Endoscopy 2022; 54(S 01): S55
DOI: 10.1055/s-0042-1744677
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
10:00–11:00 Friday, 29 April 2022 Club A. Bariatric endoscopy: efficacy and outcomes

OUTCOMES OF ENDOSCOPIC SLEEVE GASTROPLASTY IN THE ELDER POPULATION

M.V. Matteo
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
V. Bove
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
V. Pontecorvi
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
M. De Siena
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
G. Carlino
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
C. Massari
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
N. Antonini
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
G. Giannetti
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
G. Costamagna
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
,
I. Boskoski
1   Università Cattolica del Sacro Cuore, Center for Endoscopic Research Therapeutics and Training (CERTT), Rome, Italy
2   Policlinico A. Gemelli IRCCS, Rome, Italy
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Aims With the aging of the population and the epidemic spread of obesity, the frequency of elder individuals with obesity is steadily growing. In this case series, we evaluate for the first time the short and medium-term outcomes of endoscopic sleeve gastroplasty (ESG) in obese patients aged 65 years and older.

Methods A retrospective analysis was done on a prospective database reporting patients that underwent ESG between November 2017 and April 2021; patients aged 65 years and older were included in our analysis. The percentage of excess weight loss (%EWL) and total body weight loss (%TBWL), the Bariatric Analysis and Reporting Outcome System (BAROS) questionnaire and the presence of comorbidities were recorded during follow-up.

Results Of 263 obese patients treated with ESG, 16 were 65 of age and older (7 male) with a mean age of 67.6 (range 65-75) and a mean BMI of 41.1±5.8 kg/m2. Changes in weight loss parameters and in BAROS score are reported in [Table 1]. Five of the nine patients with arterial hypertension and two of the three diabetic patients reduced or removed their medications, and two of the five patients with obstructive sleep apnea were able to discontinue therapy with CPAP (continuous positive pressure equipment) within12 months following ESG. No adverse events were recorded.

Table 1 Changes in weight-related parameters and in the BAROS score in patients over 65 years following ESG

Variable

1 month n=16

3 months n=16

6 months n=13

12 months n=10

Percentage of TBWL (%) mean±SD

9.5±3.0

14.0±3.0

15.5±4.0

16.8±7.9

Percentage of EWL (%) mean±SD

26.5±14.0

37.8±11.0

41.7±14.0

41.3±17.7

BAROS score mean±SD

2.5±1.5

3±1.2

3.5±1.4

3.3±1.4

Conclusions According to our experience, ESG is a promising therapeutic option for elder individuals with obesity that are unable to lose weight with non-invasive methods, and who refuse or are deemed not suitable for bariatric surgery because of elevated age and comorbidities.



Publication History

Article published online:
14 April 2022

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