Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience
Abstract Background and aim Endoscopic sleeve gastroplasty (ESG) is an effective treatment for obesity. Recently, a novel single‐channel endoscopic suturing device has been made available to overcome the need for a double‐channel endoscope. However, there is limited evidence evaluating its utility f...
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| Format: | Article |
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Wiley
2023-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.213 |
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| author | Ravishankar Asokkumar Rajesh Ravi Voraboot Taweerutchana Yu Bin Tan Kotchakorn Maipang Lim Chin Hong Nicha Srisuworanan Lee Phong Ching Christopher Khor Jason Chang Nonthalee Pausawasdi |
| author_facet | Ravishankar Asokkumar Rajesh Ravi Voraboot Taweerutchana Yu Bin Tan Kotchakorn Maipang Lim Chin Hong Nicha Srisuworanan Lee Phong Ching Christopher Khor Jason Chang Nonthalee Pausawasdi |
| author_sort | Ravishankar Asokkumar |
| collection | DOAJ |
| description | Abstract Background and aim Endoscopic sleeve gastroplasty (ESG) is an effective treatment for obesity. Recently, a novel single‐channel endoscopic suturing device has been made available to overcome the need for a double‐channel endoscope. However, there is limited evidence evaluating its utility for ESG. In this multicenter study, we aim to assess the efficacy and safety of the single‐channel suturing device for ESG. Methods We reviewed the records of 18 patients who underwent ESG using the novel device at the Singapore General Hospital, Singapore, and Siriraj Hospital, Bangkok, between 2020–2021. We adopted a “U” suture pattern. Our primary outcome was to assess technical feasibility and safety. The secondary outcome was to determine the percentage of total body weight loss at 1 year. Results The mean ± SD age and body mass index were 42 ± 8.5 years and 34.9 ± 4.4 kg/m2, respectively. The majority were female (61%). ESG was technically successful in 94% (n = 17) of patients. Device dislodgement occurred in one patient. We used an average of five sutures (range, 4–8), and the mean ± SD procedure time was 96.5 ± 43.8 min. No complications occurred. The mean ± SD length of stay was 2.3 ± 1.5 days. The mean ± SD percentage of total body weight loss at 6 and 12 months were 16 ± 5.2% and 13.1 ± 5.8%, respectively. We found that >5%, >10%, and >15% total body weight loss was observed in 83.3%, 72.2%, and 56%, respectively. Conclusion ESG using the single‐channel endoscopic suturing system is safe and effective for inducing weight loss at 1 year in patients with obesity. |
| format | Article |
| id | doaj-art-0a2980e00cf8410eb5e85b8b401aba21 |
| institution | OA Journals |
| issn | 2692-4609 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-0a2980e00cf8410eb5e85b8b401aba212025-08-20T02:31:29ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.213Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experienceRavishankar Asokkumar0Rajesh Ravi1Voraboot Taweerutchana2Yu Bin Tan3Kotchakorn Maipang4Lim Chin Hong5Nicha Srisuworanan6Lee Phong Ching7Christopher Khor8Jason Chang9Nonthalee Pausawasdi10Department of Gastroenterology and Hepatology Singapore General Hospital SingaporeDepartment of Gastroenterology and Hepatology Singapore General Hospital SingaporeDepartment of Surgery, Division of General Surgery, Minimally Invasive Surgery Unit, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Gastroenterology and Hepatology Singapore General Hospital SingaporeSiriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Upper Gastrointestinal and Bariatric Surgery, Division of Surgery Singapore General Hospital SingaporeDepartment of Surgery, Division of General Surgery, Minimally Invasive Surgery Unit, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Endocrinology Singapore General Hospital SingaporeDepartment of Gastroenterology and Hepatology Singapore General Hospital SingaporeDepartment of Gastroenterology and Hepatology Singapore General Hospital SingaporeDepartment of Medicine, Division of Gastroenterology, Faculty of Medicine Siriraj Hospital Siriraj GI Endoscopy Center, Mahidol University Bangkok ThailandAbstract Background and aim Endoscopic sleeve gastroplasty (ESG) is an effective treatment for obesity. Recently, a novel single‐channel endoscopic suturing device has been made available to overcome the need for a double‐channel endoscope. However, there is limited evidence evaluating its utility for ESG. In this multicenter study, we aim to assess the efficacy and safety of the single‐channel suturing device for ESG. Methods We reviewed the records of 18 patients who underwent ESG using the novel device at the Singapore General Hospital, Singapore, and Siriraj Hospital, Bangkok, between 2020–2021. We adopted a “U” suture pattern. Our primary outcome was to assess technical feasibility and safety. The secondary outcome was to determine the percentage of total body weight loss at 1 year. Results The mean ± SD age and body mass index were 42 ± 8.5 years and 34.9 ± 4.4 kg/m2, respectively. The majority were female (61%). ESG was technically successful in 94% (n = 17) of patients. Device dislodgement occurred in one patient. We used an average of five sutures (range, 4–8), and the mean ± SD procedure time was 96.5 ± 43.8 min. No complications occurred. The mean ± SD length of stay was 2.3 ± 1.5 days. The mean ± SD percentage of total body weight loss at 6 and 12 months were 16 ± 5.2% and 13.1 ± 5.8%, respectively. We found that >5%, >10%, and >15% total body weight loss was observed in 83.3%, 72.2%, and 56%, respectively. Conclusion ESG using the single‐channel endoscopic suturing system is safe and effective for inducing weight loss at 1 year in patients with obesity.https://doi.org/10.1002/deo2.213bariatric endoscopyendoscopic gastroplastyESGobesityweight loss |
| spellingShingle | Ravishankar Asokkumar Rajesh Ravi Voraboot Taweerutchana Yu Bin Tan Kotchakorn Maipang Lim Chin Hong Nicha Srisuworanan Lee Phong Ching Christopher Khor Jason Chang Nonthalee Pausawasdi Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience DEN Open bariatric endoscopy endoscopic gastroplasty ESG obesity weight loss |
| title | Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience |
| title_full | Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience |
| title_fullStr | Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience |
| title_full_unstemmed | Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience |
| title_short | Endoscopic sleeve gastroplasty using the novel single‐channel suturing device: A multicenter experience |
| title_sort | endoscopic sleeve gastroplasty using the novel single channel suturing device a multicenter experience |
| topic | bariatric endoscopy endoscopic gastroplasty ESG obesity weight loss |
| url | https://doi.org/10.1002/deo2.213 |
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