Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2021, 165(3):258-263 | DOI: 10.5507/bp.2021.032

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

Zdenek Svagera^a, Evzen Machytka^b, Jitka Machackova^b, Martin Blaho^b, Adam Vasura^b, David Stejskal^a, Vincent Huberty^c, Marek Buzga^{a, d}

^a Institute of Laboratory Medicine, University Hospital Ostrava, Ostrava, Czech Republic

^b Department of Gastroenterology, University Hospital Ostrava, Ostrava, Czech Republic

^c Department of Gastroenterology, Erasme Hospital, Universite Libre de Bruxelle, Belgium

^d Department of Physiology and Pathophysiology, Research Obesity Centre, Faculty of Medicine, University of Ostrava, Czech Republic

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.

Keywords: bariatric endoscopy, body weight loss, obesity, nutrition, vitamins

Received: February 24, 2021; Revised: April 1, 2021; Accepted: May 12, 2021; Prepublished online: May 27, 2021; Published: September 20, 2021  Show citation