Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare?

Aleksey A. Novikov, Cheguevara Afaneh, Monica Saumoy, Viviana Parra, Alpana Shukla, Gregory F. Dakin, Alfons Pomp, Enad Dawod, Shawn Shah, Louis J. Aronne, Reem Z. Sharaiha

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Endoscopic sleeve gastroplasty (ESG) is a novel endobariatric procedure. Initial studies demonstrated an association of ESG with weight loss and improvement of obesity-related comorbidities. Our aim was to compare ESG to laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB). Methods: We included 278 obese (BMI > 30) patients who underwent ESG (n = 91), LSG (n = 120), or LAGB (n = 67) at our tertiary care academic center. Primary outcome was percent total body weight loss (%TBWL) at 3, 6, 9, and 12 months. Secondary outcome measures included adverse events (AE), length of stay (LOS), and readmission rate. Results: At 12-month follow-up, LSG achieved the greatest %TBWL compared to LAGB and ESG (29.28 vs 13.30 vs 17.57%, respectively; p < 0.001). However, ESG had a significantly lower rate of morbidity when compared to LSG or LAGB (p = 0.01). The LOS was significantly less for ESG compared to LSG or LAGB (0.34 ± 0.73 vs 3.09 ± 1.47 vs 1.66 ± 3.07 days, respectively; p < 0.01). Readmission rates were not significantly different between the groups (p = 0.72). Conclusion: Although LSG is the most effective option for weight loss, ESG is a safe and feasible endobariatric option associated with low morbidity and short LOS in select patients.

Original languageEnglish (US)
Pages (from-to)267-273
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume22
Issue number2
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

Keywords

  • Endoscopic sleeve gastroplasty
  • Laparoscopic adjustable gastric band
  • Laparoscopic sleeve gastrectomy
  • Weight loss

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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