Mo1183 Screening Pre-Bariatric Surgery Patients for Esophageal Disease With Esophageal Capsule Endoscopy Compared to Esophagogastroduodenoscopy

Abstract

INTRODUCTION: Endoscopic methods, especially the intragastric balloon (IGB), have been shown to be effective for the treatment of excess weight. OBJECTIVE: To assess the efficacy and complications of excess weight treatment with an IGB in patients seen at the Endogastro Med Service clinic. METHODS: A total of 418 patients were analyzed. An Allergan IGB (BIB®) with a volume of 600 to 700 ml was used. The patients had a minimum initial body mass index (BMI) of 27 kg/m2 and were followed up by a multidisciplinary team consisting of a nutritionist, a doctor and a psychologist. For statistical analysis, the patients were divided into groups according to sex and degree of excess weight (overweight and grade I, II and III obesity). Data were analyzed using descriptive statistical methods, the Student t-test, Spearman correlation, and analysis of variance followed by the Tukey post-test. The level of significance was set at p<0.05. RESULTS: 40 patients were excluded from the analysis: 24 (5.74%) due to early IGB removal, 4 (0.95%) due to absence of weight loss, 2 (0.48%) due to weight gain, and 10 (2.39%) due to incomplete data. The incidence of fungus was 0.95% (n=4) and the incidence of leakage was 0.48% (n=2). Of the 378 remaining patients, 295 were women and 83 were men. Mean age was 37.02 years. The patients showed a significant weight loss, with a significantly lower final BMI (mean: 29.57±5.06 kg/m2; range: 19.81-48.18) than the initial BMI (mean: 36.70±5.53 kg/m2; range: 27.04-60.4) (p<0.0001). Mean BMI reduction was 7.13±2.76 kg/m2 (range: 1.59-16.09). Mean percent weight loss was 19.38±6.75% and mean percent excess weight loss was 70.73±38.78% (range: 11,16336,14). There was no difference between BMI ranges regarding percent initial weight loss (p=0.5026) and there was no difference between men and women regarding BMI reduction (p=0.0944) or percent initial weight loss (p=0.7902). There was a positive correlation between the numbers of visits to a nutritionist and a greater loss of initial weight (p=0.0001). CONCLUSION: Endoscopic treatment of excess weight with an IGB has been established as an excellent therapeutic option for patients of both genders with overweight or different degrees of obesity.