临床荟萃 ›› 2025, Vol. 40 ›› Issue (4): 366-371.doi: 10.3969/j.issn.1004-583X.2025.04.013

• 指南解读 • 上一篇    下一篇

《中国肥胖症消化内镜治疗专家共识》解读

苏淼1, 王飒爽2, 赵东强2   

  1. 1.衡水市人民医院 消化内科,河北 衡水 053000
    2.河北医科大学第二医院 消内化科,河北 石家庄 050000
  • 收稿日期:2025-02-18 出版日期:2025-04-20 发布日期:2025-04-17
  • 通讯作者: 赵东强

Interpretation of the Chinese Expert Consensus on Gastrointestinal Endoscopic Treatment of Obesity

Su Miao1, Wang Sashuang2, Zhao Dongqiang2   

  1. 1.Department of Gastroenterology,Hengshui People's Hospital,Hengshui 053000,China
    2.Department of Gastroenterology,the Second Hospital of Hebei Medical University, Shijiazhuang 050000,China
  • Received:2025-02-18 Online:2025-04-20 Published:2025-04-17
  • Contact: Zhao Dongqiang

摘要:

肥胖是一种需多学科协同干预的慢性疾病,增加代谢异常或患心血管疾病等风险。当前,肥胖的治疗方法主要包括生活方式干预、药物治疗和外科手术。生活方式干预的长期依从性差,药物治疗常伴随不良反应或体重反弹,而外科手术虽减重效果明显,但存在创伤大、并发症风险高及不可逆性等局限性。近年来,内镜下减重治疗以其可逆性、微创性和经济性成为治疗肥胖更有效、更安全的选择。为进一步规范我国内镜下减重治疗,国家消化系统疾病临床医学研究中心等汇集相关领域专家意见制定《中国肥胖症消化内镜治疗专家共识》。本文对该共识主要内容进行解读,旨在提升医生和患者对内镜下减重治疗的认知和理解,以完善内镜下减重治疗,提高国内内镜微创减重治疗的学术交流及知识普及。

关键词: 肥胖症, 内镜下减重治疗, 最小侵入性外科手术, 指南解读

Abstract:

Obesity is a chronic disease that increases the risk of cardiovascular and metabolic disorders. Current treatment methods for obesity mainly include lifestyle interventions, pharmacotherapy, and surgical procedures. Traditional lifestyle interventions result in a poor long-term compliance, and pharmacotherapy is often associated with side effects or weight regain. Although surgical procedures can lead to significant weight loss, they are limited by the invasiveness, high complication risks, and irreversibility. In recent years, endoscopic bariatric therapy has emerged as a safer and more effective treatment option due to its reversibility, minimal invasiveness, and cost-effectiveness. To standardize this approach in China, the National Clinical Medical Research Center for Digestive Diseases, in collaboration with experts in this field, developed the Chinese Expert Consensus on Gastrointestinal Endoscopic Treatment of Obesity. This article reviewed the key points of the consensus, aiming to enhance the understanding of endoscopic bariatric therapy among both healthcare providers and patients. The goal is to advance and refine endoscopic bariatric therapy while promoting academic exchange and expanding awareness of minimally invasive treatment options in China.

Key words: obesity, endoscopic bariatric therapy, minimally invasive surgical procedures, guideline interpretation

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