Endoscopy 2019; 51(04): S52
DOI: 10.1055/s-0039-1681324
ESGE Days 2019 oral presentations
Friday, April 5, 2019 14:30 – 16:30: Bariatric Club B
Georg Thieme Verlag KG Stuttgart · New York

BARIATRIC ENDOSCOPY: COMPARISON OF 962 PATIENTS OF 4 DIFFERENT TECHNIQUES WITH SAME ENDOSCOPIST AND SAME FOLLOW UP TEAM

G Lopez-Nava
1   Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital, Madrid, Spain
,
I Bautista-Castaño
1   Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital, Madrid, Spain
2   Instituto Universitario de Investigaciones Biosanitarias, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

 

Aims:

New bariatric endoscopic techniques (BET) have been developed for the obesity treatment. Most centers tend to specialize in one procedure, such as Endoscopic sleeve gastroplasty (APOLLO gastroplasty), Primary Obesity Surgery Endolumenal (POSE method) or Intragastric Balloon (IGB) (Orbera or Dual), so it is difficult to compare different techniques results. The objective of this study is to evaluate different BET performed by the same endoscopist and same follow up team.

Methods:

Prospective single-center study over 962 patients (28.2% men) that underwent a BET between March 2012 and January 2017, in the Bariatric Endoscopy Unit of Madrid HM Sanchinarro University Hospital, with at least 1 year of follow-up. Distribution of tecniques was: Orbera IGB 389, Dual IGB 92, APOLLO gastroplasty 247 and POSE method 234. Mean initial BMI and age were 37.8 kg/m2 and 45.3 years. The same multidisciplinary team (nutritionistist and psychologist) carried out the follow up. Lineal regression analysis was used to evaluate the % TBWL at 1 year adjusted by gender, age, initial BMI, procedure type and % of attendance at concerted visits with the team.

Results:

At 1 year of follow up, mean TBWL, % TBWL and EWL were 18 kg, 16,3% and 51% respectively Analyzing responding rates: 2/3 of the sample reached > 10% and 1/3 > 20% of % TBWL. APOLLO gastroplasty patients obtained higher TBWL, % TBWL and % TBWL> 20%. Predictive variables of higer % TBWL were: higher % of attendance (B = 0.082. p < 0.001) and higher initial BMI (B = 0.495. p < 0.001).

Conclusions:

BET can be considered an effective treatment with high rate of responders weight loss. Adequate follow-up and selection of patients, should be one of the main objectives as it is closely related to achieving better results.