The Best of ASGE Endoscopy from DDW (On-Demand) | June 2021-Huberty_ABEAnnualMeeting2021

Huberty_ABEAnnualMeeting2021_Endomina

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Dr. Vincent Huberty of ULB Erasme Hospital in Brussels, Belgium, discusses the plication techniques on the horizon, specifically focusing on the Endomina device. He declares a conflict of interest as a shareholder and consultant for Endo Tools Therapeutics S.A., the company that produces the device.<br /><br />The Endomina device is a tissue approximation device currently available only in Europe. It is designed for the adult population and can be attached to standard single-channel gastroscopes. The device is assembled inside the stomach and has a preloaded needle for the release of two anchors and a pre-tied knot to allow for transmural tissue approximation.<br /><br />There have been studies conducted on the feasibility and efficacy of different suturing patterns using the Endomina device. Feasibility and efficacy have been assessed through single-line and double-line suturing patterns, as well as through randomized controlled trials (RCTs). The results of these studies show positive outcomes in terms of length/volume reduction and weight loss.<br /><br />The studies included adults with a BMI of 30-40 kg/m². Low-intensity lifestyle therapy was implemented as part of the follow-up protocol to match European real-life situations. The procedure involved 4-7 tissue approximations and took between 60-90 minutes.<br /><br />Next steps for research include further analysis of RCT data, exploring the impact of the procedure on comorbidities such as sleep apnea syndrome (SAS) and non-alcoholic steatohepatitis (NASH), and collecting data beyond the European setting.<br /><br />It is important to note that the devices used in these studies are not available for sale in the United States and all results presented were collected in Europe under the CE mark of the devices. The content of the presentation may not necessarily reflect the opinion of Endo Tools Therapeutics S.A.

Keywords

Dr. Vincent Huberty

ULB Erasme Hospital

Brussels

Belgium

plication techniques

Endomina device

tissue approximation

single-channel gastroscopes

suturing patterns

feasibility and efficacy