may in part be related to altered release of regulatory peptide hormones from the gut. Endoscopic techniques designed to mimic the effects of bariatric surgery and endolumenal interventions performed entirely through the gastrointestinal tract offer potential advantages. Several of these new techniques have demonstrated promising, preliminary results. We outline herein historical and current trends in the development of bariatric surgery and its transition to safer and more minimally invasive procedures designed to induce weight loss.
English