Abstract：
With the alarmingly increasing prevalence of obesity in the Western world, it has become necessary to provide more acceptable treatment options for patients with obesity. Minimally invasive endoscopic techniques are continuously evolving. Currently, metabolic and bariatric endoscopies encompass several different techniques that can offer significant weight loss and improvement in comorbidities with a favorable safety profile. Restrictive bariatric procedures include the use of intragastric balloons and gastric remodeling techniques with different suturing devices. Several studies have demonstrated the efficacy and safety of these techniques that are widely used in clinical practice. Small intestine-targeted metabolic endoscopy is an intriguing and rapidly evolving field of research, although it is not widespread in routine practice. These techniques include duodenal-jejunal bypass liners, duodenal mucosal resurfacing, and incisionless anastomoses. The aim of this review article is to provide a detailed update on the currently available bariatric endoscopy techniques in Western countries.
摘要：
随着西方世界肥胖患病率的惊人增长，有必要为肥胖患者提供更多可接受的治疗方案.微创内窥镜技术在不断发展。目前,代谢和减肥内镜包括几种不同的技术,这些技术可以显著减轻体重并改善合并症,同时具有良好的安全性.限制性减肥手术包括使用胃内球囊和具有不同缝合装置的胃重塑技术。一些研究已经证明了这些技术在临床实践中广泛使用的有效性和安全性。小肠靶向代谢内窥镜检查是一个有趣且快速发展的研究领域，尽管它在常规实践中并不普遍。这些技术包括十二指肠-空肠旁路衬垫，十二指肠粘膜重修，和无切口吻合.这篇评论文章的目的是提供西方国家目前可用的减肥内窥镜技术的详细更新。
