Endoskopische Therapie bei Adipositas und Diabetes mellitus

Adipositas und Diabetes sind mit einer erhöhten Mortalität und Morbidität assoziiert. Nach Versagen einer konservativen Therapie (medikamentös, Lifestyleänderung) ist bei ausgewählten Patienten eine bariatrische Behandlung indiziert. Endoskopische Techniken stellen hier etablierte Behandlungsoptionen für Übergewichtige dar, die sich nicht für eine metabolische Chirurgie eignen oder nicht bereit sind, sich einer Operation zu unterziehen. Dieser Beitrag gibt einen Überblick über derzeit verfügbare endoskopische Techniken zur Gewichtsreduktion und Verbesserung einer diabetischen Stoffwechsellage.

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