FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY.

Area of Science:

• Bariatric Surgery
• Metabolic Surgery
• Obesity Management

Background:

• Laparoscopic sleeve gastrectomy (LSG) is the predominant bariatric procedure in Turkey.
• The primary goals of bariatric surgery include excess weight reduction, comorbidity improvement, and enhanced quality of life (QoL).

Purpose of the Study:

• To assess the impact of LSG on patient QoL, weight loss, and obesity-related comorbidities.
• Evaluation was performed using the updated Bariatric Analysis and Reporting Outcome System (BAROS) criteria.

Main Methods:

• A cohort of 1138 adult patients underwent LSG between January 2013 and January 2016.
• Patient outcomes were evaluated via a social media-distributed BAROS questionnaire.
• Postoperative complications were documented from hospital records.

Main Results:

• A total of 562 patients (49.4%) responded to the questionnaire.
• The overall complication rate was 7.7%, with a 0.5% leakage rate.
• Mean excess weight loss was 71.3%. Comorbidities improved in 30% and resolved in 54.4% of patients.
• QoL scores significantly increased post-LSG.
• Excellent or very good results (BAROS) were achieved by 45.2% of patients.

Conclusions:

• LSG is a highly effective bariatric procedure for weight control.
• LSG significantly improves comorbidities and enhances QoL in the short and mid-term.