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1140 Endoscopic Sleeve Gastroplasty versus Laparoscopic Sleeve Gastrectomy: A Meta-Analysis by Jacobs, Chelsea; Banerjee, Debdeep; Westerveld, Donevan; Ayzengart, Alexander L.; Draganov, Peter V.; Yang, Dennis is a Medicine article available to read on EtoBox.

What is 1140 Endoscopic Sleeve Gastroplasty versus Laparoscopic Sleeve Gastrectomy: A Meta-Analysis about?

## INTRODUCTION: Bariatric surgery remains the most effective and durable treatment for obesity; yet, less than 2% of eligible candidates undergo surgery. Endoscopic sleeve gastroplasty (ESG) is a restrictive procedure that simulates the anatomical changes associated with laparoscopic sleeve gastrectomy (LSG), currently the most common bariatric procedure. We performed a meta-analysis to compare clinical outcomes between ESG and LSG. ## METHODS: Comprehensive search of multiple databases (PubMed, EMBASE, Cochrane, Web of Science) since the inception of ESG (2013) to April 2019. Studies were included if they reported data needed for calculation of post-intervention percentage total body weight loss (%TBWL) and adverse events. Pooling was conducted by using either fixed or random-effects model depending on heterogeneity across studies. ## RESULTS: A total of 5822 studies were initially identified, of which 18 studies (1446 ESG and 2071 LSG patients) were included. The pooled mean %TBWL at 6 months was lower in the ESG group (14.3; 95% CI: 12.8-15.9) when compared to LSG (25.5; 95% CI:23.9-27.2) (__P__ < 0.001). Similarly, the estimated mean %TBWL at 12 months was lower for ESG (15.7;

Who reads 1140 Endoscopic Sleeve Gastroplasty versus Laparoscopic Sleeve Gastrectomy: A Meta-Analysis?

Author

Jacobs, Chelsea; Banerjee, Debdeep; Westerveld, Donevan; Ayzengart, Alexander L.; Draganov, Peter V.; Yang, Dennis

Publisher

Nature Publishing Group; American College of Gastroenterology; Springer Verlag; Ovid Technologies (Wolters Kluwer Health); Springer Science and Business Media LLC; Wiley (ISSN 0002-9270)

Published

2019

Field

Medicine (Health Sciences)