RT Journal Article
SR Electronic
A1 Svagera, Zdenek
A1 Machytka, Evzen
A1 Machackova, Jitka
A1 Blaho, Martin
A1 Vasura, Adam
A1 Stejskal, David
A1 Huberty, Vincent
A1 Buzga, Marek
T1 Nutritional consequences of endoluminal gastroplasty in the treatment of morbidly obese patients
JF Biomedical papers
YR 2021
VO 165
IS 3
SP 258
OP 263
DO 10.5507/bp.2021.032
UL https://biomed.papers.upol.cz/artkey/bio-202103-0004.php
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.