PT  - JOURNAL ARTICLE
AU  - Svagera, Zdenek
AU  - Machytka, Evzen
AU  - Machackova, Jitka
AU  - Blaho, Martin
AU  - Vasura, Adam
AU  - Stejskal, David
AU  - Huberty, Vincent
AU  - Buzga, Marek
TI  - Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
DP  - 2021 Sep 20
TA  - Biomedical papers
PG  - 258--263
VI  - 165
IP  - 3
AID - 10.5507/bp.2021.032
IS  - 12138118
AB  - 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.