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http://hdl.handle.net/10553/111387
Título: | Procedimiento de cirugía endoluminal primaria de la obesidad (POSE-2) para el tratamiento de la obesidad en la práctica clínica | Otros títulos: | Primary obesity surgery endoluminal (POSE-2) procedure for treatment of obesity in clinical practice | Autores/as: | Lopez Nava, Gontrand Asokkumar, Ravishankar Laster, Janese Negi, Anuradha Normand, Enrique Fook-Chong, Stephanie Bautista Castaño, Inmaculada |
Clasificación UNESCO: | 320503 Gastroenterología | Fecha de publicación: | 2021 | Publicación seriada: | Endoscopy (Stuttgart) | Resumen: | Background: The POSE-2 procedure shortens and narrows the stomach using multiple full-thickness plications in the gastric body. We studied the efficacy and safety of POSE-2 for obesity at 1 year in a real-world setting. Methods We reviewed the records of 75 patients who underwent POSE-2at our unit. The primary outcome was percentage total body weight loss (%TBWL) at 1 year. Secondary outcomes were safety and durability. We used linear mixed model analysis. Results 46 patients completed 1 year. Mean age and body mass index (BMI) were 49.3 years (standard deviation [SD] 10.2) and 38.2kg/m 2(SD 6.6), respectively. Technical success rate was 98.7% (n=74). Mean TBWL, %TBWL, and BMI decline at 1 year were 20kg (SD 12.7), 17.8% (SD 9.5), 7kg/m 2(SD 4.3). Adverse events occurred in four patients. The median length of stay was 1 day. Endoscopy at 1 year in 15 patients showed intact sutures and a reduction in gastric length compared with baseline (26.9cm [SD 5.3] vs. 35.7cm [SD 3.5]; P <0.001). Conclusion POSE-2 induced significant weight loss at 1 year. It appears to be safe, durable, and required only a short hospital stay. | URI: | http://hdl.handle.net/10553/111387 | ISSN: | 0013-726X | DOI: | 10.1055/a-1324-8498 | Fuente: | Endoscopy (Stuttgart) , v. 53(11), p. 1169-1173 |
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