Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study
Background Despite excellent surgical outcomes, a minority of qualified patients undergo weight loss surgery. Endoscopic Sleeve Gastroplasty (ESG), an incisionless procedure, has proven to be effective in achieving weight loss and comorbidity improvement. We aim to compare outcomes of ESG to those o...
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| creator | Joseph, Stephanie Vandruff, Vanessa N. Amundson, Julia R. Che, Simon Zimmermann, Christopher Ishii, Shun Kuchta, Kristine Hedberg, H. Mason Denham, Woody Linn, John Ujiki, Michael B. |
| description | Background
Despite excellent surgical outcomes, a minority of qualified patients undergo weight loss surgery. Endoscopic Sleeve Gastroplasty (ESG), an incisionless procedure, has proven to be effective in achieving weight loss and comorbidity improvement. We aim to compare outcomes of ESG to those of Laparoscopic Sleeve Gastrectomy (LSG).
Method
A retrospective review of a prospective database of patients who underwent ESG and LSG at NorthShore University HealthSystem from 2016 to 2023 was completed. Demographic and outcome data were analyzed. Pre- and post-surgical data were compared using chi-square and two-sample
t
tests. Improvement or resolution of obesity-related comorbidities were also assessed.
Results
A total of 212 LSG and 68 ESG patients were reviewed. ESG patients were older (47 ± 10 vs. 43 ± 12,
p
= 0.006) and less obese (BMI 37.0 ± 5.5 vs. 45.8 ± 0.4,
p
|
| doi_str_mv | 10.1007/s00464-024-11194-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3104538356</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3113888561</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-a4c8498feb6a5c1743b5101231c30320886820dadf11b329c4d493beecc935dc3</originalsourceid><addsrcrecordid>eNp9kc-q1TAQh4Mo3uPVF3AhATduopkkbVN3cvAfXHCj65Im00MuaVOT9EDfxkc1eq4KIq5mkW9-M5OPkKfAXwLn3avMuWoV40IxAOgV2--RAygpmBCg75MD7yVnouvVFXmU8y2vfA_NQ3Ile9FBw7sD-XaM82qSGQNSP68pnnHGpVCzOJowx7AVHxcaJxpHzL7sLGEwBR21cY5p9M4Xj5n6heLiYrZx9ZbmgHhGejK5pLiGWnZ6zjSYOupfDNoS5_01zX45BWS2boCJ5rK5_TF5MJmQ8cldvSZf3r39fPzAbj69_3h8c8OsaNrCjLJa9XrCsTWNhU7JsQEOQoKVXAqudasFd8ZNAKMUvVVO9XJEtLaXjbPymry45NY_-LphLsPss8UQzIJxy4MErhqpZdNW9Plf6G3c0lK3qxRIrXXTQqXEhbL15JxwGtbkZ5P2Afjww99w8TdUf8NPf8Nem57dRW_jjO53yy9hFZAXINen5YTpz-z_xH4HfIqq5g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3113888561</pqid></control><display><type>article</type><title>Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Joseph, Stephanie ; Vandruff, Vanessa N. ; Amundson, Julia R. ; Che, Simon ; Zimmermann, Christopher ; Ishii, Shun ; Kuchta, Kristine ; Hedberg, H. Mason ; Denham, Woody ; Linn, John ; Ujiki, Michael B.</creator><creatorcontrib>Joseph, Stephanie ; Vandruff, Vanessa N. ; Amundson, Julia R. ; Che, Simon ; Zimmermann, Christopher ; Ishii, Shun ; Kuchta, Kristine ; Hedberg, H. Mason ; Denham, Woody ; Linn, John ; Ujiki, Michael B.</creatorcontrib><description>Background
Despite excellent surgical outcomes, a minority of qualified patients undergo weight loss surgery. Endoscopic Sleeve Gastroplasty (ESG), an incisionless procedure, has proven to be effective in achieving weight loss and comorbidity improvement. We aim to compare outcomes of ESG to those of Laparoscopic Sleeve Gastrectomy (LSG).
Method
A retrospective review of a prospective database of patients who underwent ESG and LSG at NorthShore University HealthSystem from 2016 to 2023 was completed. Demographic and outcome data were analyzed. Pre- and post-surgical data were compared using chi-square and two-sample
t
tests. Improvement or resolution of obesity-related comorbidities were also assessed.
Results
A total of 212 LSG and 68 ESG patients were reviewed. ESG patients were older (47 ± 10 vs. 43 ± 12,
p
= 0.006) and less obese (BMI 37.0 ± 5.5 vs. 45.8 ± 0.4,
p
< 0.001) than LSG patients. Median length of stay after ESG was 0 days and after LSG 1 day (
p
< 0.001). Severe adverse events were seen less frequent after ESG (1.47%, vs 3.77%). LSG achieved more significant %TBWL at 6 months (25.2 ± 8.9 vs 14.9 ± 7.4), 1 year (27.5 ± 10.8 vs 14.1 ± 9.8), and 2 years (25.7 ± 10.8 vs 10.5 ± 8.8, all
p
< 0.001) after surgery when compared to ESG. LSG achieved significantly greater %EWL compared to ESG at 6 months (57.0 ± 20.7 vs 50.4 ± 29.2,
p
= 0.137), 1 year (61.4 ± 24.6 vs 46.5 ± 34.0,
p
= 0.026), and 2 years postoperatively (59.7 ± 25.5 vs 32.6 ± 28.2,
p
= 0.001). There were no statistically significant differences in rates of improvement or resolution of diabetes, obstructive sleep apnea, hyperlipidemia, or hypertension.
Conclusion
ESG is an effective procedure for weight loss and comorbidity resolution. Obesity-related comorbidities are comparably improved and resolved following ESG vs LSG. Although the weight loss in LSG is significantly higher, patients can expect a shorter hospital length of stay and a lower rate of complications after ESG. ESG continues to show promise for long-term weight loss and improvement in health.</description><identifier>ISSN: 0930-2794</identifier><identifier>ISSN: 1432-2218</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-024-11194-y</identifier><identifier>PMID: 39271507</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2023 SAGES Oral ; Abdominal Surgery ; Adult ; Comorbidity ; Endoscopy ; Female ; Gastrectomy - methods ; Gastroenterology ; Gastrointestinal surgery ; Gastroplasty - methods ; Gynecology ; Hepatology ; Humans ; Laparoscopy ; Laparoscopy - methods ; Length of stay ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity - complications ; Obesity - surgery ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Proctology ; Retrospective Studies ; Surgery ; Surgical outcomes ; Treatment Outcome ; Weight control ; Weight Loss</subject><ispartof>Surgical endoscopy, 2024-10, Vol.38 (10), p.5914-5921</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-a4c8498feb6a5c1743b5101231c30320886820dadf11b329c4d493beecc935dc3</cites><orcidid>0000-0001-9570-2256</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-024-11194-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-024-11194-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39271507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joseph, Stephanie</creatorcontrib><creatorcontrib>Vandruff, Vanessa N.</creatorcontrib><creatorcontrib>Amundson, Julia R.</creatorcontrib><creatorcontrib>Che, Simon</creatorcontrib><creatorcontrib>Zimmermann, Christopher</creatorcontrib><creatorcontrib>Ishii, Shun</creatorcontrib><creatorcontrib>Kuchta, Kristine</creatorcontrib><creatorcontrib>Hedberg, H. Mason</creatorcontrib><creatorcontrib>Denham, Woody</creatorcontrib><creatorcontrib>Linn, John</creatorcontrib><creatorcontrib>Ujiki, Michael B.</creatorcontrib><title>Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Despite excellent surgical outcomes, a minority of qualified patients undergo weight loss surgery. Endoscopic Sleeve Gastroplasty (ESG), an incisionless procedure, has proven to be effective in achieving weight loss and comorbidity improvement. We aim to compare outcomes of ESG to those of Laparoscopic Sleeve Gastrectomy (LSG).
Method
A retrospective review of a prospective database of patients who underwent ESG and LSG at NorthShore University HealthSystem from 2016 to 2023 was completed. Demographic and outcome data were analyzed. Pre- and post-surgical data were compared using chi-square and two-sample
t
tests. Improvement or resolution of obesity-related comorbidities were also assessed.
Results
A total of 212 LSG and 68 ESG patients were reviewed. ESG patients were older (47 ± 10 vs. 43 ± 12,
p
= 0.006) and less obese (BMI 37.0 ± 5.5 vs. 45.8 ± 0.4,
p
< 0.001) than LSG patients. Median length of stay after ESG was 0 days and after LSG 1 day (
p
< 0.001). Severe adverse events were seen less frequent after ESG (1.47%, vs 3.77%). LSG achieved more significant %TBWL at 6 months (25.2 ± 8.9 vs 14.9 ± 7.4), 1 year (27.5 ± 10.8 vs 14.1 ± 9.8), and 2 years (25.7 ± 10.8 vs 10.5 ± 8.8, all
p
< 0.001) after surgery when compared to ESG. LSG achieved significantly greater %EWL compared to ESG at 6 months (57.0 ± 20.7 vs 50.4 ± 29.2,
p
= 0.137), 1 year (61.4 ± 24.6 vs 46.5 ± 34.0,
p
= 0.026), and 2 years postoperatively (59.7 ± 25.5 vs 32.6 ± 28.2,
p
= 0.001). There were no statistically significant differences in rates of improvement or resolution of diabetes, obstructive sleep apnea, hyperlipidemia, or hypertension.
Conclusion
ESG is an effective procedure for weight loss and comorbidity resolution. Obesity-related comorbidities are comparably improved and resolved following ESG vs LSG. Although the weight loss in LSG is significantly higher, patients can expect a shorter hospital length of stay and a lower rate of complications after ESG. ESG continues to show promise for long-term weight loss and improvement in health.</description><subject>2023 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Comorbidity</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gastroplasty - methods</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Length of stay</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - surgery</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-q1TAQh4Mo3uPVF3AhATduopkkbVN3cvAfXHCj65Im00MuaVOT9EDfxkc1eq4KIq5mkW9-M5OPkKfAXwLn3avMuWoV40IxAOgV2--RAygpmBCg75MD7yVnouvVFXmU8y2vfA_NQ3Ile9FBw7sD-XaM82qSGQNSP68pnnHGpVCzOJowx7AVHxcaJxpHzL7sLGEwBR21cY5p9M4Xj5n6heLiYrZx9ZbmgHhGejK5pLiGWnZ6zjSYOupfDNoS5_01zX45BWS2boCJ5rK5_TF5MJmQ8cldvSZf3r39fPzAbj69_3h8c8OsaNrCjLJa9XrCsTWNhU7JsQEOQoKVXAqudasFd8ZNAKMUvVVO9XJEtLaXjbPymry45NY_-LphLsPss8UQzIJxy4MErhqpZdNW9Plf6G3c0lK3qxRIrXXTQqXEhbL15JxwGtbkZ5P2Afjww99w8TdUf8NPf8Nem57dRW_jjO53yy9hFZAXINen5YTpz-z_xH4HfIqq5g</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Joseph, Stephanie</creator><creator>Vandruff, Vanessa N.</creator><creator>Amundson, Julia R.</creator><creator>Che, Simon</creator><creator>Zimmermann, Christopher</creator><creator>Ishii, Shun</creator><creator>Kuchta, Kristine</creator><creator>Hedberg, H. Mason</creator><creator>Denham, Woody</creator><creator>Linn, John</creator><creator>Ujiki, Michael B.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9570-2256</orcidid></search><sort><creationdate>20241001</creationdate><title>Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study</title><author>Joseph, Stephanie ; Vandruff, Vanessa N. ; Amundson, Julia R. ; Che, Simon ; Zimmermann, Christopher ; Ishii, Shun ; Kuchta, Kristine ; Hedberg, H. Mason ; Denham, Woody ; Linn, John ; Ujiki, Michael B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-a4c8498feb6a5c1743b5101231c30320886820dadf11b329c4d493beecc935dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>2023 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Comorbidity</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gastroplasty - methods</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Length of stay</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - surgery</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joseph, Stephanie</creatorcontrib><creatorcontrib>Vandruff, Vanessa N.</creatorcontrib><creatorcontrib>Amundson, Julia R.</creatorcontrib><creatorcontrib>Che, Simon</creatorcontrib><creatorcontrib>Zimmermann, Christopher</creatorcontrib><creatorcontrib>Ishii, Shun</creatorcontrib><creatorcontrib>Kuchta, Kristine</creatorcontrib><creatorcontrib>Hedberg, H. Mason</creatorcontrib><creatorcontrib>Denham, Woody</creatorcontrib><creatorcontrib>Linn, John</creatorcontrib><creatorcontrib>Ujiki, Michael B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joseph, Stephanie</au><au>Vandruff, Vanessa N.</au><au>Amundson, Julia R.</au><au>Che, Simon</au><au>Zimmermann, Christopher</au><au>Ishii, Shun</au><au>Kuchta, Kristine</au><au>Hedberg, H. Mason</au><au>Denham, Woody</au><au>Linn, John</au><au>Ujiki, Michael B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>38</volume><issue>10</issue><spage>5914</spage><epage>5921</epage><pages>5914-5921</pages><issn>0930-2794</issn><issn>1432-2218</issn><eissn>1432-2218</eissn><abstract>Background
Despite excellent surgical outcomes, a minority of qualified patients undergo weight loss surgery. Endoscopic Sleeve Gastroplasty (ESG), an incisionless procedure, has proven to be effective in achieving weight loss and comorbidity improvement. We aim to compare outcomes of ESG to those of Laparoscopic Sleeve Gastrectomy (LSG).
Method
A retrospective review of a prospective database of patients who underwent ESG and LSG at NorthShore University HealthSystem from 2016 to 2023 was completed. Demographic and outcome data were analyzed. Pre- and post-surgical data were compared using chi-square and two-sample
t
tests. Improvement or resolution of obesity-related comorbidities were also assessed.
Results
A total of 212 LSG and 68 ESG patients were reviewed. ESG patients were older (47 ± 10 vs. 43 ± 12,
p
= 0.006) and less obese (BMI 37.0 ± 5.5 vs. 45.8 ± 0.4,
p
< 0.001) than LSG patients. Median length of stay after ESG was 0 days and after LSG 1 day (
p
< 0.001). Severe adverse events were seen less frequent after ESG (1.47%, vs 3.77%). LSG achieved more significant %TBWL at 6 months (25.2 ± 8.9 vs 14.9 ± 7.4), 1 year (27.5 ± 10.8 vs 14.1 ± 9.8), and 2 years (25.7 ± 10.8 vs 10.5 ± 8.8, all
p
< 0.001) after surgery when compared to ESG. LSG achieved significantly greater %EWL compared to ESG at 6 months (57.0 ± 20.7 vs 50.4 ± 29.2,
p
= 0.137), 1 year (61.4 ± 24.6 vs 46.5 ± 34.0,
p
= 0.026), and 2 years postoperatively (59.7 ± 25.5 vs 32.6 ± 28.2,
p
= 0.001). There were no statistically significant differences in rates of improvement or resolution of diabetes, obstructive sleep apnea, hyperlipidemia, or hypertension.
Conclusion
ESG is an effective procedure for weight loss and comorbidity resolution. Obesity-related comorbidities are comparably improved and resolved following ESG vs LSG. Although the weight loss in LSG is significantly higher, patients can expect a shorter hospital length of stay and a lower rate of complications after ESG. ESG continues to show promise for long-term weight loss and improvement in health.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>39271507</pmid><doi>10.1007/s00464-024-11194-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9570-2256</orcidid></addata></record> |
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| ispartof | Surgical endoscopy, 2024-10, Vol.38 (10), p.5914-5921 |
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| subjects | 2023 SAGES Oral Abdominal Surgery Adult Comorbidity Endoscopy Female Gastrectomy - methods Gastroenterology Gastrointestinal surgery Gastroplasty - methods Gynecology Hepatology Humans Laparoscopy Laparoscopy - methods Length of stay Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Obesity Obesity - complications Obesity - surgery Obesity, Morbid - complications Obesity, Morbid - surgery Postoperative Complications - epidemiology Postoperative Complications - etiology Proctology Retrospective Studies Surgery Surgical outcomes Treatment Outcome Weight control Weight Loss |
| title | Comparable improvement and resolution of obesity-related comorbidities in endoscopic sleeve gastroplasty vs laparoscopic sleeve gastrectomy: single-center study |
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