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Systematic Review of Innovation Reporting in Endoscopic Sleeve Gastroplasty
Andrew C Currie1, Michael A Glaysher2, Natalie S Blencowe3
1Department of Bariatric Surgery, Ashford & St Peter's Hospital NHS Trust, Guildford Street, Chertsey, UK. andrew.currie@nhs.net.
Obesity Surgery
|March 28, 2021
Summary
Endoscopic sleeve gastroplasty (ESG) reporting shows progress, but lacks standardized evaluation. Future research should include randomized controlled trials to confirm the efficacy of this obesity treatment.
Area of Science:
- Bariatric surgery
- Endoscopic procedures
- Obesity treatment
Background:
- Endoscopic sleeve gastroplasty (ESG) is an emerging endoscopic procedure for obesity-related comorbidities.
- Current understanding of ESG evaluation methods is limited despite increasing clinical use.
- This study assesses ESG reporting against guidelines for innovative surgical device evaluation.
Purpose of the Study:
- To systematically review and critically appraise the reporting quality of endoscopic sleeve gastroplasty (ESG) studies.
- To evaluate ESG research against established guidelines for innovative surgical procedures.
- To identify gaps in the reporting of patient selection, procedural techniques, and outcomes in ESG literature.
Main Methods:
- Systematic literature searches identified studies reporting ESG insertion.
- Data extraction focused on patient selection, governance, proceduralist expertise, technique, and outcome reporting.
- Included 37 full-text papers from 2289 identified abstracts, encompassing various study designs (no RCTs).
Main Results:
- Included studies varied in patient numbers (1-1000) and BMI criteria (27-35 kg/m²).
- Reporting on technical aspects like suturing devices and patterns was common, but variations existed.
- Follow-up duration was often 12 months or less, with 48 different outcomes reported across studies.
Conclusions:
- The existing literature on endoscopic sleeve gastroplasty (ESG) indicates progress in reporting standards.
- Significant heterogeneity in reporting methods and outcome measures was observed.
- Randomized controlled trials are recommended to definitively establish ESG efficacy.
