Erschienen in:
27.02.2020 | Review
Efficacy and Safety of Endoscopic Sleeve Gastroplasty at Mid Term in the Management of Overweight and Obese Patients: a Systematic Review and Meta-Analysis
verfasst von:
Antonio Afonso de Miranda Neto, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Ahmad Khan, Shailendra Singh, Alberto Machado da Ponte Neto, Antonio Coutinho Madruga Neto, Epifanio Silvino do Monte Junior, Francisco Tustumi, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Erschienen in:
Obesity Surgery
|
Ausgabe 5/2020
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Abstract
Background
Endoscopic sleeve gastroplasty (ESG) has emerged as a promising technique in endoscopic bariatric and metabolic therapies (EBMTs). We aimed to perform a systematic review and meta-analysis to provide an update on its efficacy and safety.
Methods
This is a systematic review and meta-analysis was performed following the PRISMA guidelines. MEDLINE, Cochrane, EMBASE, and LILACS were searched to identify the studies related to ESG.
Results
Eleven studies with a total of 2170 patients were included. The average BMI pre-ESG was 35.78 kg/m2. Pooled mean %TWL observed at 6, 12, and 18 months was 15.3%, 16.1%, and 16.8% respectively. Pooled mean %EWL at 6, 12, and 18 months was 55.8%, 60%, and 73% respectively. No procedure-related mortality was reported.
Conclusion
ESG is a safe and effective procedure for primary obesity therapy with promising short- and mid-term results.