Tubularization of the gastric pouch helps sustain weight loss after transoral outlet reduction for post- Roux- en-Y gastric bypass weight recurrence

Imagem de Miniatura
Arquivos
art_ABBOUD_Tubularization_of_the_gastric_pouch_helps_sustain_weight_2023.PDF (1.21 MB)
Citações na Scopus
Tipo de produção
article
Data de publicação
2023
DOI
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
GEORG THIEME VERLAG KG
Autores
ABBOUD, Donna Maria
GHAZI, Rabih
BRUNALDI, Vitor
GALA, Khushboo
BAROUD, Serge
KERBAGE, Anthony
ABDULRAZZAK, Farah
ANNAN, Karim Al
RAPAKA, Babusai
YAO, Rebecca
Citação
ENDOSCOPY INTERNATIONAL OPEN, v.11, n.9, p.E829-E834, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background and study aims Traditional transoral outlet reduction (TORe) is a minimally invasive endoscopic approach focused on reducing the aperture of the gastrojejunal (GJ) anastomosis, while the tubular transoral outlet reduction (tTORe) consists of tabularization of the distal pouch utilizing an O-shape gastroplasty suturing pattern. The primary aim of this study was to compare short- term weight loss between TORe and tTORe. Patients and methods Retrospective analysis of a prospectively maintained database was conducted at a tertiary care bariatric center of excellence. The study included patients with history of Roux- en-Y gastric bypass (RYGB) who had an endoscopic revision by TORe or tTORe and had follow-up data in their electronic medical record. The primary outcome was percent total body weight loss (%TBWL). Results A total of 128 patients were included (tTORe = 85, TORe = 43). At 3 and 6 months, the tTORe and TORe cohorts presented similar % TBWL (3 months: 8.5 +/- 4.9 vs. 7.3 +/- 6.0, P= 0.27 and 6 months: 8.1 +/- 7.4 vs. 6.8 +/- 5.6, P = 0.44). At 9 months, there was a trend toward greater weight loss in the tTORe cohort ( 9.7 +/- 8.6% vs. 5.1 +/- 6.8%, P = 0.053). At 12 months, the %TBWL was significantly higher in the tubularization group compared to the standard group (8.2 +/- 10.8 vs. 2.3 +/- 7.3%, P = 0.01). Procedure time was significantly different between both groups (60.5 vs. 53.4 minutes, P = 0.03). The adverse events rate was similar between groups (8.2% vs. 7.0% for tTORe and TORe, respectively, P = 0.61). Conclusions The tTORe enhances efficacy and durability of the standard procedure without adding significant procedure-related risks.
Palavras-chave
Endoscopy Upper GI Tract, Other focus (of reviewers), GI, surgery, Endoscopy Upper GI Tract, Endoscopic resection, ( ESD, EMRc,...), Endoscopy Upper GI Tract, RFA and ablative, methods
URI
https://observatorio.fm.usp.br/handle/OPI/57613
Referências
  1. Abu Dayyeh Barham, 2022, VideoGIE, V7, P135, DOI 10.1016/j.vgie.2022.01.001
  2. Abu Dayyeh BK, 2011, CLIN GASTROENTEROL H, V9, P228, DOI 10.1016/j.cgh.2010.11.004
  3. Brunaldi VO, 2020, GASTROINTEST ENDOSC, V92, P97, DOI 10.1016/j.gie.2020.03.3757
  4. Brunaldi VO, 2018, OBES SURG, V28, P266, DOI 10.1007/s11695-017-2986-x
  5. Buchwald H, 2004, JAMA-J AM MED ASSOC, V292, P1724, DOI 10.1001/jama.292.14.1724
  6. Cooper TC, 2015, OBES SURG, V25, P1474, DOI 10.1007/s11695-014-1560-z
  7. Dayan D, 2019, ISR MED ASSOC J, V21, P823
  8. Elhag W., 2020, Bariatric Surgery-From the Non-surgical Approach to the Post-surgery Individual Care
  9. English WJ, 2020, SURG OBES RELAT DIS, V16, P457, DOI 10.1016/j.soard.2019.12.022
  10. Freire RH, 2012, NUTRITION, V28, P53, DOI 10.1016/j.nut.2011.01.011
  11. Heneghan HM, 2012, SURG OBES RELAT DIS, V8, P408, DOI 10.1016/j.soard.2011.09.010
  12. Jirapinyo P, 2020, GASTROINTEST ENDOSC, V91, P1067, DOI 10.1016/j.gie.2019.11.044
  13. Jirapinyo P, 2018, ENDOSCOPY, V50, P371, DOI 10.1055/s-0043-122380
  14. Jirapinyo P, 2017, BMJ OPEN GASTROENTER, V4, DOI 10.1136/bmjgast-2017-000153
  15. Kumar N, 2016, GASTROINTEST ENDOSC, V83, P776, DOI 10.1016/j.gie.2015.08.039
  16. Kuzminov A, 2016, OBES SURG, V26, P2237, DOI 10.1007/s11695-016-2252-7
  17. Leising D, 2016, ASSESSMENT, V23, P588, DOI 10.1177/1073191115590852
  18. Ma YS, 2006, OBES SURG, V16, P1227, DOI 10.1381/096089206778392284
  19. Melton GB, 2008, J GASTROINTEST SURG, V12, P250, DOI 10.1007/s11605-007-0427-1
  20. Santo MA, 2016, OBES SURG, V26, P919, DOI 10.1007/s11695-015-1908-z
  21. Sjöström L, 2013, J INTERN MED, V273, P219, DOI 10.1111/joim.12012
  22. Thompson CC, 2013, GASTROENTEROLOGY, V145, P129, DOI 10.1053/j.gastro.2013.04.002
  23. Vargas EJ, 2019, GASTROINTEST ENDOSC, V89, pAB272, DOI 10.1016/j.gie.2019.03.316

Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/35