Modified endoscopic gastroplasty for the treatment of obesity

Surgical Endoscopy
Javier Graus MoralesJacques Himpens

Abstract

Endoscopic sleeve gastroplasty is a safe and feasible treatment for obesity. This study is focused on our technique modification which suggests a different suturing pattern in order to distribute suture tension more evenly. A retrospective study of 148 patients (121 women) who underwent this procedure and were monitored for 12 months was conducted. The average age was 41.53 ± 10 years. The average BMI was 35.11 ± 5.5 kg/m2 with the average initial weight being 98.7 ± 17 kg. A subgroup of the first 72 patients (60 women) were monitored for 18 months. A new running "Z" stitch pattern was used to provide gastric cavity reduction by means of 4 parallel suture rows. The stitch pattern was intended to provide a homogenous distribution of the disruptive force on the suture among all stitch points. %TWL was 17.53 ± 7.57 in 12 months and 18.5 ± 9% in 18 months indicating durability of the procedure. Patients with a BMI < 35 benefited most from an endoscopic gastroplasty. Leptin did not predict a response to endoscopic gastroplasty and decreased in all patients. In just one case there was a mild bleeding (0.67%) at the insertion point of the helix, which was resolved by sclerotherapy. Endoscopic gastroplasty offers a real choice for obes...Continue Reading

References

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Citations

Jun 22, 2019·Obesity Surgery·Rebecca García García, José Vicente Velázquez
Sep 24, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Veeravich JaruvongvanichBarham K Abu Dayyeh
Jun 18, 2019·World Journal of Gastrointestinal Endoscopy·Diogo Turiani Hourneaux de MouraChristopher C Thompson
Oct 6, 2020·Endoscopy International Open·E Espinet-CollA Juan-Creix Comamala
Aug 9, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mohit BhandariMathias Fobi
Jun 18, 2020·Therapeutic Advances in Gastrointestinal Endoscopy·Beatrice OrlandiniGuido Costamagna
Apr 18, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Thomas R McCarty, Christopher C Thompson
Nov 20, 2019·Gastrointestinal Endoscopy Clinics of North America·Rabindra R Watson
Nov 19, 2020·Current Gastroenterology Reports·Jad FarhaDilhana Badurdeen
Jan 7, 2021·Endoscopy International Open·Giuseppe MarincolaIvo Boškoski
Mar 21, 2020·Techniques in Vascular and Interventional Radiology·Leena Khaitan, Brian Shea
Mar 29, 2021·Obesity Surgery·Andrew C CurrieJamie Kelly
Jun 23, 2019·Gastrointestinal Endoscopy·Sérgio BarrichelloChristopher C Thompson
May 25, 2021·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·Kevin D Platt, Allison R Schulman
Jun 19, 2021·Clinical and Translational Gastroenterology·Andrea TeleseRehan J Haidry
Jul 24, 2021·Current Obesity Reports·Vitor Ottoboni Brunaldi, Manoel Galvao Neto
Aug 2, 2021·The Medical Journal of Australia·Dominic A StaudenmannAdrian Sartoretto

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