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Endoscopy 2010; 42(2): 155-162
DOI: 10.1055/s-0029-1243876
Review

© Georg Thieme Verlag KG Stuttgart · New York

The future of bariatrics: endoscopy, endoluminal surgery, and natural orifice transluminal endoscopic surgery

N.  Tsesmeli1 , D.  Coumaros1
  • 1Service d’Hépatogastroentérologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
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Publikationsverlauf

submitted 10 October 2008

accepted after revision 16 July 2009

Publikationsdatum:
05. Februar 2010 (online)

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This review considers the evolving role of endoscopic techniques in the treatment of obesity, and developments in minimally invasive procedures in endoscopy, endoluminal surgery and natural orifice transluminal endoscopic surgery (NOTES). Endoscopic approaches that are similar to surgery but less invasive, relying on gastric restriction and/or malabsorption, show some promise. Intragastric injection of botulinum toxin is also considered, as is the role of minimally invasive bariatric endoscopic interventions. Gastrointestinal stimulation with implanted electrodes may have potential in the treatment of obesity and endoscopic applications have a role to play in post-surgical interventions. Evolving research into endosurgical approaches is described. Current work on the feasibility of a NOTES approach to bariatric procedures is described.

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N. TsesmeliMD 

Service d’Hépatogastroentérologie
Hôpitaux Universitaires de Strasbourg

1, place de l’Hôpital
Strasbourg
France

Fax: +33-3-88116337

eMail: tsesniki@gmail.com