Safety and efficacy of endoscopic sleeve gastroplasty for obesity management in new bariatric endoscopy programs: a multicenter international study.
Background: Endoscopic sleeve gastroplasty (ESG) is an incisionless procedure that reduces the size of the gastric cavity. In prior studies, it has been proven to be a safe and effective treatment for obesity. In this study, we performed a collaborative study to evaluate the effectiveness of ESG amo...
| Publicado en: | Therapeutic Advances in Gastrointestinal Endoscopy pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
6/7/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157324699&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157324699 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26317745 M8AA jtl: Therapeutic Advances in Gastrointestinal Endoscopy issn: 26317745 maglogo: Y pubinfo: dt: 6/7/2022 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 157324699 157324699 157324699 10.1177/26317745221093883 157324699 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Safety and efficacy of endoscopic sleeve gastroplasty for obesity management in new bariatric endoscopy programs: a multicenter international study. aug: au: Sarkar, Avik Tawadros, Augustine Andalib, Iman Shahid, Haroon M. Tyberg, Amy Alkhiari, Resheed Gaidhane, Monica Kedia, Prashant John, Elizabeth S. Bushe, Bryce Martinez, Guadalupe Ma Zamarripa, Felipe Carames, Mine C. Carames, Juan C. Casarodriguez, Fernando Bove, Vincenzo Costamagna, Guido Boskoski, Ivo Kahaleh, Michel affil: Conceptualization, Gastroenterology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA sug: subj: Obesity Prevention and Control Patient Safety Endoscopy, Gastrointestinal Methods Gastroplasty Methods Bariatric Surgery Treatment Outcomes Human Multicenter Studies United States Colombia Italy Mexico Weight Loss Body Mass Index Hospitalization Adverse Health Care Event Postoperative Complications Length of Stay Retrospective Design Adult Middle Age Male Female Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Endoscopic sleeve gastroplasty (ESG) is an incisionless procedure that reduces the size of the gastric cavity. In prior studies, it has been proven to be a safe and effective treatment for obesity. In this study, we performed a collaborative study to evaluate the effectiveness of ESG among new endobariatric programs. Methods: This was an international, multicenter study reviewing the outcomes of ESG in centers starting ESG programs. Total body weight loss, change of body mass index (BMI), excess body weight loss (EBWL), technical success, duration of hospitalization, and immediate and delayed adverse events and complications at 24 h, 1 week, and 1, 3, and 6 months post-procedure were evaluated. Results: A total of 91 patients (35 males) from six centers were included. The patients' mean BMI before the procedure was 38.7 kg/m2. BMI reduction at 3 months was 7.3 (p < 0.000), at 6 months 9.3 (p < 0.000), and at 12 months 8.6 (p < 0.000) from baseline. EBWL was 17.3% at 1 month (p < 0.000), 29.2% at 3 months (p < 0.000), and 35.6% at 6 months (p < 0.000). The mean procedure duration was 85.1 min. The mean length of hospital stay post-procedure was 27 h. Conclusion: ESG provides EBWL percentage sustained up to 12 months. These results are equivalent among the new ESG centers compared to previous studies by expert centers. Lay title: Endoscopic sleeve gastroplasty in new bariatric endoscopy programs: Plain Language Summary: This article is the result of a collaborative international study on new endoscopic programs offering endoscopic sleeve gastroplasty. The minimally invasiveness and increasing accessibility of this technique makes it very attractive for patients with obesity while being poor candidate for surgery or refusing surgery. This study will also provide valuable information regarding this rising technique of endobariatric treatment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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