Hao Zhang, Xin Sun, Kailong Dong, Lianghui Sui, Min Wang, Qiong Hong
Green Innovation in Regional Logistics: Level Evaluation and Spatial Analysis
International journal of environmental research and public health
global obesity rates surged necessitating effective interventions beyond traditional bariatric metabolic surgery bms endoscopic sleeve gastroplasty esg emerged minimally invasive alternative addressing limitations eligibility criteria patient reluctance associated bms study aims present 3year experience esg focusing midterm efficacy weight loss retrospective singlecenter study included 143 consecutive esg patients bmi 30 kgm2 25 kgm2 obesity associateddiseases february 2019 march 2023 data demographics comorbidities operative details followup outcomes collected primary outcome twl 15 12 months secondary outcomes optimal clinical response ocr 24 36 months defined twl 10 ewl 25 esg demonstrated mean twl 1437 12 months aligning previous studies early postoperative complications minimal 21 mortality followup revealed peak weight loss 9 months midterm ocr achieved 412 3 years learning curve showed efficiency improvements 26 procedures esg proves effective one year twl 1437 however midterm efficacy beyond 12 months remains challenging raising questions durability weight loss despite low complication rate strategies maintaining longterm ocr including potential repeat esg warrant investigation