Poster Session C - Monday Afternoon
Category: Interventional Endoscopy
Anuragh Gudur, MD
University of Virginia
Charlottesville, VA
Short-Term Safety and Efficacy of Endoscopic Sleeve Gastroplasty in Class III Obesity versus Bariatric Surgery | |||||||
| ESG in Class III (n= 2,626) | ESG in Class I-II Obesity | P | SG in Class III | P | RNYB in Class III | P |
Mean BMI (SD) | 47.79 (7.23) | 35.38 (2.73) | < 0.001 | 48.31 (7.44) | 0.003 | 47.85 (6.84) | 0.707 |
Mean Change from Pre-Op to Post-Op BMI (SD) | -2.44 (3.42) | -1.30 (1.84) | < 0.001 | -2.65 (2.29) | 0.002 | -2.58 (2.47) | 0.057 |
Mean % Total Body Weight Loss at 30d (SD) | 5.0 (6.0) | 3.2 (7.3) | < 0.001 | 5.4 (3.8) | < 0.001 | 5.3 (4.4) | 0.003 |
Mean Number of Days from Procedure to Discharge (SD) | 1.01 (1.65) | 0.73 (2.23) | < 0.001 | 1.52 (1.33) | < 0.001 | 1.94 (1.84) | < 0.001 |
Mean Procedure Length, minutes (SD) | 68.94 (49.15) | 60.49 (44.48) | < 0.001 | 78.99 (40.17) | < 0.001 | 134.97 (65.25) | < 0.001 |
Major Adverse Event, n (%) | 36 (1.4) | 37 (1.4) | 1 | 76 (1.4) | 0.866 | 172 (3.3) | < 0.001 |
Anastomotic Leak, n (%) | 0 (0.0) | 0 (0.0) | 1 | 1 (0.2) | 0.808 | 2 (0.3) | 0.718 |
Pneumonia, n (%) | 2 (0.1) | 7 (0.3) | 0.182 | 9 (021) | 0.784 | 24 (0.5) | 0.01 |
Intra-operative or Post-operative Blood Transfusion, n (%) | 11 (0.4) | 15 (0.6) | 0.555 | 25 (0.5) | 0.859 | 68 (1.3) | < 0.001 |
Mean Number of Blood Products Transfused (SD) | 0.11 (0.87) | 0.10 (0.56) | 0.965 | 0.10 (0.56) | 0.835 | 0.25 (1.05) | 0.017 |
Vein Thrombosis requiring therapy, n (%) | 0 (0.0) | 2 (0.1) | 0.479 | 12 (0.2) | 0.032 | 10 (0.2) | 0.057 |
Sepsis, n (%) | 6 (0.2) | 6 (0.2) | 1 | 7 (0.1) | 0.492 | 13 (0.2) | 1 |
Unplanned Admission to ICU, n (%) | 12 (0.5) | 9 (0.3) | 0.662 | 29 (0.6) | 0.698 | 58 (1.1) | 0.006 |
Bowel Obstruction, n (%) | 1 (0.3) | 0 (0.0) | 1 | 2 (0.0) | 0.883 | 6 (0.9) | 0.383 |
Reoperation within 30 days, n (%) | 32 (1.2) | 33 (1.3) | 1 | 53 (1.0) | 0.464 | 138 (2.6) | < 0.001 |
Readmission within 30 days, n (%) | 101 (3.8) | 92 (3.5) | 0.557 | 179 (3.4) | 0.355 | 334 (6.4) | < 0.001 |
Reintervention within 30 days, n (%) | 68 (2.6) | 62 (2.4) | 0.657 | 53 (1.0) | < 0.001 | 125 (2.4) | 0.624 |
Received Treatment for Dehydration Outpatient, n (%) | 75 (2.9) | 54 (2.1) | 0.075 | 206 (3.9) | 0.019 | 269 (5.1) | < 0.001 |
Emergency Department Visit Not Resulting in Admission, n (%) | 148 (5.6) | 108 (4.1) | 0.012 | 364 (6.9) | 0.032 | 522 (9.9) | < 0.001 |