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首页> 外文期刊>Endoscopy International Open >Bariatric endoscopy procedure type or follow-up: What predicted success at 1 year in 962 obese patients?
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Bariatric endoscopy procedure type or follow-up: What predicted success at 1 year in 962 obese patients?

机译：肥胖的内窥镜检查程序类型或随访：962名肥胖患者1年内取得的成功是什么？

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Background and study aims?It is uncertain if the difference in weight loss outcomes between different endoscopic bariatric therapies (EBTs) is technique-related or multidisciplinary team (MDT) follow-up-related. We hypothesized that at 1 year, the weight loss is determined more by adherence to MDT follow-up than by procedure type. We aimed to compare 1 year weight loss outcomes of four different EBTs at a single center with a standardized MDT follow-up. Patients and methods?We prospectively collected and retrospectively analyzed outcomes in 962 patients (female-691, 71.2?%; mean age, 44.8?±?10.6 years, mean BMI, 37.8?±?5.9?Kg/msup2/sup) treated with Intragastric balloons (IGBs) or endoscopic gastroplasty (EG) at HM Sanchinarro University Hospital between March 2012 to January 2017. The procedures were performed by the same endoscopist and followed up by the same MDT. We compared the percentage total body weight loss (%TWBL) at 1 year. We performed linear and logistic regression to identify predictive factors for weight loss and follow-up adherence at 1 year. Results?Four hundred and eighty-one IGBs (Orbera-80.9?%; ReShape Duo-19.1?%), and 481 EG (Apollo ESG-51.3?%; Primary obesity surgery endoluminal-POSE-48.6?%) were performed. Only 480 patients (IGB- 45?%; EG- 55?%) completed 1 year follow-up. Among them, Apollo ESG achieved significantly higher TBWL (19.5?±?13?%, P?=?0.035), %TBWL (17.4?±?10.2?%, P?=?0.025), and?≥?20?% TBWL (36.7?%, P?=?0.032). However, in linear regression after adjusting for variables, only higher initial BMI (B?=?0.31, P?P?P?=?0.72). In logistic regression, we observed female sex (P?=?0.01), high initial BMI (P?P?=?0.04), and high 1-month %TBWL (P? Conclusions?Weight loss at 1 year is dependent on MDT follow-up rather than procedure type. Endoscopic gastroplasty promoted follow-up adherence more than IGBs. sup*/sup Drs.?Lopez-Nava and Asokkumar: These authors contributed equally.
机译：背景和研究旨在？不确定不同内镜疗法治疗（EBTS）之间的体重减轻结果差异是否是技术相关的或多学科团队（MDT）跟进相关的。我们假设在1年内，通过遵守MDT后续比通过程序类型更加依赖于MDT后续的体重减轻。我们旨在将1年的减肥结果与标准化的MDT随访进行了标准化的MDT随访。患者和方法？我们在962名患者（雌性-691,71.2？％;平均年龄，44.8±10.6年，意味着BMI，37.8？±±5.9？kg / m 2 < / sup>）在2012年3月至2017年3月至2017年3月间HM Sanchinarro大学医院治疗胃内胃气球（IGB）或内镜胃膜（例如）。该程序由相同的内窥镜师进行，并进行相同的MDT。我们将百分比体重减轻（％TWBL）与1年进行比较。我们对1年进行了线性和逻辑回归以确定减肥和后续依从性的预测因素。结果？四百八十一IgB（Orbera-80.9？％;重塑Duo-19.1？％）和481，例如（Apollo ESG-51.3？％;初级肥胖手术内源性肺源-48.6？％）。只有480名患者（IGB-45？％;例如 - 55？％）完成了1年随访。其中，Apollo ESG显着更高的TBWL（19.5？±13℃，P？= 0.035）％TBWL（17.4？±10.2〜2/025），≥？20？％ TBWL（36.7？％，p？= 0.032）。然而，在调整变量后的线性回归中，仅初始BMI（B？= 0.31，p≤P≤0.72）。在逻辑回归中，我们观察了女性（p？= 0.01），高初始bmi（p？p？= 0.04），高1个月％tbwl（p？结论？1年的减肥依赖于mdt随访而不是程序类型。内窥镜胃成形术促进了比IGBS更多的后续粘附。 * drs.?lopez-nava和asokkumar：这些作者平等贡献。

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