Endoscopic Sleeve Gastroplasty Versus Laparoscopic Longitudinal Sleeve Gastrectomy: A Comparable Outcome

Abstract Background Endoscopic sleeve gastroplasty (ESG) is an effective treatment option for obesity. However, data comparing its efficacy to bariatric surgery are scarce. We aimed to compare the effectiveness and safety of ESG with laparoscopic sleeve gastrectomy (LSG) and laparoscopic greater curve plication (LGCP) at 2 years. Methods We reviewed 353 patient records and identified 296 patients who underwent ESG (n = 199), LSG (n = 61), and LGCP (n = 36) at four centers in Spain between 2014 and 2016. We compared their total body weight loss (%TBWL) and safety over 2 years. A linear mixed model (LMM) was used to analyze repeated measures of weight loss outcomes at 6, 12, 18, and 24 months to compare the three procedures. Results Among the 296 patients, 210 (ESG 135, LSG 43, LGCP 32) completed 1 year of follow-up and 102 (ESG 46, LSG 34, LGCP 22) reached 2 years. Their mean (standard deviation [SD]) body mass index (BMI) was 39.6 (4.8) kg/m2. There were no differences in age, sex, or BMI between the groups. In LMM analysis, adjusting for age, sex, and initial BMI, we found ESG had a significantly lower TBWL, %TBWL, and BMI decline compared with LSG and LGCP at all time points (P = 0.001). The adjusted mean %TBWL at 2 years for ESG, LSG, and LGCP were 18.5 %, 28.3 %, and 26.9 %, respectively. However, ESG, when compared with LSG and LGCP, had a shorter inpatient stay (1 vs. 3 vs. 3 days; P < 0.001) and lower complication rate (0.5 % vs. 4.9 % vs. 8.3 %; P = 0.006). Conclusion All three procedures induced significant weight loss in obese patients. Although the weight loss was lower with ESG compared with other techniques, it displayed a better safety profile and shorter hospital stay.

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Tu1901 WEIGHT OUTCOMES OF LAPAROSCOPIC SLEEVE GASTRECTOMY VERSUS ENDOSCOPIC SLEEVE GASTROPLASTY: A CASE CONTROL STUDY.

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2018.04.2296 ◽

2018 ◽

Vol 87 (6) ◽

pp. AB602 ◽

Cited By ~ 3

Author(s):

Lea Fayad ◽

Atif Adam ◽

Tokunbo Ajayi ◽

Margo K. Dunlap ◽

Dilhana S. Badurdeen ◽

...

Keyword(s):

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Case Control Study ◽

Case Control ◽

Endoscopic Sleeve Gastroplasty ◽

Weight Outcomes ◽

Sleeve Gastroplasty ◽

Control Study

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Revisional endoscopic sleeve gastroplasty of laparoscopic sleeve gastrectomy: an international, multicenter study

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2020.05.028 ◽

2021 ◽

Vol 93 (1) ◽

pp. 122-130 ◽

Cited By ~ 2

Author(s):

Daniel B. Maselli ◽

Aayed R. Alqahtani ◽

Barham K. Abu Dayyeh ◽

Mohamed Elahmedi ◽

Andrew C. Storm ◽

...

Keyword(s):

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Multicenter Study ◽

Endoscopic Sleeve Gastroplasty ◽

Sleeve Gastroplasty ◽

International Multicenter Study ◽

International Multicenter

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Initial experience with endoscopic sleeve gastroplasty in Poland

Polish Journal of Surgery ◽

10.5604/01.3001.0011.7488 ◽

2018 ◽

Vol 90 (2) ◽

pp. 16-22 ◽

Cited By ~ 1

Author(s):

Aleksander Sowier ◽

Przemysław Pyda ◽

Anna-Maria Borucka ◽

Sebastian Sowier ◽

Jacek Białecki ◽

...

Keyword(s):

Weight Loss ◽

Body Weight ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Body Weight Loss ◽

Total Body Weight ◽

Sleeve Resection ◽

Less Invasive ◽

Endoscopic Sleeve Gastroplasty ◽

Sleeve Gastroplasty

Introduction: Obesity is becoming one of the major public health problems. Bariatric procedures are considered the most effective methods of treating this condition but they are costly and entail a high risk of complications. Thus, there is a need to look for better bariatric treatment solutions. One of the newest, highly promising bariatric methods is endoscopic sleeve gastroplasty (ESG), which is comparably effective to other bariatric procedures in terms of weight loss but at the same time it is much less invasive. Materials and methods: Eight obese patients underwent ESG. Under general anaesthesia, an endoscope was inserted into the stomach, where a row of 4-5 running stitches was placed (from the pyloric part towards the GE junction). Each of the stitches was cinched tight, which resulted in gastric lumen reduction comparable to that achieved with laparoscopic sleeve gastrectomy. Results: The procedures were performed without any severe peri-operative complications. The only adverse event was a minor haemorrhage in one of the patients, which did not require any surgical intervention. After the surgery, the patients reported a substantial weight loss. Mean %TBWL was 8.6%, 15.4% and 19.6% at 1, 2 and 3 months, respectively. Conclusions: Minimally invasive and highly effective in body weight reduction, endoscopic sleeve gastroplasty is a promising method of treating obesity. The procedure requires appropriate tools and equipment. The method guarantees gastric volume reduction comparable to that achieved with sleeve resection. The initial results confirm that the effectiveness of the surgery in terms of body weight loss is similar to that seen in other forms of bariatric treatment. Discussion: Compared to laparoscopic sleeve gastrectomy, endoscopic sleeve gastroplasty is substantially less invasive. Also, it requires shorter procedure time and shorter hospital stay. Data from other medical centres demonstrate somewhat lower dynamics of total body weight loss but these results need to be verified in a long-term follow-up.

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Endoscopic Sleeve Gastrectomy Conversion to Roux-en-Y Gastric Bypass

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2020.2.3.232 ◽

2020 ◽

Vol 2 (3) ◽

Author(s):

Sorin Cimpean ◽

Marechal Marie-Therese ◽

Benjamin Cadiere ◽

Guy-Bernard Cadiere

Keyword(s):

Weight Loss ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Gastric Motility ◽

Gastric Volume ◽

Endoscopic Suturing ◽

Endoscopic Sleeve Gastroplasty ◽

Insufficient Weight Loss ◽

Sleeve Gastroplasty ◽

Greater Curvature

Endoscopic Sleeve Gastroplasty (ESG) is a restrictive endoscopic bariatric procedure that provides a reduction of the gastric volume and an alteration of the gastric motility. The volume of the stomach is reduced by approximately 70% through plication of the greater curvature of the stomach using an endoscopic suturing device. In case of failure, the surgical conversion is possible. We present a case of a patient with previous ESG with insufficient weight loss and gastro-oesophageal reflux. We performed a conversion to Roux-en-Y Gastric Bypass with satisfactory results.

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