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Outcomes of concomitant antiobesity medication use with endoscopic sleeve gastroplasty in clinical US settings.
Gala, Khushboo; Ghusn, Wissam; Brunaldi, Vitor; McGowan, Christopher; Sharaiha, Reem Z; Maselli, Daniel; Vanderwel, Brandon; Kedia, Prashant; Ujiki, Michael; Wilson, Eric; Vargas, Eric J; Storm, Andrew C; Abu Dayyeh, Barham K.
Afiliación
  • Gala K; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Ghusn W; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Brunaldi V; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • McGowan C; True You Weight Loss, Cary, NC, USA.
  • Sharaiha RZ; Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, USA.
  • Maselli D; True You Weight Loss, Cary, NC, USA.
  • Vanderwel B; Eviva, Shoreline, WA, USA.
  • Kedia P; Methodist Dallas Medical Center, Dallas, TX, USA.
  • Ujiki M; NorthShore University Health System, Evanston, IL, USA.
  • Wilson E; University of Texas Health Science Center - Houston, Houston, TX, USA.
  • Vargas EJ; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Storm AC; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Abu Dayyeh BK; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Obes Pillars ; 11: 100112, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38831924
ABSTRACT

Background:

To evaluate the weight loss outcomes of the large US cohort of patients undergoing endoscopic sleeve gastroplasty (ESG) with or without concomitant anti-obesity (AOM) use.

Methods:

We performed a retrospective analysis of adult patients who underwent ESG from seven different sites, from January 1, 2020 to November 30, 2022. Percent total body weight loss (%TBWL) and %excess weight loss (%EWL) were calculated based on baseline weight at the procedure. Medication use was considered if the subject received a prescribed AOM during the study period. SPSS (version 29.0) was used for statistical analyses.

Results:

A total of 1506 patients were included (1359 (90.2 %) no AOM use and 147 (9.8 %) AOM use). Patients who were on an active AOM at the time of the procedure had a significantly lower TBWL% as compared to patients not on AOMs at 6 months. At the 24-month visit, patients who were prescribed AOMs after the 12-month visit had a significantly higher TBWL% and EWL% as compared to patients who were on active AOM at the time of the procedure. There was no significant difference between classes of medications at any time point, however, patients on a GLP-1RA had a trend towards improved weight loss at 18 and 24 months.

Conclusion:

In this large, real-world cohort of patients from the United States, data signal that with the use of pharmacotherapy at the appropriate time, patients can achieve optimal results.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Obes Pillars Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Obes Pillars Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos