Comparative efficacy of bariatric endoscopic procedures in the treatment of morbid obesity: A systematic review and network meta-analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jung, S.H. | - |
dc.contributor.author | Yoon, J.H. | - |
dc.contributor.author | Choi, H.S. | - |
dc.contributor.author | Nam, S.-J. | - |
dc.contributor.author | Kim, K.O. | - |
dc.contributor.author | Kim, D.H. | - |
dc.contributor.author | Kim, J.-W. | - |
dc.contributor.author | Sohn, W. | - |
dc.contributor.author | Hyun, Y.S. | - |
dc.contributor.author | Park, C.H. | - |
dc.contributor.author | Lee, H.L. | - |
dc.date.available | 2020-12-14T00:41:21Z | - |
dc.date.created | 2020-11-09 | - |
dc.date.issued | 2020-11 | - |
dc.identifier.issn | 0013-726X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/79245 | - |
dc.description.abstract | Background The comparative efficacy of bariatric endoscopic procedures has not been completely elucidated. We aimed to comprehensively evaluate the efficacy of bariatric endoscopic procedures. Methods We searched for randomized controlled trials investigating the efficacy of bariatric endoscopic procedures, including the use of an intragastric balloon, duodenal-jejunal bypass liner (DJBL), aspiration therapy, primary obesity surgery endoluminal (POSE) procedure, and botulinum toxin injection to the stomach. Network meta-analyses were performed to determine the percentage of weight loss (%weight loss) and percentage of excess weight loss (%EWL). Results 22 studies with 2141 patients were included in the meta-analysis. Most endoscopic procedures showed superior efficacy in terms of %weight loss compared with the control (mean difference [MD] [95 % confidence interval (CI)]: aspiration therapy 10.4 % [7.0 % to 13.7 %]; fluid-filled balloon 5.3 % [3.4 % to 7.2 %]; POSE 4.9 % [1.7 % to 8.2 %]; and DJBL 4.5 % [1.4 % to 7.7 %]). In terms of %EWL, aspiration therapy, fluid-filled balloon, POSE, and DJBL were superior to the control (MD [95 %CI]: 27.3 % [15.3 % to 39.3 %]; 22.4 % [15.4 % to 29.4 %]; 15.3 % [2.5 % to 28.0 %]; and 13.0 % [4.9 % to 21.2], respectively). The gas-filled balloon and botulinum toxin injection did not show a significant difference in %weight loss or %EWL compared with the control. For the fluid-filled balloon, the %EWL and %weight loss tended to decrease after balloon removal at 6 months after the procedure. Conclusion All bariatric endoscopic procedures, except for gas-filled balloon and botulinum toxin injection to the stomach, showed superior short-term efficacy in terms of %weight loss or %EWL compared with lifestyle modification. © 2020 Georg Thieme Verlag. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Georg Thieme Verlag | - |
dc.relation.isPartOf | Endoscopy | - |
dc.title | Comparative efficacy of bariatric endoscopic procedures in the treatment of morbid obesity: A systematic review and network meta-analysis | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000585745000020 | - |
dc.identifier.doi | 10.1055/a-1149-1862 | - |
dc.identifier.bibliographicCitation | Endoscopy, v.52, no.11, pp.940 - 954 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85094849818 | - |
dc.citation.endPage | 954 | - |
dc.citation.startPage | 940 | - |
dc.citation.title | Endoscopy | - |
dc.citation.volume | 52 | - |
dc.citation.number | 11 | - |
dc.contributor.affiliatedAuthor | Kim, K.O. | - |
dc.type.docType | Article | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.