Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management
| Autor: | Marta Trell, Inmaculada Bautista-Castaño, Juan Pedro Fernandez-Corbelle, Gontrand López-Nava-Breviere |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Excess weight Tratamiento obesidad 030209 endocrinology & metabolism Gastric cavity Endoscopy Gastrointestinal Body Mass Index 03 medical and health sciences 0302 clinical medicine Obesity management Medicine Humans In patient Major complication Obesity Prospective Studies lcsh:RC799-869 Gynecology business.industry Body Weight Gastroenterology Follow up studies Mean age General Medicine Middle Aged Surgery Obesity Morbid Bariatric endoscopy Estudio prospectivo Endoscopic sleeve gastroplasty Endoscopia bariátrica Treatment Outcome lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Female business Gastroplastia endoscópica en manga Follow-Up Studies |
| Zdroj: | Revista Española de Enfermedades Digestivas v.108 n.4 2016 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Revista Espanola de Enfermedades Digestivas, Vol 108, Iss 4, Pp 201-206 (2016) |
| Popis: | espanolIntroduccion: muchos pacientes obesos no son capaces de perder peso o rechazan los tratamientos convencionales de la obesidad. La gastroplastia endoscopica en manga (metodo Apollo) es una tecnica intervencionista pionera coadyuvante para el tratamiento integral de la obesidad. Objetivos: los objetivos de este estudio son comunicar resultados de seguridad y eficacia a 6 meses de pacientes intervenidos de gastroplastia endoscopica en manga. Material y metodos: se realizo un estudio prospectivo de intervencion sobre 55 pacientes (13 hombres, 42 mujeres) sometidos a metodo Apollo, con edad media de 43,5 anos (rango 25-60) e indice de masa corporal (IMC) medio de 37,7 kg/m2 (rango 30-48), y a seguimiento multidisciplinar para perder peso. Se evaluaron cambios ponderales y presencia de complicaciones. A traves de un endoscopio se realizo un patron de sutura triangular, consistente en aproximadamente 3-6 puntos transmurales (de mucosa a serosa) que, mediante un sistema de cinchado, aproxima los puntos para formar una plicatura. Resultados: en total se realizaron entre 6-8 plicaturas para crear la restriccion tubular o en manga de la cavidad gastrica. No existieron complicaciones mayores y los pacientes fueron dados de alta 24 horas despues de la intervencion. Los controles endoscopicos y radiograficos a los 6 meses postprocedimiento mostraron conservacion de la forma tubular gastrica. Los pacientes con 6 meses de evolucion perdieron 18,9 kg y un 55,3% de porcentaje de exceso de peso. Conclusiones: la gastroplastia endoscopica en manga, junto a la intervencion dietetica y modificacion psicoconductual en pacientes obesos, es una tecnica segura y eficaz en el tratamiento coadyuvante de la obesidad. EnglishBackground: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method) is a pioneering coadjuvant, interventionist technique for the integral management of obesity. Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty. Material and methods: A prospective study was performed in 55 patients (13 males, 42 females) who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60) and mean BMI was 37.7 kg/m2 (range 30-48). All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa) stitches, using a cinch device to bring them nearer and form a plication. Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight. Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients. |
| Databáze: | OpenAIRE |
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