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

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Journal of Gastrointestinal Surgery Aims and scope

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.

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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

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Weill Cornell Medicine, 1305 York Avenue, 4th Floor, New York, NY, 10021, USA

    Aleksey A. Novikov, Monica Saumoy, Enad Dawod, Shawn Shah & Reem Z. Sharaiha

  2. Division of Metabolic and Bariatric Surgery, 520 East 70th Street, Starr 8, New York, NY, 10021, USA

    Cheguevara Afaneh, Gregory F. Dakin & Alfons Pomp

  3. Clínica Universitaria Colombia, Bogotá, Colombia

    Viviana Parra

  4. Division of Endocrinology, Weill Cornell Medicine, 525 E. 68th Street, New York, NY, 10021, USA

    Alpana Shukla & Louis J. Aronne

Authors
  1. Aleksey A. Novikov
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  2. Cheguevara Afaneh
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  3. Monica Saumoy
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  4. Viviana Parra
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  11. Reem Z. Sharaiha
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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

Corresponding author

Correspondence to Reem Z. Sharaiha.

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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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Novikov, A.A., Afaneh, C., Saumoy, M. et al. Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare?. J Gastrointest Surg 22, 267–273 (2018). https://doi.org/10.1007/s11605-017-3615-7

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