Endoscopic Sleeve Gastroplasty Is Feasible, Safe, and Effective in a Non-academic Setting: Short-Term Outcomes from a Community Gastroenterology Practice
| Autor: | Christopher E. McGowan, Sumana Reddy, Trish Vulpis, Theodore W. James |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Referral Gastroplasty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Gastroenterology 03 medical and health sciences 0302 clinical medicine Weight loss Internal medicine Medicine Humans Obesity Adverse effect Retrospective Studies Nutrition and Dietetics business.industry Reflux Retrospective cohort study Middle Aged medicine.disease Obesity Morbid Treatment Outcome Quartile GERD 030211 gastroenterology & hepatology Surgery Female medicine.symptom business Dyslipidemia |
| Zdroj: | Obesity surgery. 30(4) |
| ISSN: | 1708-0428 |
| Popis: | Endoscopic sleeve gastroplasty (ESG) has demonstrated promising weight loss results with fewer adverse events and less new-onset gastroesophageal reflux disease (GERD) compared to laparoscopic sleeve gastrectomy. Publications on ESG have exclusively described the experience at large academic medical centers with little known about the implementation and outcomes of this procedure in community practice. We conducted a retrospective study of consecutive patients who underwent ESG at a private, community-based gastroenterology practice. Total body weight loss (TBWL), procedure duration, improvement in metabolic comorbidities, and adverse event (AE) rate and severity were assessed. One hundred patients underwent ESG (86 women, mean age 45 ± 9 years) and were analyzed. Procedure duration was 59 ± 33 min with an improvement in procedural efficiency from the first quartile (mean 105 min) to the fourth quartile (mean 38 min). Mean 12-month TBWL was 29.80 ± 11.46 kg (23.1 ± 7.5%), with excess weight loss of 66.1 ± 21.5%. Over this time period, mean change in BMI was 9.43 ± 0.22. A multiple linear regression model found that higher starting weight (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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