Eficacia de la manga gástrica quirúrgica en comparación con la manga endoscópica para el manejo de la obesidad en adultos. Revisión sistemática

Abstract

Objective: To determine the efficacy of gastric sleeve surgery in the obese adult population compared with endoscopic sleeve surgery, with positive results in managing obesity. Methodology: The following inclusion criteria were considered: without language restriction, with an impact factor Q1 to Q4 according to the journals in the different quartiles, with information from the last five years, meta-analysis, clinical trials, and systematic reviews. The exclusion criteria were literature reviews such as case reports, letters to the editor, thesis, incomplete articles, or articles with high bias levels. Sources of information were searched in PubMed, Scopus, Web of Science, UpToDate, Taylor & Francis, ProQuest, SpringerLink, and The Lancet. Finally, the bias was evaluated employing the Newcastle-Ottawa scale. Results: After applying the bias scale, 32 articles were obtained, which were arranged in a chart. The essential elements were extracted from each one, considering the subject proposed within the research problem. Conclusion: The choice between gastric sleeve and endoscopic sleeve surgery is related to the patient's characteristics and needs, considering the risks and benefits of each technique in the individual case.