TY - JOUR
T1 - Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy
T2 - a case-matched study
AU - Fayad, Lea
AU - Adam, Atif
AU - Schweitzer, Michael
AU - Cheskin, Lawrence J.
AU - Ajayi, Tokunbo
AU - Dunlap, Margo
AU - Badurdeen, Dilhana S.
AU - Hill, Christine
AU - Paranji, Neethi
AU - Lalezari, Sepehr
AU - Kalloo, Anthony N.
AU - Khashab, Mouen A.
AU - Kumbhari, Vivek
N1 - Publisher Copyright:
© 2019 American Society for Gastrointestinal Endoscopy
PY - 2019/4
Y1 - 2019/4
N2 - Background and Aims: Endoscopic sleeve gastroplasty (ESG) reduces the gastric lumen to a size comparable with that of laparoscopic sleeve gastrectomy (LSG). However, there is a paucity of research comparing outcomes between the 2 procedures. Our study compared the 6-month weight loss outcomes and adverse events of ESG with LSG in a case-matched cohort. Methods: We retrospectively reviewed prospectively collected data for patients undergoing ESG or LSG at a single academic center. Weight was recorded at 1 and 6 months postprocedure, and percent total body weight loss (%TBWL) was calculated. Adverse events and new-onset Gastroesophageal Reflux Disease (GERD) were also recorded. Results: A total of 54 ESG patients were matched with 83 LSG patients by age, sex, and body mass index. The proportion of patients with GERD at baseline was similar in the 2 groups (16.7% in ESG group vs 25.3% in LSG group, P =.27). At the 6-month follow-up, %TBWL (compared with baseline) was significantly lower in the ESG group compared with the LSG group (17.1% ± 6.5% vs 23.6% ± 7.6%, P <.01). ESG patients had significantly lower rates of adverse events compared with LSG patients (5.2% vs 16.9%, P <.05). New-onset GERD was also significantly lower in the ESG group compared with the LSG group (1.9% vs 14.5%, P <.05). Conclusions: ESG, a minimally invasive same-day procedure, achieved less weight loss at 6 months than LSG, with the caveat that LSG caused more adverse events and new-onset GERD than ESG.
AB - Background and Aims: Endoscopic sleeve gastroplasty (ESG) reduces the gastric lumen to a size comparable with that of laparoscopic sleeve gastrectomy (LSG). However, there is a paucity of research comparing outcomes between the 2 procedures. Our study compared the 6-month weight loss outcomes and adverse events of ESG with LSG in a case-matched cohort. Methods: We retrospectively reviewed prospectively collected data for patients undergoing ESG or LSG at a single academic center. Weight was recorded at 1 and 6 months postprocedure, and percent total body weight loss (%TBWL) was calculated. Adverse events and new-onset Gastroesophageal Reflux Disease (GERD) were also recorded. Results: A total of 54 ESG patients were matched with 83 LSG patients by age, sex, and body mass index. The proportion of patients with GERD at baseline was similar in the 2 groups (16.7% in ESG group vs 25.3% in LSG group, P =.27). At the 6-month follow-up, %TBWL (compared with baseline) was significantly lower in the ESG group compared with the LSG group (17.1% ± 6.5% vs 23.6% ± 7.6%, P <.01). ESG patients had significantly lower rates of adverse events compared with LSG patients (5.2% vs 16.9%, P <.05). New-onset GERD was also significantly lower in the ESG group compared with the LSG group (1.9% vs 14.5%, P <.05). Conclusions: ESG, a minimally invasive same-day procedure, achieved less weight loss at 6 months than LSG, with the caveat that LSG caused more adverse events and new-onset GERD than ESG.
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U2 - 10.1016/j.gie.2018.08.030
DO - 10.1016/j.gie.2018.08.030
M3 - Article
C2 - 30148991
AN - SCOPUS:85054681695
SN - 0016-5107
VL - 89
SP - 782
EP - 788
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 4
ER -