%0 Journal Article
%T Current endoscopic techniques in the treatment of obesity T谷cnicas endosc車picas actuales en el tratamiento de la obesidad
%A Eduardo Espinet-Coll
%A Javier Nebreda-Dur芍n
%A Jos谷 Antonio G車mez-Valero
%A Miguel Muˋoz-Navas
%J Revista Espaˋola de Enfermedades Digestivas
%D 2012
%I The Spanish Society of Digestive Pathology
%X Background: in recent years new endoscopic strategies and techniques for the treatment of obesity have emerged and developed. Aim of the study: in this article we will review and analyze the current state of the following techniques and the basic differential characteristics between each of them: balloons and prosthesis, injection of substances, systems of sutures, malabsorptives techniques and others currently in research. Methods: we will evaluate the endoscopic technique and their main indications, results, tolerances, complications and adverse effects observed, reporting our personal experience and in relation with an extensive literature review. Results: comparatively with the most widespread technique of the Bioenterics balloon, the Spatz balloon can provide greater weight loss but with worse tolerance and more complications and the Heliosphere Bag gets a similar weight loss but with greater technical difficulty. Other balloons and prosthesis (Ullorex, Semistationary, Silimed, Endogast) still require technical improvements and higher studies. The injection of botulinum toxin, although secure, seems to offer a smaller and more transient efficacy. Suture systems (TOGa, Endoluminal vertical gastroplasty and POSE) appear to be effective but are technically more laborious. Malabsorptives procedures (Endobarrier, ValenTX) are somewhat laborious but effective, particularly indicated in obese patients with type 2 diabetes mellitus. Conclusions: the development of new endoscopic techniques and improvement in existing designs, suggest an increasingly important role of the endoscopist in the treatment of obesity. We consider it important to individually select and use the endoscopic technique, depending on the desirable outcomes (efficacy, tolerance, safety, adverse effects and risks) and the experience of each hospital. We believe that these techniques should be applied by specifically trained endoscopists in specialized hospitals. Antecedentes: en los 迆ltimos a os han surgido y se han ido desarrollando nuevas estrategias y t谷cnicas endosc車picas para el tratamiento de la obesidad. Prop車sito del estudio: en este art赤culo revisamos y analizamos el estado actual de estas t谷cnicas y las caracter赤sticas b芍sicas diferenciales entre cada una de ellas: balones y pr車tesis, inyecci車n de sustancias, sistemas de suturas, t谷cnicas malabsortivas y otras actualmente en investigaci車n. M谷todos: se eval迆a tanto la t谷cnica endosc車pica como sus principales indicaciones, resultados, tolerancias, complicaciones y efectos adversos observados, aportando nuestra experiencia personal
%K Endoscopia
%K Obesidad
%K Tratamiento
%K T谷cnicas
%K Revisi車n
%K Endoscopy
%K Obesity
%K Treatment
%K Techniques
%K Review
%U http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082012000200006