Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients

Background. The Endoscopic sleeve gastroplasty (ESG) is one of the new advanced restrictive techniques of bariatric endoscopy. The principle of this bariatric technique is the reduction of stomach volume through endoscopic plication. The long-term efficacy and metabolic effects of this procedure are...

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Autores principales: Zdenek Svagera, Evzen Machytka, Jitka Machackova, Martin Blaho, Adam Vasura, David Stejskal, Vincent Huberty, Marek Buzga
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Publicado: Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
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spelling oai:doaj.org-article:f5a5e6f888bc4b2785558a07eaeb758d2021-11-29T08:47:12ZNutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients1213-81181804-752110.5507/bp.2021.032https://doaj.org/article/f5a5e6f888bc4b2785558a07eaeb758d2021-09-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202103-0004_nutritional-consequences-of-endoluminal-gastroplasty-in-the-treatment-of-morbidly-obese-patients.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Background. The Endoscopic sleeve gastroplasty (ESG) is one of the new advanced restrictive techniques of bariatric endoscopy. The principle of this bariatric technique is the reduction of stomach volume through endoscopic plication. The long-term efficacy and metabolic effects of this procedure are the subject of this study. Methods. 20 patients were enrolled; four men, sixteen women. Then they were followed for 24 months in terms of glycemic control, body composition, vitamin, and nutritional status. Observed parameters included glucose, triacylglycerols, high- and low-density lipoprotein cholesterol, micro and macro nutrients, fat mass, and lean body mass. Results. We observed significant weight loss and a decrease body composition resulted from procedure vs. baseline, with levels of blood glucose also showing statistically significant reductions. The most notable decline in measured values was observed in period six months after the procedure. No significant changes were observed in measurement of micronutrients. Conclusions. Good restriction results were obtained following ESG, which might be mediated via altered glucose metabolism. The ESG method has shown a positive effect on fat and muscle mass. Unlike surgical methods, there were no deficits or deficiencies, especially in terms of essential vitamin levels.Zdenek SvageraEvzen MachytkaJitka MachackovaMartin BlahoAdam VasuraDavid StejskalVincent HubertyMarek BuzgaPalacký University Olomouc, Faculty of Medicine and Dentistryarticlebariatric endoscopybody weight lossobesitynutritionvitaminsMedicineRENBiomedical Papers, Vol 165, Iss 3, Pp 258-263 (2021)
institution DOAJ
collection DOAJ
language EN
topic bariatric endoscopy
body weight loss
obesity
nutrition
vitamins
Medicine
R
spellingShingle bariatric endoscopy
body weight loss
obesity
nutrition
vitamins
Medicine
R
Zdenek Svagera
Evzen Machytka
Jitka Machackova
Martin Blaho
Adam Vasura
David Stejskal
Vincent Huberty
Marek Buzga
Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
description Background. The Endoscopic sleeve gastroplasty (ESG) is one of the new advanced restrictive techniques of bariatric endoscopy. The principle of this bariatric technique is the reduction of stomach volume through endoscopic plication. The long-term efficacy and metabolic effects of this procedure are the subject of this study. Methods. 20 patients were enrolled; four men, sixteen women. Then they were followed for 24 months in terms of glycemic control, body composition, vitamin, and nutritional status. Observed parameters included glucose, triacylglycerols, high- and low-density lipoprotein cholesterol, micro and macro nutrients, fat mass, and lean body mass. Results. We observed significant weight loss and a decrease body composition resulted from procedure vs. baseline, with levels of blood glucose also showing statistically significant reductions. The most notable decline in measured values was observed in period six months after the procedure. No significant changes were observed in measurement of micronutrients. Conclusions. Good restriction results were obtained following ESG, which might be mediated via altered glucose metabolism. The ESG method has shown a positive effect on fat and muscle mass. Unlike surgical methods, there were no deficits or deficiencies, especially in terms of essential vitamin levels.
format article
author Zdenek Svagera
Evzen Machytka
Jitka Machackova
Martin Blaho
Adam Vasura
David Stejskal
Vincent Huberty
Marek Buzga
author_facet Zdenek Svagera
Evzen Machytka
Jitka Machackova
Martin Blaho
Adam Vasura
David Stejskal
Vincent Huberty
Marek Buzga
author_sort Zdenek Svagera
title Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
title_short Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
title_full Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
title_fullStr Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
title_full_unstemmed Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
title_sort nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
publisher Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate 2021
url https://doaj.org/article/f5a5e6f888bc4b2785558a07eaeb758d
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