内镜下袖式胃成形术与腹腔镜下袖式胃切除术：有效性和安全性的比较

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2025-03-30 DOI:10.1111/ases.70050

Razan Dankar, Toni Habib, Mira Tfaily, Dina Makkouk, Salim Barakat, Bruno Habib, Chris Kaspar, Ali Khalil

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引用次数: 0

摘要

背景和目的目前治疗肥胖症的方法通常包括改变生活方式、药物治疗和减肥手术。本研究旨在评估内镜袖状胃成形术（ESG）的安全性，与腹腔镜袖状胃切除术（LSG）相比，内镜袖状胃成形术是一种新型的非侵入性方法，并对黎巴嫩患者的减肥效果和并发症风险进行相关分析。研究对象和方法这是一项回顾性研究，包括 2021 年 9 月至 2023 年 3 月期间在 Fouad Khoury 医院接受 ESG 手术的 70 名患者和在 Trad 医院接受 LSG 手术的 70 名患者。数据收集以患者病历为目标，包括其人口统计学特征（年龄、性别、体重、身高、体重指数）、合并症和术后信息。收集体重和体重指数（术前、术后 6 个月和术后 1 年）。计算总减重，并使用 SPSS 25 版进行分析。结果接受 ESG 的患者中，女性 43 人（61.4%），男性 27 人（38.6%），平均年龄为 38.07±10.78 岁。接受 LSG 的患者中，女性 42 人（60%），男性 28 人（40%），平均年龄为（33.99 ± 10.55）岁。ESG和LSG都能显著减轻体重，但LSG在6个月和12个月时减轻的总重量更大。ESG 的住院时间明显更短（9.14 小时 vs. 27.77 小时，p < 0.001），不良反应更少（8.5% vs. 17.1%，p = 0.111）。LSG术后新发胃食管反流病的发生率更高（20% 对 4.3%，P = 0.004）。结论 ESG 是一种创伤较小的方法，其短期安全性可能更佳，恢复也更快，而 LSG 可使总体重减轻更多。对于体重指数（BMI）较高的患者来说，ESG 可能是一种合适的替代方法。还需要进一步的研究来评估长期疗效和成本效益。

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Endoscopic Sleeve Gastroplasty Versus Laparoscopic Sleeve Gastrectomy: A Comparison in Effectiveness and Safety Profile

Background and Objectives

Current treatment options for obesity typically involve a combination of lifestyle changes, medications, and bariatric surgeries. This study aimed to assess the safety profile of the endoscopic sleeve gastroplasty (ESG), which is a novel non-invasive approach, as compared to laparoscopic sleeve gastrectomy (LSG) and to correlate their weight loss effectiveness and complication risk in Lebanese patients.

Subjects and Methods

This is a retrospective study, including 70 patients who underwent ESG at Fouad Khoury Hospital and 70 patients who underwent LSG at Trad Hospital, between September 2021 and March 2023. Data collection targeted the patients' medical records and included their demographic characteristics (age, sex, weight, height, BMI), comorbidities, and post-procedural information. Weight and BMI (pre-op, 6-months post-op, and 1-year post-op) were collected. Total body weight loss was calculated, and analysis was performed using SPSS version 25.

Results

Patients who underwent ESG were distributed between 43 (61.4%) females and 27 (38.6%) males, with an average age of 38.07 ± 10.78 years. Patients who underwent LSG were distributed between 42 (60%) females and 28 (40%) males, with an average age of 33.99 ± 10.55 years. Both ESG and LSG resulted in significant weight loss, but LSG achieved greater total body weight loss at 6 and 12 months. ESG was associated with significantly shorter hospital stays (9.14 h vs. 27.77 h, p < 0.001) and fewer adverse events (8.5% vs. 17.1%, p = 0.111). New-onset GERD was more frequent after LSG (20% vs. 4.3%, p = 0.004).

Conclusion

ESG offers a less invasive approach with a potentially more favorable short-term safety profile and faster recovery, while LSG yields greater total body weight loss. ESG may be a suitable alternative for patients with a higher BMI. Further research is needed to assess long-term outcomes and cost-effectiveness.

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