{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:36:47Z","timestamp":1791495407941,"version":"4.3.4"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"\n Background:<\/jats:title>\n Bariatric endoscopy has emerged for non-surgical treatment of obesity, providing a treatment option for weight loss and associated comorbidities. Outcomes of endoscopic sleeve gastroplasty (ESG) of 12 months have been published by our team and there is a need for longer follow-up period understanding the effects of ESG techniques.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n This report emphasises on weight loss pattern in follow-up time points and monitors the post-procedure improvement in comorbidities with minimum 4-year follow-up of patients undergoing ESG at a single academic centre in India.<\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods:<\/jats:title>\n \n This was a prospective cohort study. All procedures were performed by the same surgeon. Patients with a body mass index of >30 kg\/m\n 2<\/jats:sup>\n (or >27 with comorbidities) underwent ESG for treatment of obesity. Patients were systematically followed yearly after their procedure. Data collected on the primary outcome and secondary outcomes were analysed and presented.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n 612 patients (69.3% female) with a mean age of 40.70 \u00b1 12.66 years and mean body mass index of 34.30 \u00b1 5.05 kg\/m\n 2<\/jats:sup>\n underwent ESG. Out of 612 patients, follow-up rates for a 1-2-3 and 4 years were 93.1%, 90.2%, 81.7% and 81.9%, respectively. The mean percentage total body weight loss was 18.19% (95% confidence interval [CI]: 17.72\u201318.57) and %EWL was 49.30% (95% CI: 48.91\u201349.68) with 90% of participants-maintaining a percentage of total weight loss of \u22655% and 70% of patients maintaining an EWL of \u226525% at 4 years, respectively. Resolution\/improvement of comorbidities was 51.2% cases of T2DM, 65.8% cases of hypertension, 73.6% cases of dyslipidaemia and 89.9% remission were in obstructive sleep apnoea. No patient required an emergency intervention, and there was no mortality or significant morbidity.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n This study shows acceptable results with ESG at 4 years in our unit. Regular monitoring by a multidisciplinary nurtures weight loss, resolution or improvement of comorbidities and improvement of quality of life with low perioperative complications. There is a need for more reports with this approach to determine the amount and duration of weight loss outcome and medical intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_3_22","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T05:40:35Z","timestamp":1661146835000},"page":"101-106","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":26,"title":["Four-year outcomes for endoscopic sleeve gastroplasty from a single centre in India"],"prefix":"10.4103","volume":"19","author":[{"given":"Mahak","family":"Bhandari","sequence":"first","affiliation":[{"name":"Department of Surgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susmit","family":"Kosta","sequence":"additional","affiliation":[{"name":"Department of Central Research Lab, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winni","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mohak Bariatrics and Robotics, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoel Galvao","family":"Neto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mohak Bariatrics and Robotics, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mohak Bariatrics and Robotics, Indore, Madhya Pradesh, 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