Endoscopy 2023; 55(S 02): S211
DOI: 10.1055/s-0043-1765557
Abstracts | ESGE Days 2023
ePoster

Gender impact to endoscopic sleeve gastroplasty outcomes

M. De Siena
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
G. Polidori
2   Università Cattolica del Sacro Cuore, Roma, Italy
,
B. Vincenzo
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
V. Pontecorvi
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
M. V. Matteo
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
G. Carlino
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
G. Palumbo
3   Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
,
C. Massari
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
N. Antonini
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
G. Giannetti
3   Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
,
C. Spada
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
G. Costamagna
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
,
I. Boskoski
1   Digestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, Rome, Italy
› Author Affiliations
 

Aims Endoscopic sleeve gastroplasty (ESG) is established as effective and mini-invasive procedure for obesity. Patients undergoing bariatric procedures in 80% of the cases are females. It is known that gender plays a role in several metabolic networks related to obesity; however no studies have investigated the gender impact on obesity after ESG. The aim is to evaluate the gender impact on long-term weight loss outcomes after ESG in patients treated in our bariatric unit.

Methods We analyzed 160 patients that underwent ESG at Fondazione Policlinico Gemelli IRCCS from may 2017 to october 2021. A matched-pair analysis between the two groups for baseline BMI, age, and timing of the procedure was done. Weight loss outcomes were described in terms of total body weight (TBWL%) and excess weight loss (EWL%) at 12, 24 and 30 months.

Results We found that men presenting for ESG had an higher body mass index (BMI) compare to women (40,7 kg/m2 vs 39,8 kg/m2). After ESG the TBWL% in female at 12, 24, and 30 months was 17,2%, 14,0% and 15,2% compared to 14,9%, 14,3% and 9,6% in men, respectively. The EWL% was 48,4%, 39,6% and 41,7%, compared to 41,9%, 39,5% and 24,3% in men, respectively.

Conclusions Women have more durable weight loss compared to men. More in depth studies are needed to understand the cause of this difference.



Publication History

Article published online:
14 April 2023

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