Do Endoscopic Bariatric Procedures Improve Postprocedural Quality of Life and Mental Health? A Systematic Review and Met
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REVIEW
Do Endoscopic Bariatric Procedures Improve Postprocedural Quality of Life and Mental Health? A Systematic Review and Meta-analysis Nicola Gadd 1 & Ashleigh McIntosh 1 Skye Marshall 3,4
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Brianna Fear-Keen 2 & Jennifer Hoult 2 & Isabella R Maimone 2
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Received: 13 May 2020 / Revised: 8 July 2020 / Accepted: 11 July 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Quality of life and mental health are important outcomes of bariatric therapy. This review aimed to determine endoscopic bariatric procedures’ impact on postprocedural quality of life and mental health. Four electronic databases were systematically searched. Studies with adults > 18 years who underwent an endoscopic bariatric procedure and reported pre- and postprocedural quality of life and/or mental health using a validated tool were included. Meta-analyses were conducted using RevMan and study quality was assessed. Twenty studies evaluating five different endoscopic procedures were included (N = 876 total sample size). Intragastric balloon placement was associated with a large improvement in postprocedural quality of life and mental health. Endoscopic bariatric therapies may improve short-term quality of life and mental health alongside weight loss and comorbidity improvement. Keywords Quality of life . Intragastric balloon . Endoscopic bariatric therapy . Mental health . Obesity . Transpyloric shuttle . Primary obesity surgery endoluminal . Endoscopic sleeve gastroplasty . Aspiration therapy . Transoral gastroplasty . Duodenal bypass liner
Introduction Global obesity rates have nearly tripled since 1975 and have been associated with increased incidence of chronic diseases including type 2 diabetes, sleep apnoea, and cardiovascular disease [1]. Obesity and obesity-related stigmatisation also negatively impact mental health and quality of life (QoL), particularly self-esteem,
depression, anxiety, and fear of criticism by others [2, 3]. Weight loss options include traditional lifestyle approaches and bariatric surgeries, such as the gastric bypass, and more recently endoscopic weight loss procedures. These non-surgical procedures have increased from 2% to 4% of all bariatric procedures from just 2014 to 2016 [4]. Whilst bariatric surgery has emerged as the most effective long-term method for weight loss, some adults do
Nicola Gadd and Ashleigh McIntosh contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11695-020-04860-2) contains supplementary material, which is available to authorized users. * Skye Marshall [email protected] Nicola Gadd [email protected] Ashleigh McIntosh [email protected] Brianna Fear-Keen [email protected] Jennifer Hoult [email protected]
Isabella R Maimone [email protected] 1
Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia
2
Weightloss Solutions Australia, Varsity Lakes, Queensland, Australia
3
Bond Univers
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