Short-Term Versus Long-Term Efficacy of Endoscopic Sleeve Gastroplasty in 8880 Obese Patients: A Systematic Review and Meta-Analysis.
Mohammed Barghash, Matthew Riad, Yasser Khalil et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy of endoscopic sleeve gastroplasty (ESG) in 8880 obese patients, focusing on weight loss and metabolic outcomes over short- and long-term follow-up. The study found that % total body weight loss (%TBWL) increased from 8.66% at 1 month to 17.88% at 1 year, with a modest decline to 15.67% at 3 years.
Key findings
- %TBWL increased from 8.66% at 1 month to 17.88% at 1 year.
- Long-term %TBWL declined to 15.67% at 3 years.
- Remission rates were 62% for type 2 diabetes and 43% for both hypertension and dyslipidaemia.
- Weight regain occurred in 6% of patients.
Why it matters
Understanding the durability of weight loss and metabolic improvements following ESG is crucial for clinicians managing obesity. This evidence supports ESG as a viable option for long-term weight management and metabolic health.