THE ROLE OF MULTIDISCIPLINARY APPROACH IN ENDOSCOPIC SLEEVE GASTROPLASTY

I Boškoski; V Bove; R Landi; L Laterza; F Mangiola; F D'Aversa; G Gibiino; A Tringali; P Familiari; F Attili; V Perri; G Costamagna

doi:10.1055/s-0039-1681327

Endoscopy, Table of Contents

Endoscopy 2019; 51(04): S53
DOI: 10.1055/s-0039-1681327

ESGE Days 2019 oral presentations

Friday, April 5, 2019 14:30 – 16:30: Bariatric Club B

Georg Thieme Verlag KG Stuttgart · New York

THE ROLE OF MULTIDISCIPLINARY APPROACH IN ENDOSCOPIC SLEEVE GASTROPLASTY

I Boškoski

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

V Bove

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

R Landi

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

L Laterza

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

F Mangiola

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

F D'Aversa

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

G Gibiino

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

A Tringali

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

P Familiari

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

F Attili

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

V Perri

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

,

G Costamagna

¹Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS. Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy

› Author Affiliations

Abstract

Full Text

Aims:

Endoscopic sleeve gastroplasty (ESG) is a relatively novel endoscopic procedure that reduces the gastric lumen with proven less complications and less 6 months weight loss compared to laparoscopic sleeve gastroplasty. At present there are no studies investigating the role of multidisciplinary approach in ESG. The aims of the present study were to evaluate the role of multidisciplinary assessment (MA) prior ESG, weight loss outcomes and quality of live improvements.

Methods:

From May 2016 to May 2018 all pts that underwent ESG were retrospectively evaluated from a prospective database. Until September 2017 before ESG only psychiatric evaluation was requested, while after this date all patients were evaluated on a multidisciplinary fashion prior ESG, composed by: gastroenterologist, surgeon, psychiatrist, endocrinologist and dietitian. Pts were divided in 2 groups: group 1 were pts with ESG before MA and group 2 were pts with ESG after MA. We compared this 2 groups in terms of weight loss outcomes and quality of live improvements (BAROS scale). All procedures were done with the Apollo Overstitch suturing system (Apollo Endosurgery) and a double channel gastroscope Olympus 2TGIF-160 (Olympus Japan). All procedures were done in general anesthesia and with CO2-insufflation. All patients had ambulatory visit at 1,3 and 6-months after ESG and the outcomes were measured in terms of Excess Weight Loss (% EWL), Total Body Weight Loss (% TBWL) and BAROS scale. Statistical analysis was done with chi-square test and< 0.05 value was considered significant.

Results:

31 pts were identified (20 F;mean age 45.4, range 23 – 73). Mean BMI at inclusion was 41.6 (range 31.6 – 62.4). Mean % EWL and % TBWL at 6-months was 37,1 and 16,7 respectively. No procedure related complications were observed. Comparing the two groups there was significant (P < 0.05) difference in terms of % EWL (26.5% Vs.42.2%) and % TBWL (14.7% Vs.18.8%), with better results in group 2. There was also a significant improvement in the BAROS scale in the patients in group 2 (2.5 Vs. 5.7).

Conclusions:

MA before ESG has a fundamental role in terms of better procedure outcomes for both weight loss and quality of live in obese pts.