Brazilian Consensus on Endoscopic Sleeve Gastroplasty.

Autor: Neto MG; Endovitta Institute, Santo Andre, Brazil.; Medicine of ABC, Santo Andre, Brazil., Silva LB; Federal University of Pernambuco, Recife, Brazil., de Quadros LG; Medicine of ABC, Santo Andre, Brazil.; Kaiser Clinic, Sao Jose do Rio Preto, Brazil., Grecco E; Endovitta Institute, Santo Andre, Brazil.; Medicine of ABC, Santo Andre, Brazil., Filho AC; Medicine of ABC, Santo Andre, Brazil.; Galileo Hospital, Valinhos, Brazil., de Amorim AMB; 9 de Julho Hospital, Sao Paulo, Brazil., de Santana MF; Instituto Falcao de Endoscopia e Cirurgia, Salvador, Brazil., Dos Santos NT; Hospital Rios Dor, Rio de Janeiro, Brazil., de Lima JHF; Endobatel Endoscopia Digestiva, Curitiba, Brazil., de Souza TF; Endovitta Institute, Santo Andre, Brazil.; Medicine of ABC, Santo Andre, Brazil., de Morais HWP; Digestive Center, Fortaleza, Brazil., Vieira FM; Endodiagnostic Clinic, Rio de Janeiro, Brazil., Moon R; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA., Teixeira AF; Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA. andre.teixeira@orlandohealth.com.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2021 Jan; Vol. 31 (1), pp. 70-78. Date of Electronic Publication: 2020 Aug 20.
DOI: 10.1007/s11695-020-04915-4
Abstrakt: Purpose: Bariatric endoscopy is a less invasive approach for obesity management, with better efficacy than pharmacological treatment and low morbidity. Endoscopic sleeve gastroplasty (ESG) is the remodeling of the stomach using a suturing device showing technical feasibility, safety, and sustained weight loss. With growing numbers of procedures worldwide, there is a need to standardize the procedure.
Materials and Methods: A consensus meeting was held in São Caetano do Sul-SP, Brazil, in June 2019, bringing together 47 Brazilian endoscopists with experience in ESG from all regions of the country. Topics on indications and contraindications of the procedure, pre-procedure evaluation and multidisciplinary follow-up, technique and post-procedure follow-up, and training requirements were discussed. An electronic voting was carried, and a consensus was defined as ≥ 70% agreement.
Results: The panel's experience consisted of 1828 procedures, with a mean percentage total body weight loss (TBWL) of 18.2% in 1 year. Adverse events happened in 0.8% of the cases, the most common being hematemesis. The selected experts discussed and reached a consensus on several questions concerning patient selection, contraindications for the procedure, technical details such as patient preparation, procedure technique, and patient follow-up.
Conclusions: This consensus establishes practical guidelines for performance of ESG. The experience of 1828 procedures shows the expertise of the selected specialists participating in this consensus statement. The group's experience has a satisfactory weight loss with low adverse events rate. The main points discussed in this paper may serve as a guide for endoscopists performing ESG. Practical recommendations and technique standardization are described.
Databáze: MEDLINE
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