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- Title
Safety and short-term effectiveness of endoscopic sleeve gastroplasty using overstitch: preliminary report from a multicenter study.
- Authors
Neto, Manoel Galvao; Moon, Rena C.; de Quadros, Luiz Gustavo; Grecco, Eduardo; Filho, Admar Concon; de Souza, Thiago Ferreira; Mattar, Luis Augusto; de Sousa, Jose Americo Gomides; Dayyeh, Barham K. Abu; Morais, Helmut; Matz, Felipe; Jawad, Muhammad A.; Teixeira, Andre F.
- Abstract
<bold>Background: </bold>Endoscopic sleeve gastroplasty (ESG) is an option for patients with Class I and II obesity or patients who refuse to undergo a laparoscopic bariatric surgery. The aims of this study are as follows: (1) to demonstrate a short-term outcome after primary ESG and (2) to compare the effectiveness of weight loss between Class I and Class II obesity patients.<bold>Methods: </bold>Patients undergoing ESG at four bariatric centers in Brazil between April 1, 2017 and December 31, 2018 were prospectively enrolled in the study (BMI 30.0-39.9 kg/m2). ESG was performed using Overstitch (Apollo Endosurgery, Austin, TX). Descriptive analysis, t test, Chi-square test, and Mann-Whitney test were used to present the results.<bold>Results: </bold>A total of 233 patients underwent primary ESG. The mean age and BMI of the patients were 41.1 years and 34.7 kg/m2, respectively. Following ESG, the mean percentage of total weight loss (TWL) was 17.1% at 6 months and 19.7% at 12 months. Percentage of excess BMI loss (EBMIL) was 47.3% at 6 months and 54.8% at 12 months after ESG. The mean EBMIL was significantly greater among patients with Class I obesity than those with Class II obesity at 6 (51.1% vs. 43.7%) and 12 months (60.2% vs. 49.2%). One patient experienced bleeding during the procedure that was managed with sclerotherapy.<bold>Conclusion: </bold>Short-term results suggest that ESG is a safe and effective option for patients with Class I and II obesity.
- Subjects
AUSTIN (Tex.); BRAZIL; MORBID obesity; LAPAROSCOPIC surgery; BARIATRIC surgery; CHI-squared test; OVERWEIGHT persons; SLEEVE gastrectomy; RESEARCH; CLINICAL trials; TIME; RESEARCH methodology; MEDICAL cooperation; EVALUATION research; TREATMENT effectiveness; COMPARATIVE studies; WEIGHT loss; STOMACH surgery; BODY mass index; ENDOSCOPY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2020, Vol 34, Issue 10, p4388
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-019-07212-z