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词条 Aspiration therapy
释义

  1. References

Aspiration therapy is a bariatric approach to siphon ingested food from the stomach via an implanted tube and port to the outside of the body to be discarded.[1] The device for this approach was developed by researchers at Washington University in St. Louis to treat obesity and has been named AspireAssist.[1] The device has also been termed a reverse feeding tube.[3] It was approved by the Food and Drug Administration (FDA) on June 14, 2016.[2]

AspireAssist is made by Aspire Bariatrics. It is inserted in an outpatient setting using an endoscope during an about 15 minutes procedure.[3] People with the device can discharge yet undigested food via the port into the toilet, typically 20 to 30 minutes after a meal. Critics have called the approach “assisted bulemia”.[4]

In an initial study 18 people those with the device lost more weight than controls.[5] The therapy is supported by a lifestyle counseling program and requires regular medical supervision.

Candidates for the device cannot have an eating disorder, should be 22 years old or more, and should have a body mass index of 35 to 55. Short term use is not encouraged.[2] Contraindications for the device are certain eating disorders (i.e. bulimia), certain types of previous abdominal surgery, pregnancy, stomach ulcers and inflammatory bowel disease.[2] Side effects reported are local skin irritation at the port site and abdominal discomfort, nausea, vomiting, constipation, and diarrhea.[2] Local infection may require removal of the tube.[3]

The device is removable.[3] Removal is performed on an outpatient basis and requires about ten minutes.[3]

References

1. ^{{cite journal|vauthors=Sullivan S, Stein R, Jonnalagadda S, Mullady D, Edmundowicz S |title=Aspiration therapy leads to weight loss in obese subjects: a pilot study. |journal=Gastroenterology |year=2013 |volume=145 |issue=6 |pages=1245–52.e1–5| doi=10.1053/j.gastro.2013.08.056 |pmid=24012983 |pmc=4025911}}
2. ^FDA release. June 14, 2016
3. ^Aspire Bariatrics website
4. ^{{cite web |url=http://www.stltoday.com/lifestyles/health-med-fit/health/reverse-feeding-tube-developed-in-st-louis-is-approved-to/article_5454eaa4-2d11-55a2-bbb9-00e35d7ad2df.html| author=Blythe Bernhard | title=Reverse feeding tube developed in St. Louis is approved to treat obesity| publisher=St. Louis Post-Dispatch| date=June 15, 2016| accessdate=June 15, 2016}}
5. ^{{cite journal|last1=Kumar|first1=N|title=Endoscopic therapy for weight loss: Gastroplasty, duodenal sleeves, intragastric balloons, and aspiration.|journal=World Journal of Gastrointestinal Endoscopy|date=25 July 2015|volume=7|issue=9|pages=847–59|pmid=26240686|doi=10.4253/wjge.v7.i9.847|pmc=4515419}}

3 : Medical devices|Bariatrics|Management of obesity

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