| Title: |
Success Predictors of Endoscopic Sleeve Gastroplasty |
| Authors: |
Matteo M. V.; Bove V.; Ciasca G.; Carlino G.; Vinti L.; Pontecorvi V.; Papi M.; Spada C.; Boskoski I. |
| Contributors: |
Matteo, Maria Valeria; Bove, Vincenzo; Ciasca, Gabriele; Carlino, Giorgio; Di Santo, R.; Vinti, Laila; Polidori, G.; Pontecorvi, Valerio; Papi, Massimiliano; Spada, Cristiano; Boskoski, Ivo |
| Publisher Information: |
SPRINGER |
| Publication Year: |
2024 |
| Collection: |
Università Cattolica del Sacro Cuore: PubliCatt |
| Subject Terms: |
ESG; Endoscopic sleeve gastroplasty; Obesity; Predictors; Settore MED/12 - GASTROENTEROLOGIA; Settore MEDS-10/A - Gastroenterologia |
| Description: |
Objective Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure that proved to be safe and effective in obesity treatment. However, not all subjects respond to treatment in the same way, and, with a view to personalized care, it is essential to identify predictors of success or failure. Methods A retrospective 2-year followed-up cohort of ESG subjects was analyzed to investigate the presence of any baseline or early indicators of long-term optimal or suboptimal ESG outcomes. Results A total of 315 subjects (73% women) were included, with 73% of patients exhibiting an Excess weight loss percentage (%EWL) >25% at the 24 months. Neither demographic parameters (age and sex), smoking habits, and menopause in women nor the presence of comorbidities proved potential predictive value. Interestingly, the %EWL at 1 month after ESG was the strongest predictor of 24-month therapeutic success. Subsequently, we estimated an "early threshold for success" for 1 month-%EWL by employing Youden's index method. Conclusions ESG is a safe and effective bariatric treatment that can be offered to a wide range of subjects. Early weight loss seems to impact long-term ESG results significantly and may allow proper early post-operative care optimization. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/38451369; info:eu-repo/semantics/altIdentifier/wos/WOS:001177464200001; volume:34; issue:5; firstpage:1496; lastpage:1504; numberofpages:9; issueyear:2024; journal:OBESITY SURGERY; https://hdl.handle.net/10807/297365 |
| DOI: |
10.1007/s11695-024-07109-4 |
| Availability: |
https://hdl.handle.net/10807/297365; https://doi.org/10.1007/s11695-024-07109-4 |
| Rights: |
info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.8F2BDCF2 |
| Database: |
BASE |