Endoscopic Sleeve Gastroplasty: Suturing the Gastric Fundus Does Not Confer Benefit
sleeve期刊名称： Endoscopy
年份： 2020年
摘要：Background and Aims: There is heterogeneity regarding the technical aspects of endoscopic sleeve gastroplasty (ESG) such as applying fundal sutures
(FS). Our aim was to determine whether ESG with FS (ESG-FS) affects weight loss and serious adverse event (SAE) rate when compared to ESG without FS (ESG-NFS).
Methods: We conducted a two-center retrospective analysis of 247 patients who underwent ESG with or without FS. The primary outcome was percent excess weight loss (%EWL) at 3, 6, and 12-months post-ESG. The secondary outcomes include the SAE rate and procedure duration. Results: At 3, 6, and 12-months, ESG-NFS had a
significantly greater mean %EWL compared to ESG-FS (38.4± 15.3% vs 31.2± 13.9%, p=0.001; 54.7±
19.2% vs. 37.7± 17.3%, p<0.001; 65.3± 21.1% vs. 40.6± 23.5%
respectively, p<0.001). There
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