PMID- 35870507
OWN - NLM
STAT- MEDLINE
DCOM- 20221219
LR  - 20230119
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 97
IP  - 1
DP  - 2023 Jan
TI  - Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: 
      a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program 
      database analysis.
PG  - 11-21.e4
LID - S0016-5107(22)01834-X [pii]
LID - 10.1016/j.gie.2022.07.017 [doi]
AB  - BACKGROUND AND AIMS: Endoscopic sleeve gastroplasty (ESG) is an incisionless, 
      transoral, restrictive bariatric procedure designed to imitate sleeve gastrectomy 
      (SG). Comparative studies and large-scale population-based data are limited. 
      Additionally, no studies have examined the impact of race on outcomes after ESG. 
      This study aims to compare short-term outcomes of ESG with SG and evaluate racial 
      effects on short-term outcomes after ESG. METHODS: We retrospectively analyzed 
      over 600,000 patients in the Metabolic and Bariatric Surgery Accreditation and 
      Quality Improvement Program database from 2016 to 2020. We compared occurrences 
      of adverse events (AEs), readmissions, reoperations, and reinterventions within 
      30 days after procedures. Multivariate regression evaluated the impact of patient 
      factors, including race, on AEs. RESULTS: A total of 6054 patients underwent ESG 
      and 597,463 underwent SG. AEs were low after both procedures with no significant 
      difference in major AEs (SG vs ESG: 1.1% vs 1.4%; P > .05). However, patients 
      undergoing ESG had more readmissions (3.8% vs 2.6%), reoperations (1.4% vs .8%), 
      and reinterventions (2.8% vs .7%) within 30 days (P < .05). Race was not 
      significantly associated with AEs after ESG, with black race associated with a 
      higher risk of AEs in SG. CONCLUSIONS: ESG demonstrates a comparable major AE 
      rate with SG. Race did not impact short-term AEs after ESG. Further prospective 
      studies long-term studies are needed to compare ESG with SG.
CI  - Copyright (c) 2023 American Society for Gastrointestinal Endoscopy. Published by 
      Elsevier Inc. All rights reserved.
FAU - Gudur, Anuragh R
AU  - Gudur AR
AD  - Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
FAU - Geng, Calvin X
AU  - Geng CX
AD  - Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
FAU - Kshatri, Sonia
AU  - Kshatri S
AD  - Northeast Ohio Medical University, Rootstown, Ohio, USA.
FAU - Martin, David
AU  - Martin D
AD  - Claude Moore Health Sciences Library, University of Virginia, Charlottesville, 
      Virginia, USA.
FAU - Haug, Rebecca
AU  - Haug R
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Radlinski, Mark
AU  - Radlinski M
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Lei, Yang
AU  - Lei Y
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Buerlein, Ross C D
AU  - Buerlein RCD
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Strand, Daniel S
AU  - Strand DS
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Sauer, Bryan G
AU  - Sauer BG
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Shami, Vanessa M
AU  - Shami VM
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Hallowell, Peter
AU  - Hallowell P
AD  - Department of Surgery, University of Virginia, Charlottesville, Virginia, USA.
FAU - Schirmer, Bruce
AU  - Schirmer B
AD  - Department of Surgery, University of Virginia, Charlottesville, Virginia, USA.
FAU - Wang, Andrew Y
AU  - Wang AY
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
FAU - Podboy, Alexander
AU  - Podboy A
AD  - Division of Gastroenterology and Hepatology, Department of Medicine, University 
      of Virginia, Charlottesville, Virginia, USA.
LA  - eng
PT  - Journal Article
DEP - 20220721
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
SB  - IM
CIN - Gastrointest Endosc. 2023 Jan;97(1):22-24. PMID: 36333126
CIN - Gastrointest Endosc. 2023 Jan;97(1):151-152. PMID: 36522022
MH  - Humans
MH  - *Gastroplasty/adverse effects/methods
MH  - Retrospective Studies
MH  - Quality Improvement
MH  - Prospective Studies
MH  - Weight Loss
MH  - Obesity/surgery
MH  - Treatment Outcome
MH  - Gastrectomy/methods
MH  - *Bariatric Surgery
MH  - Accreditation
MH  - *Obesity, Morbid/surgery
EDAT- 2022/07/24 06:00
MHDA- 2022/12/20 06:00
CRDT- 2022/07/23 19:23
PHST- 2022/05/02 00:00 [received]
PHST- 2022/07/07 00:00 [revised]
PHST- 2022/07/13 00:00 [accepted]
PHST- 2022/07/24 06:00 [pubmed]
PHST- 2022/12/20 06:00 [medline]
PHST- 2022/07/23 19:23 [entrez]
AID - S0016-5107(22)01834-X [pii]
AID - 10.1016/j.gie.2022.07.017 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2023 Jan;97(1):11-21.e4. doi: 10.1016/j.gie.2022.07.017. 
      Epub 2022 Jul 21.