{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T09:06:57Z","timestamp":1789117617527,"version":"build-2803163510"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therap Adv Gastroenterol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Metabolic bariatric surgery is the most effective obesity treatment, but high body mass index (BMI) and associated medical problems often pose surgical risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      This study compares the safety, feasibility, and efficacy of endoscopic sleeve gastroplasty (ESG) versus intragastric balloon (IGB) as bridge-to-surgery (BTS) procedures in patients with BMI \u226550 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and\/or contraindications to primary metabolic bariatric surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis (2017 \u2013 2024) included patients with BMI \u226550 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      undergoing ESG or IGB as a BTS procedure in a two-step approach at two German centers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The primary outcome was total body weight loss (TBWL, %) at 6 months. Secondary outcomes included absolute weight loss, BMI reduction, excess body weight loss (EBWL, %), and adverse events between the two BTS procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen patients underwent ESG, 15 underwent IGB insertion as an intended BTS procedure. At 6 months, median %TBWL and %EBWL were significantly higher in the ESG group (17.8% (IQR, 14.5 \u2013 22.1) vs. 8.99% (IQR, 4.6 \u2013 14.0), p = 0.018; and 28.0% (IQR, 22.8 \u2013 40.0) vs. 16.7% (IQR, 10.8 \u2013 22.4), p = 0.035, respectively). IGB insertion was performed significantly faster (25 (IQR, 20.0 \u2013 30.0) minutes (min) vs. 76 (IQR, 63.2 \u2013 80.8) min; p &lt; 0.01) but was associated with more mild-to-moderate adverse events (60.0% vs. 0%; p &lt; 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In this retrospective cohort, ESG was associated with greater short-term weight loss and fewer mild-to-moderate adverse events than IGB as a BTS procedure for patients with BMI \u226550 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and\/or contraindications to primary metabolic bariatric surgery (MBS).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17562848261489119","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:29:56Z","timestamp":1788892196000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic sleeve gastroplasty versus intragastric balloon insertion as bridge-to-surgery procedures for patients with BMI \u226550 kg\/m\n                    <sup>2<\/sup>\n                    or contraindications to primary metabolic bariatric surgery"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-390X","authenticated-orcid":false,"given":"Sandra","family":"Nagl","sequence":"first","affiliation":[{"name":"University Hospital Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Wasserberg","sequence":"additional","affiliation":[{"name":"University Hospital Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Gei\u00dfler","sequence":"additional","affiliation":[{"name":"University Hospital Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Muzalyova","sequence":"additional","affiliation":[{"name":"University Hospital Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Messmann","sequence":"additional","affiliation":[{"name":"University Hospital Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cora","family":"Aubele","sequence":"additional","affiliation":[{"name":"Ostalb-Klinikum Aalen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan Karl","family":"Goelder","sequence":"additional","affiliation":[{"name":"Ostalb-Klinikum Aalen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna","family":"Ebigbo","sequence":"additional","affiliation":[{"name":"University Hospital Augsburg"},{"name":"St. Josef University Hospital Bochum"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1614362"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2016.07.012"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2016.02.008"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281361"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-012-0864-0"},{"key":"e_1_3_6_7_2","first-page":"2416","article-title":"Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity","volume":"310","author":"Courcoulas AP","year":"2013","unstructured":"Courcoulas AP, Christian NJ, Belle SH, et al. 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