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Role of Endoscopy in the Treatment of Bariatric and Metabolic Disease
J Metab Bariatr Surg 2018;7(1):37-47
Published online June 30, 2018
© 2018 Korean Society of Acute Care Surgery.

Kyung Uk Jung

Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: 정경욱, 서울시 종로구 새문안로 29 성균관대학교 의과대학 강북삼성병원 외과 우: 03181, Tel: 02-2001-8408, Fax: 02-2001-8360, E-mail: sahelgrean@gmail.com
Received May 28, 2018; Revised June 9, 2018; Accepted June 11, 2018.
This is an open access journal distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Obesity is a complex metabolic disease caused by excess body fat, which can be associated with many health problems. Bariatric surgery is the most effective treatment for morbid obesity. However, only small number of patients undergo surgery despite definite benefits. The upper gastrointestinal endoscopy with flexible device is an essential tool in the evaluation of post bariatric surgery patient. It plays an important role in treating complications occurring after bariatric surgery. Recently, there has been active research and development on endoscopic procedures to achieve similar effects with bariatric surgery in less invasive ways. Endoluminal interventions performed using flexible endoscopy might be less effective than current surgical approaches, but it can offer alternative approaches to the treatment of obesity that are safer and more cost-effective. This article provides an overview of endoscopic procedures for postoperative complication and new emerging endoscopic techniques for primary endoscopic bariatric therapies. Knowing the type, indication, expected effect, and development potential of endoscopic procedures might be of great help to surgeons performing bariatric procedures.
Keywords : Endoscopy, Bariatrics, Endoscopic bariatric treatment, Obesity


June 2018, 7 (1)
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