Early safety of endoscopic sleeve gastroplasty in super obesity (body mass index > 50).

Autor:	Gudur AR; Department of Medicine, University of Virginia, Charlottesville, Virginia., Geng C; Department of Medicine, University of Virginia, Charlottesville, Virginia., Mannava A; Department of Medicine, Northeast Ohio Medical University, Rootstown, Ohio., Buerlein RCD; Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Virginia., Strand DS; Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Virginia., Sauer BG; Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Virginia., Shami VM; Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Virginia., Hallowell P; Department of Surgery, University of Virginia, Charlottesville, Virginia., Schirmer B; Department of Surgery, University of Virginia, Charlottesville, Virginia., Wang AY; Department of Surgery, University of Virginia, Charlottesville, Virginia., Podboy A; Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Virginia. Electronic address: apodboy@uvahealth.org.
Jazyk:	angličtina
Zdroj:	Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2024 Nov; Vol. 20 (11), pp. 1139-1145. Date of Electronic Publication: 2024 Jun 01.
DOI:	10.1016/j.soard.2024.05.013
Abstrakt:	Background: The prevalence of super obesity (body mass index [BMI] > 50) continues to rise. However, the adoption of bariatric surgery in this population remains very low. There are limited studies evaluating the utility of endoscopic sleeve gastroplasty (ESG) in super obesity. Objectives: The purpose of this study is to evaluate the short-term safety profile of ESG in patients with super obesity using data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. Setting: United States. Methods: We retrospectively analyzed patients who underwent ESG and sleeve gastrectomy (SG) from 2016 to 2021. Patients with BMI >50 who underwent ESG were compared to ESG patients with BMI <50 and also SG patients with BMI >50. Primary outcomes included the incidence of severe adverse events (AEs), hospital readmission, reintervention, and reoperation within 30 days of the primary procedure. Secondary outcomes included procedure time, hospital length of stay, and total body weight loss at 30 days. Results: There were no significant differences in AE, reoperations, hospital readmissions, or reinterventions for patients with super obesity undergoing ESG, compared to patients with BMI below 50. Mean total body weight loss was greater in patients with super obesity. There were no significant differences in AEs for patients with super obesity who underwent ESG versus SG, although ESG patients had more hospital readmissions, reinterventions, and reoperations. Conclusions: ESG may be performed safely, with comparable safety to SG, in patients with BMI as high as 70. However, further studies are needed to validate the feasibility and long-term efficacy prior to clinical implementation. (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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