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©2011 Baishideng Publishing Group Co.
World J Gastrointest Endosc. Nov 16, 2011; 3(11): 201-208
Published online Nov 16, 2011. doi: 10.4253/wjge.v3.i11.201
Published online Nov 16, 2011. doi: 10.4253/wjge.v3.i11.201
Table 1 Summary of developmental phase of transoral procedures
Endoluminal vertical gastroplasty | Transoral gastroplasty system | Transoral endoscopic restrictive implant system | Duodenal-jejunal bypass sleeve | Stomaphyx | |
Phase of development | Phase II | Phase II | Phase I | Phase II/III | Phase III |
Non-randomized multicenter feasibility studies | Non-randomized multicenter validation trials | Trial still underway-report on first patient | |||
Patients/trials | n = 82 in 2 trials | n = 32 in 2 trials | n = 20 in 1 trial | n = 37 in 2 trials | n = 39 in 1 trial |
n = 64[28] | n = 21[31] | n = 12[33] | |||
n = 18[29] | n = 11[30] | n = 25[34] | |||
Short term morbidity | Nausea, vomiting, abdominal pain | Nausea, vomiting, epigastric pain, transient dysphagia | Not reported | Nausea, vomiting, abdominal pain | Sore throat, epigastric pain |
Long term morbidity | Disruption of suture lines (n = 3/64[28]) | Staple line gaps (n = 13/21[31]) | Not reported | Tissue inflammation at site of anchor | None |
Incomplete distal sleeves (n = 3/21[31]) | |||||
Mortality | None | None | None | None | None |
Average length of procedure | 45 min[28] | 160 min[31] | 195 min | 41 min[33] | 35 min |
125 min[29] | 84 min[30] | 39 min[34] | |||
Tested in randomized trials | No | No | No | Yes[34] | Yes |
%EWL | Not reported | ||||
1 mo | 21.1[28] | 16.2[31]; 19.2[30] | 16.0[33]; 15.0[34] | 10.6 | |
3 mo | 39.6[28] | 22.6[31]; 33.7[30] | 21.0 | 24.0[33]; 21.0[34] | 13.1 |
6 mo | Not reported | 24.4[31]; 46.0[30] | 26.0 | Not reported | 17.0 |
12 mo | 58.1 (n = 59/64)[28] | Not reported | Not reported | Not reported | 19.5 |
- Citation: Noria SF, Mikami DJ. Transoral surgery for morbid obesity. World J Gastrointest Endosc 2011; 3(11): 201-208
- URL: https://www.wjgnet.com/1948-5190/full/v3/i11/201.htm
- DOI: https://dx.doi.org/10.4253/wjge.v3.i11.201