Endoscopy 2021; 53(11): 1169-1173
DOI: 10.1055/a-1324-8498
Innovations and brief communications

Primary obesity surgery endoluminal (POSE-2) procedure for treatment of obesity in clinical practice

Gontrand Lopez Nava*
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
,
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
2   Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore
,
Janese Laster
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
,
Anuradha Negi
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
,
Enrique Normand
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
,
Stephanie Fook-Chong
3   Health Services Research Unit, Singapore General Hospital, Singapore
,
Inmaculada Bautista-Castaño
1   Bariatric Endoscopy Unit, HM Sanchinarro Hospital, Madrid, Spain
4   Ciber of Obesity and Nutrition Pathophysiology (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
› Author Affiliations

Abstract

Background The POSE-2 procedure shortens and narrows the stomach using multiple full-thickness plications in the gastric body. We studied the efficacy and safety of POSE-2 for obesity at 1 year in a real-world setting.

Methods We reviewed the records of 75 patients who underwent POSE-2 at our unit. The primary outcome was percentage total body weight loss (%TBWL) at 1 year. Secondary outcomes were safety and durability. We used linear mixed model analysis.

Results 46 patients completed 1 year. Mean age and body mass index (BMI) were 49.3 years (standard deviation [SD] 10.2) and 38.2 kg/m2 (SD 6.6), respectively. Technical success rate was 98.7 % (n = 74). Mean TBWL, %TBWL, and BMI decline at 1 year were 20 kg (SD 12.7), 17.8 % (SD 9.5), 7 kg/m2 (SD 4.3). Adverse events occurred in four patients. The median length of stay was 1 day. Endoscopy at 1 year in 15 patients showed intact sutures and a reduction in gastric length compared with baseline (26.9 cm [SD 5.3] vs. 35.7 cm [SD 3.5]; P < 0.001).

Conclusion POSE-2 induced significant weight loss at 1 year. It appears to be safe, durable, and required only a short hospital stay.

* These authors contributed equally to this work.


Table 1s, 2s, Annex 1s, 2s, Fig. 1s, 2s



Publication History

Received: 17 August 2020

Accepted: 27 November 2020

Accepted Manuscript online:
27 November 2020

Article published online:
21 January 2021

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
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