Advantages and disadvantages of endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy
Keywords:Obesity, ESG, LSG, Bariatric
Obesity and its associated comorbidities, such as diabetes mellitus, hypertension, and cardiovascular disease, are one of today's most pressing health issues and increasing incidence of obesity has marked it a global health challenge. For obese individuals with a high risk of morbidity and mortality who have not lost enough weight with lifestyle and medicinal care and who are experiencing the repercussions of obesity, bariatric surgery should be taken into consideration. Significant weight loss, the remission of coexisting diseases, and an improvement in quality of life are all possible outcomes of bariatric surgery. Laparoscopic procedures account for 96% of all bariatric procedures performed globally, with laparoscopic sleeve gastrectomy (LSG) being the most popular and prevalent. The current gold standard for bariatric surgery is LSG, since it is associated with significant complications such as gastroesophageal reflux disease hence a less invasive replacement for LSG was developed, which is endoscopic sleeve gastroplasty (ESG). In the past few years, ESG, a relatively new technique of endoscopic bariatric therapy, has become more well-known. Several multi-center studies have established the safety, viability, repeatability, and potential for reversibility of ESG. Although it is inferior to LSG in terms of percentage of total body weight loss (TBWL), but within a year of follow-up, it carries a reduced risk of unfavourable outcomes than other surgical procedures. The purpose of this research is to review the available information about advantages and disadvantages of ESG versus LSG.
Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract. 2017;29(S1):S3-14.
Althumiri NA, Basyouni MH, AlMousa N, et al. Obesity in Saudi Arabia in 2020: Prevalence, Distribution, and Its Current Association with Various Health Conditions. Healthcare (Basel, Switzerland). 2021;9(3).
Ruban A, Stoenchev K, Ashrafian H, Teare J. Current treatments for obesity. Clin Med (London, England). 2019;19(3):205-12.
le Roux CW, Heneghan HM. Bariatric Surgery for Obesity. Med Clin North Am. 2018;102(1):165-82.
Nguyen NT, Varela JE. Bariatric surgery for obesity and metabolic disorders: state of the art. Nature Rev Gastroenterol Hepatol. 2017;14(3):160-9.
Carr P, Keighley T, Petocz P, Blumfield M, Rich GG, Cohen F, et al. Efficacy and safety of endoscopic sleeve gastroplasty and laparoscopic sleeve gastrectomy with 12+ months of adjuvant multidisciplinary support. BMC Prim Care. 2022;23(1):26.
Bazerbachi F, Abu Dayyeh BK. The pressure is on! Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: toward better patient allocation beyond pygmalionism. Gastrointest Endosc. 2019;89(4):789-91.
Wu L, Dai X, Huang H. Opportunities and challenges of endoscopic sleeve gastroplasty. J Southern Med Univ. 2020;40(6):916-8.
Marincola G, Gallo C, Hassan C, Raffaelli M, Costamagna G, Bove V, et al. Laparoscopic sleeve gastrectomy versus endoscopic sleeve gastroplasty: a systematic review and meta-analysis. Endosc Int Open. 2021;9(1):E87-95.
Alqahtani AR, Elahmedi M, Aldarwish A, Abdurabu HY, Alqahtani S. Endoscopic gastroplasty versus laparoscopic sleeve gastrectomy: a noninferiority propensity score–matched comparative study. Gastrointest Endosc. 2022;96(1):44-50.
Fayad L, Adam A, Schweitzer M, Cheskin LJ, Ajayi T, Dunlap M, et al. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: a case-matched study. Gastrointest Endosc. 2019;89(4):782-8.
Lopez-Nava G, Asokkumar R, Bautista-Castaño I, et al. Endoscopic sleeve gastroplasty, laparoscopic sleeve gastrectomy, and laparoscopic greater curve plication: do they differ at 2 years? Endoscopy. 2021;53(3):235-43.
Novikov AA, Afaneh C, Saumoy M, Parra V, Shukla A, Dakin GF, et al. Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare? J Gastrointest Surg. 2018;22(2):267-73.
Beran A, Matar R, Jaruvongvanich V, Rapaka BB, Alalwan A, et al. Comparative Effectiveness and Safety Between Endoscopic Sleeve Gastroplasty and Laparoscopic Sleeve Gastrectomy: a Meta-analysis of 6775 Individuals with Obesity. Obesity Surg. 2022;32(11):3504-12.
Lavín-Alconero L, Fernández-Lanas T, Iruzubieta-Coz P, et al. Efficacy and safety of endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy in obese subjects with Non-Alcoholic SteatoHepatitis (NASH): study protocol for a randomized controlled trial (TESLA-NASH study). Trials. 2021;22(1):756.
Yoon JY, Arau RT. The Efficacy and Safety of Endoscopic Sleeve Gastroplasty as an Alternative to Laparoscopic Sleeve Gastrectomy. Clin Endosc. 2021;54(1):17-24.
Fiorillo C, Quero G, Vix M, Guerriero L, Pizzicannella M, Lapergola A, et al. 6-Month Gastrointestinal Quality of Life (QoL) Results after Endoscopic Sleeve Gastroplasty and Laparoscopic Sleeve Gastrectomy: A Propensity Score Analysis. Obesity Surg. 2020;30(5):1944-51.
Jalal MA, Cheng Q, Edye MB. Systematic Review and Meta-Analysis of Endoscopic Sleeve Gastroplasty with Comparison to Laparoscopic Sleeve Gastrectomy. Obesity Surg. 2020;30(7):2754-62.
Mohan BP, Asokkumar R, Khan SR, Kotagiri R, Sridharan GK, Chandan S, et al. Outcomes of endoscopic sleeve gastroplasty; how does it compare to laparoscopic sleeve gastrectomy? A systematic review and meta-analysis. Endosc Int Open. 2020;8(4):E558-65.
Alqahtani AR, Elahmedi M, Aldarwish A, Abdurabu HY, Alqahtani S. Endoscopic gastroplasty versus laparoscopic sleeve gastrectomy: a noninferiority propensity score-matched comparative study. Gastrointest Endosc. 2022;96(1):44-50.