Literature DB >> 29909512

The Effectiveness of Endoscopic Gastroplasty for Obesity Treatment According to FDA Thresholds: Systematic Review and Meta-Analysis Based on Randomized Controlled Trials.

Antonio Coutinho Madruga-Neto1, Wanderley Marques Bernardo2, Diogo Turiani Hourneaux de Moura2, Vitor Ottoboni Brunaldi2, Rafael Krieger Martins2, Iatagan Rocha Josino2, Eduardo Turiani Hourneaux de Moura2, Thiago Ferreira de Souza2, Marco Aurélio Santo3, Eduardo Guimarães Hourneaux de Moura2.   

Abstract

Endoscopic bariatric therapies (EBTs) are promising alternatives to conventional surgery for obesity. The aim of this study is to compare efficacy and safety through a systematic review and meta-analysis of the endoscopic gastroplasty techniques versus conservative treatment. We searched MEDLINE, EMBASE, Cochrane CENTRAL, Lilacs/Bireme. Randomized controlled trials (RCTs) enrolling obese patients comparing endoscopic gastroplasty to sham or diet/exercise were considered eligible. Among 6014 records, three RCTs were selected for meta-analysis. The total sample was 459 patients (312 EBTs vs 147 control). Mean total body weight loss in the intervention group (IG) was 4.8% higher than the control group (CG) at 12 months (p = 0.01). The IG responder rate was 44.31% at 12 months. Therefore, the endoscopic gastroplasty is more effective than conservative therapies but do not achieve FDA thresholds.

Entities:  

Keywords:  Endoluminal therapy; Endoscopic suture; Endoscopic therapy; Endoscopy; Gastroplasty; Meta-analysis; Obesity; Systematic review

Mesh：

Year:  2018        PMID： 29909512     DOI： 10.1007/s11695-018-3335-4

Source DB:  PubMed          Journal:  Obes Surg        ISSN： 0960-8923            Impact factor:   4.129


  34 in total

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Authors:  Cynthia L Ogden; Margaret D Carroll; Cheryl D Fryar; Katherine M Flegal
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Review 2.  Endoscopic Bariatric and Metabolic Therapies: New and Emerging Technologies.

Authors:  Shelby Sullivan; Steven A Edmundowicz; Christopher C Thompson
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3.  GRADE: an emerging consensus on rating quality of evidence and strength of recommendations.

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Journal:  BMJ       Date:  2008-04-26

Review 4.  Bariatric endoscopy: state-of-the-art.

Authors:  Vivek Kumbhari; Christine Hill; Shelby Sullivan
Journal:  Curr Opin Gastroenterol       Date:  2017-09       Impact factor: 3.287

5.  Meta-analysis: surgical treatment of obesity.

Authors:  Melinda A Maggard; Lisa R Shugarman; Marika Suttorp; Margaret Maglione; Harvey J Sugerman; Harvey J Sugarman; Edward H Livingston; Ninh T Nguyen; Zhaoping Li; Walter A Mojica; Lara Hilton; Shannon Rhodes; Sally C Morton; Paul G Shekelle
Journal:  Ann Intern Med       Date:  2005-04-05       Impact factor: 25.391

6.  Bariatric surgery versus intensive medical therapy for diabetes--3-year outcomes.

Authors:  Philip R Schauer; Deepak L Bhatt; John P Kirwan; Kathy Wolski; Stacy A Brethauer; Sankar D Navaneethan; Ali Aminian; Claire E Pothier; Esther S H Kim; Steven E Nissen; Sangeeta R Kashyap
Journal:  N Engl J Med       Date:  2014-03-31       Impact factor: 91.245

7.  Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes.

Authors:  Rena R Wing; Paula Bolin; Frederick L Brancati; George A Bray; Jeanne M Clark; Mace Coday; Richard S Crow; Jeffrey M Curtis; Caitlin M Egan; Mark A Espeland; Mary Evans; John P Foreyt; Siran Ghazarian; Edward W Gregg; Barbara Harrison; Helen P Hazuda; James O Hill; Edward S Horton; Van S Hubbard; John M Jakicic; Robert W Jeffery; Karen C Johnson; Steven E Kahn; Abbas E Kitabchi; William C Knowler; Cora E Lewis; Barbara J Maschak-Carey; Maria G Montez; Anne Murillo; David M Nathan; Jennifer Patricio; Anne Peters; Xavier Pi-Sunyer; Henry Pownall; David Reboussin; Judith G Regensteiner; Amy D Rickman; Donna H Ryan; Monika Safford; Thomas A Wadden; Lynne E Wagenknecht; Delia S West; David F Williamson; Susan Z Yanovski
Journal:  N Engl J Med       Date:  2013-06-24       Impact factor: 91.245

8.  Endoscopic Sleeve Gastroplasty for Obesity: a Multicenter Study of 248 Patients with 24 Months Follow-Up.

Authors:  Gontrand Lopez-Nava; Reem Z Sharaiha; Eric J Vargas; Fateh Bazerbachi; Galvao Neto Manoel; Inmaculada Bautista-Castaño; Andres Acosta; Mark D Topazian; Manpreet S Mundi; Nikhil Kumta; Michel Kahaleh; Andrea Marie Herr; Alpana Shukla; Louis Aronne; Christopher J Gostout; Barham K Abu Dayyeh
Journal:  Obes Surg       Date:  2017-10       Impact factor: 4.129

9.  Metabolic/bariatric surgery worldwide 2011.

Authors:  Henry Buchwald; Danette M Oien
Journal:  Obes Surg       Date:  2013-04       Impact factor: 4.129

Review 10.  ASGE Bariatric Endoscopy Task Force systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting endoscopic bariatric therapies.

Authors:  Barham K Abu Dayyeh; Nitin Kumar; Steven A Edmundowicz; Sreenivasa Jonnalagadda; Michael Larsen; Shelby Sullivan; Christopher C Thompson; Subhas Banerjee
Journal:  Gastrointest Endosc       Date:  2015-07-29       Impact factor: 9.427
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  2 in total

1.  EUS-Guided Intragastric Injection of Botulinum Toxin A in the Preoperative Treatment of Super-Obese Patients: a Randomized Clinical Trial.

Authors:  Eduardo Guimarães Hourneaux de Moura; Igor Braga Ribeiro; Mariana Souza Varela Frazão; Luiz Henrique Mazzonetto Mestieri; Diogo Turiani Hourneaux de Moura; Creusa Maria Roveri Dal Bó; Vitor Ottoboni Brunaldi; Eduardo Turiani Hourneaux de Moura; Gabriel Cairo Nunes; Fábio Alberto Castillo Bustamante; Manoel Dos Passos Galvão Neto; Sergio Eiji Matuguma; Wanderley Marques Bernardo; Marco Aurélio Santo
Journal:  Obes Surg       Date:  2019-01       Impact factor: 4.129

2.  Exclusively endoscopic approach to treating gastric perforation caused by an intragastric balloon: case series and literature review.

Authors:  Sérgio Alexandre Barrichello Junior; Igor Braga Ribeiro; Ricardo José Fittipaldi-Fernandez; Ana Carolina Hoff; Diogo Turiani Hourneaux de Moura; Mauricio Kazuyoshi Minata; Thiago Ferreira de Souza; Manoel Dos Passos Galvão Neto; Eduardo Guimarães Hourneaux de Moura
Journal:  Endosc Int Open       Date:  2018-11-07
  2 in total

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