Primary obesity surgery endoluminal (POSE-2) procedure for treatment of obesity in clinical practice.
Endoscopy
; 53(11): 1169-1173, 2021 11.
Article
em En
| MEDLINE
| ID: mdl-33246352
ABSTRACT
BACKGROUND:
The POSE-2 procedure shortens and narrows the stomach using multiple full-thickness plications in the gastric body. We studied the efficacy and safety of POSE-2 for obesity at 1 year in a real-world setting.METHODS:
We reviewed the records of 75 patients who underwent POSE-2âat our unit. The primary outcome was percentage total body weight loss (%TBWL) at 1 year. Secondary outcomes were safety and durability. We used linear mixed model analysis.RESULTS:
46 patients completed 1 year. Mean age and body mass index (BMI) were 49.3 years (standard deviation [SD] 10.2) and 38.2âkg/m2 (SD 6.6), respectively. Technical success rate was 98.7â% (nâ=â74). Mean TBWL, %TBWL, and BMI decline at 1 year were 20âkg (SD 12.7), 17.8â% (SD 9.5), 7âkg/m2 (SD 4.3). Adverse events occurred in four patients. The median length of stay was 1 day. Endoscopy at 1 year in 15 patients showed intact sutures and a reduction in gastric length compared with baseline (26.9âcm [SD 5.3] vs. 35.7âcm [SD 3.5]; Pâ<â0.001).CONCLUSION:
POSE-2 induced significant weight loss at 1 year. It appears to be safe, durable, and required only a short hospital stay.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Gastroplastia
/
Cirurgia Bariátrica
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article