Endoscopic Sleeve Gastroplasty - Minimally Invasive Therapy for Primary Obesity Treatment

Galvão-Neto, Manoel dos Passos; Grecco, Eduardo; Souza, Thiago Ferreira de; Quadros, Luiz Gustavo de; Silva, Lyz Bezerra; Campos, Josemberg Marins

doi:10.1590/0102-6720201600s10023

Cited by 37 publications

(33 citation statements)

References 14 publications

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“…Four studies were from Spain, all of which were single center prospective studies [ 12 - 15 ]. One case report from Brazil was also included [ 16 ]. All the studies have been summarized in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of patients who had failed to lose weight with non-surgical methods across studies ranged from 36 to 56 years and mean BMI ranged from 35.2 to 45.2 kg/m 2 [ 8 - 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…All the authors have reported the use of general anesthesia (GA) to perform their respective procedures [ 8 - 16 ]. Carbon dioxide (CO 2 ) insufflation was used to distend the gastric lumen [ 8 - 16 ].…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Sleeve Gastroplasty - A New Tool to Manage Obesity

et al. 2017

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Obesity is a growing pandemic across the world. Dietary restrictions and behavior modifications alone have a limited benefit. Bariatric surgery, despite being the current gold standard, has limited acceptance by patients due to cost and associated morbidity. In our review, we have discussed nine original studies describing endoscopic sleeve gastroplasty (ESG). A total of 172 subjects successfully underwent ESG. Of 65 subjects with follow up data, 95.4% (62/65) had intact gastric sleeve confirmed via esophagogastroduodenoscopy or oral contrast study at the end of study specific follow up interval (the longest being 6 months). Individual studies reported a technical success rate for intact gastric sleeve from as low as 50% to as high as 100%. A statistically significant p<0.05) weight loss was reported in seven of the eight studies with available data. None of the patients experienced any intra-procedure complications, and approximately 2.3% (4/172) of patients experienced major post-procedure complications; however, no mortality was reported. Majority of the studies reported relatively high incidence of minor post-procedure complications, which improved with symptomatic treatment alone. Good patient tolerance with comparable clinical efficacy in achieving and sustaining desired weight loss makes ESG an attractive option to consider among other bariatric therapies.

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Section: Resultsmentioning

confidence: 99%

“…The mean age of patients who had failed to lose weight with non-surgical methods across studies ranged from 36 to 56 years and mean BMI ranged from 35.2 to 45.2 kg/m 2 [ 8 - 16 ].…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Sleeve Gastroplasty - A New Tool to Manage Obesity

et al. 2017

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“…Lopez-Nava et al (2016) performed this technique in humans with an average time of 80 min (50-120 min). The OverStitch endoscopic suture device was tested by Galvão Neto et al (2016) and the procedure was finished in 50 minutes. Another internal suture system called EndoCinch was clinically tested by Fogel et al (2005) in 10 overweight volunteers, in which an endoscopic gastric plication was performed along the shorter curvature of the stomach.…”

Section: Discussionmentioning

confidence: 99%

New technique of intragastric sleeve: viability and survival in a pig model

Ribeiro¹,

Zorrón

Silva³

et al. 2018

An. Acad. Bras. Ciênc.

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Developing a less invasive, practical and cost-effective operative technique for obesity treatment represents a pressing need for our society. In this way, intragastric single port sleeve by endoplication was tested in six pigs during 18 weeks. Celiotomy was performed with animal placed in dorsal decubitus position. Single port gastrostomy was performed and double tobacco pouch sutures were made in fundic region, making a gastric sleeve. At the end, stomach layers and skin were closed in a conventional manner. Means and the standard deviations of surgical time were calculated. The procedure was simple and all animals survived; there were no significant blood loss and no intra and postoperative complications. The procedure was fast (67.4 minutes). The technique has the advantage of not requiring the use of mechanical sutures, making it less costly. The innovation of this procedure was the use of a single port gastrostomy device to perform an intraluminal sleeve. What made this technique less invasive were the use of a single port, nonmanipulation of the stomach intra-abdominally, ease of execution and no need of pneumoperitoneum. The new technique is acceptable and has reproducible viability, had a short procedure time without intra and postoperative complications.

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“…Therefore, despite considerable advancements in bariatric surgery, there is a need to look for less invasive surgical techniques, associated with a lower risk of severe adverse events and high effectiveness in reducing body weight. One of such promising techniques, which is currently gaining popularity, is endoscopic sleeve gastroplasty (ESG) [23][24] [25]. The technique has never been used in Poland before.…”

Section: Introductionmentioning

confidence: 99%