Efficacy and Safety of Endoscopic Sleeve Gastroplasty at Mid Term in the Management of Overweight and Obese Patients: a Systematic Review and Meta-Analysis

被引：52
作者：
de Miranda Neto, Antonio Afonso [1 ]
de Moura, Diogo Turiani Hourneaux [1 ]
Ribeiro, Igor Braga [1 ]
Khan, Ahmad [2 ]
Singh, Shailendra [3 ]
da Ponte Neto, Alberto Machado [1 ]
Madruga Neto, Antonio Coutinho [1 ]
do Monte Junior, Epifanio Silvino [1 ]
Tustumi, Francisco [4 ]
Bernardo, Wanderley Marques [1 ]
de Moura, Eduardo Guimaraes Hourneaux [1 ]
机构：
[1] Univ Sao Paulo, Sch Med, Gastrointestinal Endoscopy Unit, Hosp Clin, Sao Paulo, Brazil
[2] West Virginia Univ, Dept Med, Hlth Sci Ctr, Charleston Div, Charleston, WV 25304 USA
[3] West Virginia Univ, Div Gastroenterol, Hlth Sci Ctr, Charleston Div, Charleston, WV 25304 USA
[4] Univ Sao Paulo, Hosp Clin, Gastroenterol Unit, Sch Med, Sao Paulo, Brazil
来源：
OBESITY SURGERY | 2020年 / 30卷 / 05期
关键词：
Overweight; Obesity; Endoscopy; Bariatric; Surgery; Gastroplasty; Sleeve; ESG; INTENSIVE MEDICAL THERAPY; BARIATRIC SURGERY; GASTRECTOMY;
D O I：
10.1007/s11695-020-04449-9
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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/m(2). 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.
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页码：1971 / 1987
页数：17
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