Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass: a Systematic Review and Meta-analysis

Imagem de Miniatura
Arquivos
art_BRUNALDI_Endoscopic_Treatment_of_Weight_Regain_Following_RouxenY_Gastric_2018.PDF (1.5 MB)
Citações na Scopus
58
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
JIRAPINYO, Pichamol
GALVO NETO, Manoel
CAMPOS, Josemberg Marins
Citação
OBESITY SURGERY, v.28, n.1, p.266-276, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric procedure. Despite its high efficacy, some patients regain part of their lost weight. Several endoscopic therapies have been introduced as alternatives to treat weight regain, but most of the articles are relatively small with unclear long-term data. To systematically assess the efficacy of endoscopic therapies for weight regain after RYGB. We searched MEDLINE, EMBASE, Scopus, Web of Science, Cochrane, OVID, CINAHL/EBSCo, LILACS/Bireme, and gray literature. Primary outcomes were absolute weight loss (AWL), excess weight loss (EWL), and total body weight loss (TBWL). Thirty-two studies were included in qualitative analysis. Twenty-six described full-thickness (FT) endoscopic suturing and pooled AWL, EWL, and TBWL at 3 months were 8.5 +/- 2.9 kg, 21.6 +/- 9.3%, and 7.3 +/- 2.6%, respectively. At 6 months, they were 8.6 +/- 3.5 kg, 23.7 +/- 12.3%, and 8.0 +/- 3.9%, respectively. At 12 months, they were 7.63 +/- 4.3 kg, 16.9 +/- 11.1%, and 6.6 +/- 5.0%, respectively. Subgroup analysis showed that all outcomes were significantly higher in the group with FT suturing combined with argon plasma coagulation (APC) (p < 0.0001). Meta-analysis included 15 FT studies and showed greater results. Three studies described superficial-thickness suturing with pooled AWL of 3.0 +/- 3.8, 4.4 +/- 0.07, and 3.7 +/- 7.4 kg at 3, 6, and 12 months, respectively. Two articles described APC alone with mean AWL of 15.4 +/- 2.0 and 15.4 +/- 9.1 kg at 3 and 6 months, respectively. Full-thickness suturing is effective at treating weight regain after RYGB. Performing APC prior to suturing seems to result in greater weight loss. Head-to-head studies are needed to confirm our results. Few studies adequately assess effectiveness of other endoscopic techniques.
Palavras-chave
Roux-en-Y gastric bypass, Bariatrics, Bariatric surgery, Weight regain, Endoscopy, Endoscopic suturing, Obesity
URI
https://observatorio.fm.usp.br/handle/OPI/24916
Referências
  1. Abu Dayyeh BK, 2011, CLIN GASTROENTEROL H, V9, P228, DOI 10.1016/j.cgh.2010.11.004
  2. Angrisani L, 2015, OBES SURG, V25, P1822, DOI 10.1007/s11695-015-1657-z
  3. Arellano JJ, 2014, GASTROINTEST ENDOS S, V79, pAB194
  4. ASMBS Clinical Issues Committee, 2013, SURG OBES RELAT DIS, V9, pe1
  5. Baretta GAP, 2015, OBES SURG, V25, P72, DOI 10.1007/s11695-014-1363-2
  6. Borao F, 2010, SURG ENDOSC, V24, P2308, DOI 10.1007/s00464-010-0919-z
  7. Busetto L, 2014, OBES SURG, V24, P487, DOI 10.1007/s11695-014-1214-1
  8. Christou NV, 2006, ANN SURG, V244, P734, DOI 10.1097/01.sla.0000217592.04061.d5
  9. Derzon JH, 2013, PRACTICAL ASSESSMENT, V8
  10. Eid GM, 2014, JAMA SURG, V149, P372, DOI 10.1001/jamasurg.2013.4051
  11. Evans JA, 2015, GASTROINTEST ENDOSC, V81, P1063, DOI 10.1016/j.gie.2014.09.044
  12. Fittipaldi-Fernandez RJ, 2015, GASTROENTEROLOGY, V148, pS901
  13. Gallo AS, 2016, SURG ENDOSC, V30, P3922, DOI 10.1007/s00464-015-4699-3
  14. Ginsberg GG, 2011, GASTROINTEST ENDOSC, V74, P943, DOI 10.1016/j.gie.2011.08.053
  15. Gitelis M, 2015, SURG ENDOSC, V29, P2133, DOI 10.1007/s00464-014-3954-3
  16. Gitelis ME, 2015, GASTROENTEROLOGY, V148, pS1188
  17. Giurgius M, 2014, SURG ENDOSC, V28, P1454, DOI 10.1007/s00464-013-3376-7
  18. Goyal D, 2015, AM J GASTROENTEROL, V110, pS656
  19. Goyal V, 2013, SURG ENDOSC, V27, P3417, DOI 10.1007/s00464-013-2905-8
  20. Heylen AMF, 2011, OBES SURG, V21, P1629, DOI 10.1007/s11695-010-0253-5
  21. Horgan S, 2010, SURG OBES RELAT DIS, V6, P290, DOI 10.1016/j.soard.2009.12.011
  22. Hozo Stela Pudar, 2005, BMC Med Res Methodol, V5, P13, DOI 10.1186/1471-2288-5-13
  23. Jirapinyo P, 2013, ENDOSCOPY, V45, P532, DOI 10.1055/s-0032-1326638
  24. Jirapinyo P, 2016, SURG OBES RELAT DIS, V12, P1810, DOI 10.1016/j.soard.2016.09.036
  25. The Joanna Briggs Institute, JOANN BRIGGS I REV M
  26. Karmali S, 2013, OBES SURG, V23, P1922, DOI 10.1007/s11695-013-1070-4
  27. Kofman MD, 2010, OBESITY, V18, P1938, DOI 10.1038/oby.2010.27
  28. Kumar N, 2016, GASTROINTEST ENDOSC, V83, P776, DOI 10.1016/j.gie.2015.08.039
  29. Kumar N, 2014, GASTROENTEROLOGY, V146, pS724
  30. Kumar N, 2014, GASTROINTEST ENDOSC, V79, P984, DOI 10.1016/j.gie.2014.02.006
  31. Kuzminov A, 2016, OBES SURG, V26, P2237, DOI 10.1007/s11695-016-2252-7
  32. Landi R, 2016, GASTROINTEST ENDOSC, V83, pAB311, DOI 10.1016/j.gie.2016.03.794
  33. Leitman IM, 2010, JSLS-J SOC LAPAROEND, V14, P217, DOI 10.4293/108680810X12785289144241
  34. Malli CP, 2016, ANN GASTROENTEROL, V29, P249, DOI 10.20524/aog.2016.0034
  35. Mehaffey JH, 2016, ANN SURG, V264, P121, DOI 10.1097/SLA.0000000000001544
  36. Mikami D, 2010, SURG ENDOSC, V24, P223, DOI 10.1007/s00464-009-0640-y
  37. Mullady DK, 2009, GASTROINTEST ENDOSC, V70, P440, DOI 10.1016/j.gie.2009.01.042
  38. Obeid NR, 2016, SURG OBES RELAT DIS, V12, P11, DOI 10.1016/j.soard.2015.04.011
  39. Ong'uti SK, 2013, SURG OBES RELAT DIS, V9, P113, DOI 10.1016/j.soard.2011.08.025
  40. Patel LY, 2016, SURG ENDOSC, V30, P211
  41. Raman SR, 2011, SURG OBES RELAT DIS, V7, P304, DOI 10.1016/j.soard.2011.01.045
  42. Riva P, 2016, SURG ENDOSC
  43. Roll S, 2010, SURG ENDOSC S, V24, P314
  44. Ryou M, 2009, SURG OBES RELAT DIS, V5, P450, DOI 10.1016/j.soard.2009.03.217
  45. Schulman A, 2016, GASTROINTEST ENDOS S, V83, pAB504
  46. Sjostrom L, 2004, NEW ENGL J MED, V351, P2683, DOI 10.1056/NEJMoa035622
  47. Stroup DF, 2000, JAMA-J AM MED ASSOC, V283, P2008, DOI 10.1001/jama.283.15.2008
  48. Sung B, 2013, SURG ENDOSC, V27, P304
  49. Thompson CC, 2013, GASTROENTEROLOGY, V145, P129, DOI 10.1053/j.gastro.2013.04.002
  50. Thompson CC, 2012, SURG OBES RELAT DIS, V8, P282, DOI 10.1016/j.soard.2011.03.014
  51. Vargas EJ, 2016, GASTROINTEST ENDOSC, V83, pAB505, DOI 10.1016/j.gie.2016.03.733
  52. Vilar-Gomez E, 2015, GASTROENTEROLOGY, V149, P367, DOI 10.1053/j.gastro.2015.04.005
  53. Ward ZJ, 2016, PLOS ONE, V11, DOI 10.1371/journal.pone.0150735
  54. World Health Organization, OB OV
  55. Yimcharoen P, 2011, SURG ENDOSC, V25, P3345, DOI 10.1007/s00464-011-1723-0
  56. Yoon PW, 2014, MMWR-MORBID MORTAL W, V63, P369

Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - ODS/03