基于提供者专业的内镜外套胃形成术的实践模式和结果
Khushboo Gala1, Vitor Brunaldi1,2, Christopher McGowan3
1Gastroenterology and Hepatology, Mayo Clinic, Rochester, United States.
Endoscopy international open
|February 28, 2024
概括
内镜套胃形成术 (ESG) 为肥胖治疗提供了显著和持续的体重减轻. 这种手术在多学科环境中由胃肠病学家和减肥外科医生进行时是安全有效的.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 医疗器械 医疗器械
背景情况:
- 内镜套胃形成术 (ESG) 是一种越来越多地被采用的肥胖管理程序.
- 它的表现正在扩展到胃肠病学和腹部外科实践中.
- 关于其在多学科环境中的结果的现实数据至关重要.
研究的目的:
- 在一个多学科的美国队列中评估ESG的现实世界结果.
- 为了比较胃肠科医生和执行ESG的减肥外科医生之间的结果.
- 为了评估安全性和减肥功效,长达24个月.
主要方法:
- 从2013年到2022年在美国七个中心对1506名肥胖成年患者进行ESG的回顾性分析.
- 收集的数据包括患者和程序特征,严重不良事件 (SAE) 和体重减轻 (%TBWL).
- 使用SPSS版本29.0.0进行统计分析.
主要成果:
- 在由胃肠科医生 (84.4%) 和外科医生 (15.6%) 治疗的患者之间没有观察到显著的基线差异.
- 虽然手术技术有所不同 (例如,功能接,标记),但在12,18和24个月的%TBWL和响应率相似.
- 突发性创伤的发生率很低,在各组之间是可比的 (1.7%的外科医生对2.7%的胃肠科医生).
结论:
- 在美国的一大群人中,ESG显示显著且持续的体重减轻.
- 这种手术在由胃肠科医生或减肥外科医生进行时,具有出色的安全性.
- 这些发现支持ESG在多学科实践环境中的可扩展性和有效性.
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