1. Persistence of Sutures and Gastric Reduction After Endoscopic Sleeve Gastroplasty: Radiological and Endoscopic Assessment
- Author
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Eduard, Espinet-Coll, Patricia, Díaz-Galán, Javier, Nebreda-Durán, José A, Gómez-Valero, Carmen, Vila-Lolo, Carmen, Bautista-Altamirano, Ana, Bargalló-García, Manoel, Galvao-Neto, Miguel, Muñoz-Navas, and Domingo, Bargalló-Carulla
- Subjects
Adult ,Male ,Nutrition and Dietetics ,Gastroplasty ,Sutures ,Endocrinology, Diabetes and Metabolism ,Middle Aged ,Obesity, Morbid ,Treatment Outcome ,Gastroscopy ,Weight Loss ,Humans ,Female ,Surgery ,Obesity ,Prospective Studies - Abstract
Endoscopic sleeve gastroplasty (ESG) is an effective medium-term procedure for obesity treatment. There are no consistent studies confirming persistence of maintained gastric tubular configuration. We determined sleeve duration, gastric reduction degree, and suture persistence at 12-month follow-up.This is a prospective, single-center study, including patients with obesity undergoing ESG with at least 1-year follow-up, who underwent the following: (1) Barium X-ray study (BS) prior and at 6 months, assessing degree of gastric reduction (severe, moderate, or mild), and (2) gastroscopy at 12 months, accounting the number of persistent sutures (tense, lax, or absent). Secondary outcomes were weight loss data and procedure safety profile.Thirty-eight patients (30 women), median age of 47.0 [40.0-51.0] years, and average baseline BMI of 37.6 [35.5-41.5] kg/mESG is an effective and safe weight loss strategy at 12-month follow-up with persistence of most sutures and maintenance of notable gastric reduction and remodeling.
- Published
- 2022
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