Efficacy of the argon plasma coagulation in patients with weight regain after gastric bypass: a randomized control trial

Autor: Gustavo Carvalho Gurian, Lígia Moriguchi Watanabe, Carla Barbosa Nonino, Mariana Barato, Maysa Araújo Ferreira-Julio, Francisco Alves Arantes, Thiago Sivieri, Natália Yumi Noronha, Dorotéia Silva Rossi Souza, Rafael Fernandes-Ferreira, Marcela Augusta de Souza Pinhel
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Endoscopy International Open, Vol 11, Iss 01, Pp E43-E51 (2023)
Druh dokumentu: article
ISSN: 2364-3722
2196-9736
DOI: 10.1055/a-1971-6417
Popis: Background and study aims Endoscopic procedure using argon plasma coagulation (APC) promotes a progressive reduction in gastrojejunal anastomosis diameter. The present study aimed to evaluate the efficacy of the APC in patients with weight regain in the postoperative periods of gastric bypass. Patients and methods This was a randomized controlled trial conducted with 66 patients who were randomly assigned selected (using lottery method) and divided into two groups: study group (SG), 38 patients (APC treatment); and control group (CG), 28 patients (only endoscopy procedure). We considered 30 days,180 days, and one year as short-term, medium-term, and long-term, respectively. The parameters analyzed were total weight loss (TWL), excess weight loss (%EWL), total weight loss (%TWL), and reduction of weight regain (%RWR). Furthermore, a biopsy for neoplastic histological changes was carried out for the APC group. For statistical analysis, values of P
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