Endoskopische Magenverkleinerung – Alternative zur Sleeve Gastrectomy?

Die Laparoscopic Sleeve Gastrectomy (LSG) hat sich zum häufigsten Standardeingriff der metabolischen Chirurgie entwickelt und verbindet eine hohe Effektivität hinsichtlich der Adipositas und ihrer Folgeerkrankungen mit sehr geringer Morbidität. Dennoch wird ihre Indikation erst ab einem BMI von 40 oder bei ausgeprägter Komorbidität ab BMI 35 gesehen, also in einem eigentlich dekompensierten Endstadium des metabolischen Syndroms. Können endoskopische Verfahren zur Magenverkleinerung hier eine Alternative, insbesondere bei früheren Erkrankungsstadien bieten? Dieser Artikel beschreibt die aktuelle Situation.

Publication History

Article published online:
15 February 2021

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