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Journal of Gastrointestinal Surgery

, Volume 22, Issue 2, pp 267–273 | Cite as

Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare?

  • Aleksey A. Novikov
  • Cheguevara Afaneh
  • Monica Saumoy
  • Viviana Parra
  • Alpana Shukla
  • Gregory F. Dakin
  • Alfons Pomp
  • Enad Dawod
  • Shawn Shah
  • Louis J. Aronne
  • Reem Z. SharaihaEmail author
Original Article

Abstract

Background

Endoscopic sleeve gastroplasty (ESG) is a novel endobariatric procedure. Initial studies demonstrated an association of ESG with weight loss and improvement of obesity-related comorbidities. Our aim was to compare ESG to laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB).

Methods

We included 278 obese (BMI > 30) patients who underwent ESG (n = 91), LSG (n = 120), or LAGB (n = 67) at our tertiary care academic center. Primary outcome was percent total body weight loss (%TBWL) at 3, 6, 9, and 12 months. Secondary outcome measures included adverse events (AE), length of stay (LOS), and readmission rate.

Results

At 12-month follow-up, LSG achieved the greatest %TBWL compared to LAGB and ESG (29.28 vs 13.30 vs 17.57%, respectively; p < 0.001). However, ESG had a significantly lower rate of morbidity when compared to LSG or LAGB (p = 0.01). The LOS was significantly less for ESG compared to LSG or LAGB (0.34 ± 0.73 vs 3.09 ± 1.47 vs 1.66 ± 3.07 days, respectively; p < 0.01). Readmission rates were not significantly different between the groups (p = 0.72).

Conclusion

Although LSG is the most effective option for weight loss, ESG is a safe and feasible endobariatric option associated with low morbidity and short LOS in select patients.

Keywords

Endoscopic sleeve gastroplasty Laparoscopic sleeve gastrectomy Laparoscopic adjustable gastric band Weight loss 

Abbreviations

ESG

Endoscopic sleeve gastroplasty

LSG

Laparoscopic sleeve gastrectomy

LAGB

Laparoscopic gastric band

DM

Type II diabetes

BMI

Body mass index

LOS

Length of stay

HgbA1c

Hemoglobin A1C

%TWBL

Percent total body weight loss

AE

Adverse events

RZS

Reem Z. Sharaiha

CA

Cheguevara Afaneh

GD

Gregory F. Dakin

AP

Alfons Pomp

Notes

Author Contributions

Study conception and design: Drs. Sharaiha, Novikov, Afaneh

Acquisition of data: Drs. Sharaiha, Afaneh, Pomp, Dakin, Shukla, Aronne

Analysis and interpretation of data: Drs. Sharaiha, Afaneh, Novikov, Saumoy

Drafting of manuscript: Drs. Sharaiha, Afaneh, Saumoy, Parra, Novikov, Shah, Dawod

Critical revision: Drs. Novikov, Afaneh, Saumoy, Shukla, Dakin, Pomp, Dawod, Shah, Aronne, and Sharaiha

Compliance with Ethical Standards

Conflict of Interest

Drs. Novikov, Afaneh, Saumoy, Parra, Shukla, Dakin, Pomp, Dawod, Shah, and Aronne have nothing to disclose.

Dr. Sharaiha receives grant support from Apollo Endosurgery. The remaining authors have no relevant disclosures.

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Copyright information

© The Society for Surgery of the Alimentary Tract 2017

Authors and Affiliations

  • Aleksey A. Novikov
    • 1
  • Cheguevara Afaneh
    • 2
  • Monica Saumoy
    • 1
  • Viviana Parra
    • 3
  • Alpana Shukla
    • 4
  • Gregory F. Dakin
    • 2
  • Alfons Pomp
    • 2
  • Enad Dawod
    • 1
  • Shawn Shah
    • 1
  • Louis J. Aronne
    • 4
  • Reem Z. Sharaiha
    • 1
    Email author
  1. 1.Division of Gastroenterology and HepatologyWeill Cornell MedicineNew YorkUSA
  2. 2.Division of Metabolic and Bariatric SurgeryNew YorkUSA
  3. 3.Clínica Universitaria ColombiaBogotáColombia
  4. 4.Division of EndocrinologyWeill Cornell MedicineNew YorkUSA

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