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- Title
Efficacy and Safety of Endoscopic Sleeve Gastroplasty at Mid Term in the Management of Overweight and Obese Patients: a Systematic Review and Meta-Analysis.
- Authors
de Miranda Neto, Antonio Afonso; de Moura, Diogo Turiani Hourneaux; Ribeiro, Igor Braga; Khan, Ahmad; Singh, Shailendra; da Ponte Neto, Alberto Machado; Madruga Neto, Antonio Coutinho; do Monte Junior, Epifanio Silvino; Tustumi, Francisco; Bernardo, Wanderley Marques; de Moura, Eduardo Guimarães Hourneaux
- Abstract
Background: Endoscopic sleeve gastroplasty (ESG) has emerged as a promising technique in endoscopic bariatric and metabolic therapies (EBMTs). We aimed to perform a systematic review and meta-analysis to provide an update on its efficacy and safety. Methods: This is a systematic review and meta-analysis was performed following the PRISMA guidelines. MEDLINE, Cochrane, EMBASE, and LILACS were searched to identify the studies related to ESG. Results: Eleven studies with a total of 2170 patients were included. The average BMI pre-ESG was 35.78 kg/m2. Pooled mean %TWL observed at 6, 12, and 18 months was 15.3%, 16.1%, and 16.8% respectively. Pooled mean %EWL at 6, 12, and 18 months was 55.8%, 60%, and 73% respectively. No procedure-related mortality was reported. Conclusion: ESG is a safe and effective procedure for primary obesity therapy with promising short- and mid-term results.
- Subjects
META-analysis; SLEEVE gastrectomy; SAFETY; OBESITY
- Publication
Obesity Surgery, 2020, Vol 30, Issue 5, p1971
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04449-9