Endoscopic sleeve gastroplasty with 1-year follow-up: factors predictive of success
Open accessAbstract
BACKGROUND AND STUDY AIMS: Bariatric endoscopy has emerged as an aid in the nonsurgical treatment of obesity. The objective of this study is to critically provide the results and follow-up of endoscopic sleeve gastroplasty 1 year after the procedure. PATIENTS AND METHODS: Prospective single-center follow-up study of 25 patients (5 men, 20 women) who underwent flexible endoscopic suturing for endoluminal gastric volume reduction. A multidisciplinary team provided post-procedure care. Patient outcomes were recorded at 1 year after the procedure. Linear regression analysis was done to evaluate the variables associated with best results at 1 year of follow-up. RESULTS: Mean body mass index (BMI) was 38.5 ± 4.6 kg/m(2) (range 30 - 47) and mean age 44.5 ± 8.2 years (range 29 - 60). At 1 year, 22 patients continued with the follow-up (2 dropped out at 6 months and 1 at 3 months). There were no major intra-procedural, early, or delayed adverse events. Mean BMI loss was 7.3 ± 4.2 kg/m(2), and mean percentage of total body weight loss was 18.7 ± 10.7 at 1 year. In the linear regression analysis, adjusted by initial BMI, variables associated with %TBWL involved the frequency of nutritional (β = 0.563, P = 0.014) and psychological contacts (β = 0.727, P = 0.025). The number of nutritional and psychological contacts were predictive of good weight loss results. CONCLUSIONS: Endoscopic sleeve gastroplasty is a feasible, reproducible, and effective procedure to treat obesity. Nutritional and psychological interaction are predictive of success.
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Evidence suggests durability of plications and progressive weight loss up to 2 years with OverStitchTM.
“Evidence suggests durability of plications and progressive weight loss up to 2 years.”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [155]
Five observational studies have addressed the use of OverStitchTM, with a mean excess weight loss of 50% at 1 year.
“Five observational studies have addressed the use of OverStitch™ [152–156]. The procedure may be considered safe, well tolerated and effective with a mean EWL of 50% at 1 year.”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [155]
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References 18 · Cited by 122
- Authors
- Lopez-Nava, G., Galvao, M., Bautista-Castaño, I., Fernandez-Corbelle, J., & Trell, M.
- Affiliations
- Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital
- Gastro Obeso Center, Gastrointestinal Surgery, São Paulo, Brazil
- Hospital Universitario HM Sanchinarro (ES)
- ORCID
- Bautista-Castaño, I.
- Venue
- Endoscopy International Open
- Publisher
- Georg Thieme Verlag KG
- Published
- 2016-01-15
- Volume
- 04
- Issue
- 02
- Pages
- E222-E227
- ISSN
- 2196-9736 (ISSN-L)
- 2364-3722
- PMC
- PMC4751018
- OpenAlex
- W2279909847
- Cited by
- 122
- References
- 18
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 11 · 2020: 12 · 2019: 21 · 2018: 15 · 2017: 23 · 2016: 15
- FWCI
- 27.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Endoscopy International Open (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Acceda (Universidad de Las Palmas de Gran Canaria) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- endoscopic sleeve gastroplasty, obesity, bariatric endoscopy, endoscopic suturing, weight loss, predictors of treatment success, nutrition counseling, psychological support, body mass index, long-term follow-up
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