A obesidade do ponto de vista do gastrenterologista
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spcir.com/index.php/spcir/article/view/271 |
Resumo: | Background: Along with obesity’s epidemic growth, came the need for new therapeutic options, tendencially less invasive, associated with lower morbidity and lower cost. Gastroenterolgy plays a promissing role in this field, with emerging new endoluminal procedures and the future perspective for transgastric bariatric treatments. Methods: A literature review was done, selected from computerized medical data bases (MEDSCAPE, MEDLINE), on currently available and investigational bariatric endoscopic procedures. Results: Several prospective european studies have shown that endoluminal obesity’s treatment with intra-gastric balloon is safe and well tolerated, with satisfactory short and long-term success rates. It allows shorter weight loss when compared to bariatric surgery, but enough to accomplish WHO’s main goals for obesity treatment, with improvement in major medical comorbidities. New endoluminal and transgastric procedures combining the skills and techniques of flexible endoscopy with minimally invasive surgery are under investigation, with the perspective of a future relevant part in obesity’s multidisciplinary management. Conclusions: Intra-gastric balloon shows high technical and clinical success rates, with prompt improvement in associated medical complications. Evolving endoluminal and transgastric procedures come as valuable therapeutical options in this worldwide health problem.Keywords: obesity; therapeutic endoscopy; intragastric balloon; bariatric. |
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A obesidade do ponto de vista do gastrenterologistaBackground: Along with obesity’s epidemic growth, came the need for new therapeutic options, tendencially less invasive, associated with lower morbidity and lower cost. Gastroenterolgy plays a promissing role in this field, with emerging new endoluminal procedures and the future perspective for transgastric bariatric treatments. Methods: A literature review was done, selected from computerized medical data bases (MEDSCAPE, MEDLINE), on currently available and investigational bariatric endoscopic procedures. Results: Several prospective european studies have shown that endoluminal obesity’s treatment with intra-gastric balloon is safe and well tolerated, with satisfactory short and long-term success rates. It allows shorter weight loss when compared to bariatric surgery, but enough to accomplish WHO’s main goals for obesity treatment, with improvement in major medical comorbidities. New endoluminal and transgastric procedures combining the skills and techniques of flexible endoscopy with minimally invasive surgery are under investigation, with the perspective of a future relevant part in obesity’s multidisciplinary management. Conclusions: Intra-gastric balloon shows high technical and clinical success rates, with prompt improvement in associated medical complications. Evolving endoluminal and transgastric procedures come as valuable therapeutical options in this worldwide health problem.Keywords: obesity; therapeutic endoscopy; intragastric balloon; bariatric. Introdução: A crescente epidemia da obesidade conduziu à procura de novas opções terapêuticas, tendencialmente menos invasivas, associadas a menor morbilidade e a menores custos económicos. O papel da Gastrenterologia nesta área, com o aparecimento recente de novas terapêuticas endoluminais e a perspectiva futura de procedimentos bariátricos transgástricos, é promissor. Métodos: Revisão da literatura actual, seleccionada em bases de dados médicas informatizadas (MEDSCAPE, MEDLINE), sobre os tratamentos endoscópicos da obesidade, já disponíveis e em investigação. Resultados: A terapêutica endoluminal da obesidade com o balão intra-gástrico revelou já um bom perfil de segurança e tolerabilidade, com eficácia a curto e longo-prazo demonstrada em vários estudos europeus prospectivos. Possibilita uma redução ponderal comparativamente inferior à cirurgia bariátrica, mas suficiente para atingir os objectivos definidos pela OMS no tratamento da obesidade, com melhoria das principais comorbilidades associadas. Encontram-se em fase investigacional novas terapêuticas endoluminais e transgástricas, que combinam as vantagens da endoscopia flexível com procedimentos cirúrgicos minimamente invasivos, na perspectiva de virem a ter um papel relevante na abordagem multidisciplinar da obesidade. Conclusões: O balão intra-gástrico associa-se a sucesso técnico e clínico, permitindo melhoria das principais complicações médicas da obesidade. A crescente evolução de novos procedimentos endoluminais e transgástricos surgem como mais-valias promissoras no combate a este problema mundial de saúde pública. Palavras-chave: obesidade; endoscopia terapêutica; balão intra-gástrico; bariátrica. Sociedade Portuguesa de Cirurgia2008-03-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/271Revista Portuguesa de Cirurgia; No 4 (2008): Março 2008 - II Série; 51-58Revista Portuguesa de Cirurgia; No 4 (2008): Março 2008 - II Série; 51-582183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/271https://revista.spcir.com/index.php/spcir/article/view/271/270Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessBispo, M.Barreiro, P.Bana, T.Matos, L.2024-03-14T22:05:24Zoai:revista.spcir.com:article/271Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:54.038627Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A obesidade do ponto de vista do gastrenterologista |
title |
A obesidade do ponto de vista do gastrenterologista |
spellingShingle |
A obesidade do ponto de vista do gastrenterologista Bispo, M. |
title_short |
A obesidade do ponto de vista do gastrenterologista |
title_full |
A obesidade do ponto de vista do gastrenterologista |
title_fullStr |
A obesidade do ponto de vista do gastrenterologista |
title_full_unstemmed |
A obesidade do ponto de vista do gastrenterologista |
title_sort |
A obesidade do ponto de vista do gastrenterologista |
author |
Bispo, M. |
author_facet |
Bispo, M. Barreiro, P. Bana, T. Matos, L. |
author_role |
author |
author2 |
Barreiro, P. Bana, T. Matos, L. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Bispo, M. Barreiro, P. Bana, T. Matos, L. |
description |
Background: Along with obesity’s epidemic growth, came the need for new therapeutic options, tendencially less invasive, associated with lower morbidity and lower cost. Gastroenterolgy plays a promissing role in this field, with emerging new endoluminal procedures and the future perspective for transgastric bariatric treatments. Methods: A literature review was done, selected from computerized medical data bases (MEDSCAPE, MEDLINE), on currently available and investigational bariatric endoscopic procedures. Results: Several prospective european studies have shown that endoluminal obesity’s treatment with intra-gastric balloon is safe and well tolerated, with satisfactory short and long-term success rates. It allows shorter weight loss when compared to bariatric surgery, but enough to accomplish WHO’s main goals for obesity treatment, with improvement in major medical comorbidities. New endoluminal and transgastric procedures combining the skills and techniques of flexible endoscopy with minimally invasive surgery are under investigation, with the perspective of a future relevant part in obesity’s multidisciplinary management. Conclusions: Intra-gastric balloon shows high technical and clinical success rates, with prompt improvement in associated medical complications. Evolving endoluminal and transgastric procedures come as valuable therapeutical options in this worldwide health problem.Keywords: obesity; therapeutic endoscopy; intragastric balloon; bariatric. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-03-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/271 |
url |
https://revista.spcir.com/index.php/spcir/article/view/271 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/271 https://revista.spcir.com/index.php/spcir/article/view/271/270 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
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Copyright (c) 2016 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 4 (2008): Março 2008 - II Série; 51-58 Revista Portuguesa de Cirurgia; No 4 (2008): Março 2008 - II Série; 51-58 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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