Endoscopic sleeve gastroplasty: a narrative review on historical evolution, physiology, outcomes, and future standpoints
Vitor Brunaldi, Manoel Galvão Neto
Abstract
ABSTRACT: Since its first description in 2013, robust evidence supporting the efficacy and safety of the endoscopic sleeve gastroplasty (ESG) has been on the rise. A large case series and meta-analysis report supported results up to 24 months, while some other studies already described 5-year data. If associated with pharmacotherapy, the ESG may help one to achieve weight loss similar to that of surgical sleeve gastrectomy. Though the results of the ongoing randomized trials on ESG are awaited, currently available data support the clinical use of the ESG, especially for patients who are refusing or unfit for bariatric surgery.
Topics & Concepts
Sleeve gastrectomyMedicineRandomized controlled trialNarrative reviewWeight lossPharmacotherapyGeneral surgeryIntensive care medicineMEDLINESurgeryGastric bypassObesityInternal medicinePolitical scienceLawBariatric Surgery and OutcomesGastric Cancer Management and OutcomesGastroesophageal reflux and treatments