Abstract Background Obesity is a chronic metabolic disorder that alters endocrine, cardiovascular, and pulmonary functions. Endoscopic gastroplasty (EG) stands out as an emerging technique for the treatment of obesity. This procedure is based on the principle of reducing gastric volume through endoscopic sutures along the greater curvature of the stomach. In the literature, data addressing the nutritional profile of patients after the surgical procedure is lacking. Objective this study aims to analyze the nutritional profile of patients who underwent endoscopic gastroplasty for the treatment of obesity during the period of 2017–2023 for 18 months post-operatively. Methods This is a retrospective cohort analytical study that analyzed medical record data of patients followed up in a private service in Salvador/BA who underwent endoscopic gastroplasty between January 2017 and December 2023. Epidemiological data were collected before and after the surgery over a period of 18 months, as well as laboratory tests conducted during this period, with a focus on the nutritional component: total proteins, albumin, calcium, zinc, Vitamin B12, 25-hydroxyvitamin D, hematocrit, erythrocytes, hemoglobin, glucose, glycated hemoglobin, ferritin, iron. We used SPSS for statistical analysis. A P-value 0.05 was considered statistically significant. Results 62 patients were analyzed with an average age of 40.25 (±11.93) years, of which 89.2% were female. The initial BMI of the patients was 36.5 ± 8.7 Kg/m2. At the end of the follow-up, the %TWL was 14.1 ± 6.4 and %EWL 21.2 ± 28.4. Regarding the nutritional profile before the procedure, deficiency of iron (9,1%), vitamin B12 (11,1%), 25-hydroxyvitamin D (15%), zinc (3,2%), calcium (3,2%) and hyperglycemia (30,7%) were observed. After 18 months, the resolution of these nutritional deficits was demonstrated, and no new deficiencies were found. There were no statistically significant differences between the BMI groups regarding the laboratory deficits (P 0.05). Conclusion Endoscopic gastroplasty proved to be safe regarding the nutritional profile of the patients, with no evidence of worsening or the emergence of new nutritional deficiencies during the evaluation period.
Lisboa et al. (Thu,) studied this question.