Martina De Siena, MD1, Valerio Pontecorvi, MD1, Vincenzo Bove, MD2, Maria Valeria Matteo, MD2, Giorgio Carlino, MD3, Chiara Massari, 1, Nausicaa Antonini, 1, Ivo Boskoski, MD, PhD1, Guido Costamagna, MD, PhD, FACG1 1Fondazione Policlinico Gemelli IRCCS, Rome, Lazio, Italy; 2Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Lazio, Italy; 3Univesrità degli studi dell'Aquila, L'Aquila, Abruzzi, Italy
Introduction: Endoscopic gastroplasty is safe and effective in patients with class I and II obesity (Body Mass Index 30-40 Kg/m2). The total number of bariatric endoscopic procedures is constantly increasing in routine clinical practice. In fact this technique, associated with diet and lifestyle modifications is safe, mini-invasive and is characterized by a lower rate of complications compared to bariatric surgery. In the past years several endoscopic techniques have been used for the gastric endoscopic tubulization. We present our results from a prospective clinical trial evaluating the role of the Endomina system (E-ESG, Endo Tools therapeutics, Belgium). The aim was to evaluate the mean total body weight loss (TBWL) and the mean excess weight loss (EWL) at 6 and 12 months.
Methods: From July 2020 to May 2021 we enrolled in our Center 23 patients (19 female, 4 male) with class I and class II obesity (Body Mass Index 30-40 Kg/m2). The mean age was 45.9 years. Endoscopic gastroplasty was performed under general anesthesia using CO2 insufflation. No procedure complications or device-related severe adverse events were observed and patients were discharged 24 hours following the procedure. All patients were followed by our multidisciplinary team (gastroenterologist, nutritionist, endocrinologist, psychologist) for a total of 12 months after the endoscopic gastroplasty (1,3,6,9,12 months visit).
Results: At 6 months mean EWL was 62,56 % and mean TBWL was 16,89 % with a higher mean quality of life (QoL) compared to that before the procedure. The 12 months follow-up after the endoscopic gastroplasty is still ongoing; from the 23 patients initially enrolled 12 completed the follow-up with good results. In fact at 12 months the mean EWL was 58,76 % and the mean TBWL was 16,25%.
Discussion: In our clinical experience, endoscopic vertical gastroplasty in combination with diet and lifestyle modifications is a safe and effective option for patients with class I and II obesity. Further data on a larger sample of patients is needed.
Disclosures:
Martina De Siena indicated no relevant financial relationships.
Valerio Pontecorvi indicated no relevant financial relationships.
Vincenzo Bove indicated no relevant financial relationships.
Maria Valeria Matteo indicated no relevant financial relationships.
Giorgio Carlino indicated no relevant financial relationships.
Chiara Massari indicated no relevant financial relationships.
Nausicaa Antonini indicated no relevant financial relationships.
Ivo Boskoski: Apollo Endosurgery – Consultant, grant holder.
Guido Costamagna indicated no relevant financial relationships.
Martina De Siena, MD1, Valerio Pontecorvi, MD1, Vincenzo Bove, MD2, Maria Valeria Matteo, MD2, Giorgio Carlino, MD3, Chiara Massari, 1, Nausicaa Antonini, 1, Ivo Boskoski, MD, PhD1, Guido Costamagna, MD, PhD, FACG1. E0608 - A Novel Suturing Device for Endoscopic Gastroplasty in Routine Clinical Practice: Prospective Registry Trial, ACG 2022 Annual Scientific Meeting Abstracts. Charlotte, NC: American College of Gastroenterology.