Obesidad, el papel del gastroenterólogo

Autores/as

DOI:

https://doi.org/10.22516/25007440.1192

Palabras clave:

Obesidad, Balón gástrico, Bariatría, Receptores agonistas GLP-1, Endoscopia gastrointestinal

Resumen

Antecedentes: la obesidad es una enfermedad con alta prevalencia a nivel mundial, y su incidencia está en aumento, especialmente en los países de ingresos medios a altos. Su fisiopatología se encuentra relacionada con la regulación hormonal intestinal y diversas afecciones gastrointestinales.

Introducción: el gastroenterólogo desempeña un papel importante en el tratamiento de esta enfermedad por medio de intervenciones especializadas como la endoscopia bariátrica, que contribuyen con la pérdida de peso y la disminución de las comorbilidades asociadas a esta condición. Además, debido a que cada vez más pacientes se someten a procedimientos para la pérdida de peso, es esencial comprender el tratamiento médico coadyuvante en los procedimientos bariátricos. En esta revisión se presentan los elementos clave que debe tener en cuenta el gastroenterólogo para el manejo de la obesidad con base en la literatura más reciente.

Conclusiones: existen necesidades de tratamiento insatisfechas para los pacientes con obesidad, dentro de las cuales el abordaje con procedimientos endoscópicos bariátricos son una realidad considerando que se realicen en conjunto con otros abordajes de carácter multidisciplinario.

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Biografía del autor/a

Valeria Atenea Costa-Barney, Clínica Palermo

Internista, Gastroenteróloga. Endoscopista bariátrica, Clínica Palermo. Bogotá, Colombia. 

Daniela Caceres, Hospital Universitario Santa Sofia de Caldas

Internista, Gastroenteróloga. Jefe de servicio, unidad de endoscopia, Hospital Universitario Santa Sofía de Caldas. Manizales, Colombia.

Alfonso Kerguelen, Clínica Marly - Colsanitas

Médico Internista, Endocrinólogo, Clínica Marly, Colsanitas. Bogotá, Colombia.

Jesus Rodriguez, Clínica Shaio

Cirujano endoscopista gastrointestinal. Clínica general del Norte en Barranquilla. Cirujano endoscopista en Clínica Shaio. Bogotá, Colombia.

Andres Rodriguez, Hospital de Santa Inés

Cirujano endoscopista. Cuenca, Ecuador.

Manoel Galvao, Orlando Health Weight Loss and Bariatric Surgery Institute

Cirujano Endoscopista Bariátrico. Orlando Health Weight Loss and Bariatric Surgery Institute. Orlando, USA

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Figura 1. Posicionamiento subcardial como punto de referencia para el inicio de la insuflación del balón. Imagen propiedad de los autores.

Publicado

2024-09-30

Cómo citar

Costa Barney, V. A., Caceres, D., Kerguelen, A., Rodriguez, J., Rodriguez, A., & Galvao Neto, M. (2024). Obesidad, el papel del gastroenterólogo. Revista Colombiana De Gastroenterología, 39(3), 287–295. https://doi.org/10.22516/25007440.1192

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