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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2021; 75(3): 213–220. doi: 10.48095/ccgh2021213.

Endoscopic bariatric therapies

Jan Král1, Peter Mačinga1, Pavel Drastich1, Julius Špičák1, Tomáš Hucl1

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Obesity is a serious global problem. Obesity is associated with a number of serious diseases that reduce the patient‘s quality of life and increase mortality (high blood pressure, dyslipidemia, type 2 diabetes mellitus, cancer and others). The treatment of obesity is a multidisciplinary and complex process that requires the cooperation of the patient. The basis of obesity therapy is a change in lifestyle, another option is pharmacotherapy, but its effectiveness is limited. Surgical therapy is highly effective, however, there is a risk of complications and is indicated in advanced stages of obesity. Endoscopic therapy is less effective than surgical treatment, but associated with less invasiveness and less complications. The main endoscopic methods are based on the principle of volume reduction, restriction of the size or bypass of the stomach or small intestine. The aim of the current publication is to present individual endoscopic methods, including a comparison of their effectiveness and safety.


bariatric surgery, endoscopic treatment, obesity

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