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Brazilian Consensus on Endoscopic Sleeve Gastroplasty
Manoel Galvão Neto1,2, Lyz Bezerra Silva3, Luiz Gustavo de Quadros2,4
1Endovitta Institute, Santo Andre, Brazil.
Obesity Surgery
|August 21, 2020
Summary
Endoscopic sleeve gastroplasty (ESG) offers effective, less invasive obesity management. This consensus provides guidelines for ESG procedures, ensuring standardization and safety with a low adverse event rate.
Area of Science:
- Gastroenterology
- Bariatric Endoscopy
- Obesity Management
Background:
- Bariatric endoscopy presents a minimally invasive alternative for obesity treatment.
- Endoscopic sleeve gastroplasty (ESG) remodels the stomach via suturing, demonstrating efficacy and safety.
- Standardization of the ESG procedure is needed due to its increasing global adoption.
Purpose of the Study:
- To establish practical guidelines for performing Endoscopic Sleeve Gastroplasty (ESG).
- To standardize the ESG procedure based on expert consensus.
- To provide a guide for endoscopists performing ESG.
Main Methods:
- A consensus meeting involving 47 experienced Brazilian endoscopists was convened.
- Discussions covered indications, contraindications, pre- and post-procedure care, and training.
- Consensus was defined by ≥70% agreement through electronic voting.
Main Results:
- The consensus panel had experience with 1828 ESG procedures.
- Mean total body weight loss (TBWL) was 18.2% at 1 year.
- Adverse events occurred in 0.8% of cases, primarily hematemesis.
Conclusions:
- The consensus establishes practical guidelines for ESG performance.
- The collective experience of 1828 procedures supports satisfactory weight loss and low adverse events.
- The guidelines aim to standardize ESG technique and serve as a resource for endoscopists.
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