Ad hoc procedure for optimising agreement between observational records

Observational studies in the field of sport are complicated by the added difficulty of having to analyse multiple, complex events or behaviours that may last just a fraction of a second. In this study, we analyse three aspects related to the reliability of data collected in such a study. The first aim was to analyse and compare the reliability of data sets assessed quantitatively (calculation of kappa statistic) and qualitatively (consensus agreement method). The second aim was to describe how, by ensuring the alignment of events, we calculated the kappa statistic for the order parameter using SDIS-GSEQ software (version 5.1) for data sets containing different numbers of sequences. The third objective was to describe a new consultative procedure designed to remove the confusion generated by discordant data sets and improve the reliability of the data. The procedure is called "consultative" because it involves the participation of a new observer who is responsible for consulting the existing observations and deciding on the definitive result.

Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management

Background: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method) is a pioneering coadjuvant, interventionist technique for the integral management of obesity. Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty. Material and methods: A prospective study was performed in 55 patients (13 males, 42 females) who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60) and mean BMI was 37.7 kg/m² (range 30-48). All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa) stitches, using a cinch device to bring them nearer and form a plication. Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight. Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.