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Non invasive methods in bariatric surgery - 1
Non invasive methods in bariatric surgery (part 5)
Non invasive methods in bariatric surgery - 2
Non invasive methods in bariatric surgery - 3
Non invasive methods in bariatric surgery - 4
Ist International Symposium on Non Invasive Bariatric Techniques
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Home > News > Non invasive methods in bariatric surgery - 1

Non invasive methods in bariatric surgery - 1

NON INVASIVE METHODS IN THE BARIATRIC FIELD: PRINCIPLES

Surgery through the laparoscopic approach ("keyholes operations") has been a breakthrough in general surgery for the past 20 years. It seems obvious that bariatric surgery has greatly benefited from this approach. Nowadays, almost all the current bariatric operations are performed this way.Yet this is still surgery, with a general and deep anaesthesia, an hospitalization, and post-operative risks, although this can be done also on an out-patient basis. Can we do better, i.e.operate through natural orifices?

Attractive and purely non invasive "surgical" methods (i.e. performed through upper endoscopy) are now available to treat severe obesity.They are under evaluation and we need more clinical research, but this could be a breakthrough in the field of obesity treatments.

For the time being, there are two leads:
1. Purely endoscopic techniques: Untill recently the only available endoscopic treatment was the intragastric balloon, but it is a temporary procedure that fails to deliver good result in the long run. New methods are down the road. For instance a procedure using staplers, like in the Vertical banded gastroplasty (see chapter "Surgery"), but this time only through the endoscopic approach.
2. A combination of endoscopy and laparoscopy , i.e. non invasive + mini-invasive methods, that can be compared to the so called NOTES: Natural Orifice Trans Endoscopic Surgery.

Non invasive methods in bariatric surgery (part 5)
 
Non invasive methods in bariatric surgery - 2
Only two methods are available for the time being: the intragastric balloon, that we shall here once more address, and endostapling techniques. Intragastric balloon:as our readers know, the balloon is the most ancient non invasive technique, and has provided fair results over the time provided once its limitations are understood !
 
Non invasive methods in bariatric surgery - 3
- Procedures with stapling : Whereas the gastric balloon is widely used, endoscopic stapling is a confidential and experimental method. A study has been launched in the USA (FDA), while pilot centers are operating in Mexico and Belgium. Preliminary results are acceptable, but should be improved...
 
Non invasive methods in bariatric surgery - 4
Now let's focus on the lessons we can take from the outside of bariatric surgery...