Endoscopy 2019; 51(04): S51
DOI: 10.1055/s-0039-1681321
ESGE Days 2019 oral presentations
Friday, April 5, 2019 14:30 – 16:30: Bariatric Club B
Georg Thieme Verlag KG Stuttgart · New York

EUROPEAN ENDOSCOPIC SUTURING REGISTRY FOR BARIATRIC PATIENTS

G Lopez-Nava
1   Madrid Sanchinarro University Hospital, Madrid, Spain, Bariatric Endoscopy Unit, Madrid, Spain
,
I Bautista-Castaño
2   Madrid Sanchinarro University Hospital, Bariatric Endoscopy Unit, Madrid, Spain
,
S Perretta
3   University Hospital (NHC), Strasbourg, France
,
A Formiga
4   Istituti Clinici Zucchi, Monza, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

 

Aims:

Full-thickness endoscopic suturing has demonstrated multiple uses, including endoscopic sleeve gastroplasty (ESG) as a primary bariatric procedure and a reduction of dilated gastrojejunal anastomosis (TORe: transoral outlet reduction) in patients who have weight regain after bariatric surgery. This prospective observational multicenter registry allows monitoring feasibility, safety and weight loss of patients that underwent endoscopic suturing with Overstich system (Apollo Endosurgery).

The aim of this Registry is to determine practice patterns, complications and weight loss results in the use of this device.

Methods:

Multicenter, longitudinal, data repository for ESG and TORe. We expect to include a representative collection of European centers performing these procedures without a hard target goal of patients for each procedure (estimated 240 – 300 per year). Demographic, procedural and follow-up outcomes will be recovered. Longitudinal data collection will extend up to 2 years.

Eight centers are enabled to enroll consecutive patients from April 2018. The study is ongoing.

Results:

To date of December 1st a total of 175 procedures were included. These included 139 ESG (117 Primary Obesity Therapy and 22 Bridge to other bariatric techniques) and 36 TORE (trans endoscopic outlet reduction) procedures. For TORE procedure, the mean number of sutures placed for outlet reduction was 1.94 ± 1.2 (66.6% interrupted and 33.3% running sutures) and 1.3 ± 0.6 sutures were placed for pouch volume reduction (70.8% interrupted and 29.1% running sutures. At ESG patients the suturing pattern used was 60.8% U or triangular pattern and 39.2% Zeta suture pattern.

There was only 1 complication, 1 gastric perforation in a Primary obesity ESG, solved successfully with full endoscopic treatment. No patients required surgical intervention.

Conclusions:

Data collection for mid/long term efficacy, suturing patterns and safety is still ongoing, and accumulating a significant body of evidence on endoscopic full thickness suturing for bariatric patients of different European countries.