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Abdominal Morphologic Changes in MRI during Gastric Balloon Therapy
Rebecca Keßler1, Anne Glitsch2, Björn Hübner2
1Department of Diagnostic Radiology and Neuroradiology, University Medical Center Greifswald, Greifswald, Germany.
Obesity Facts
|August 16, 2022
Summary
Gastric balloon therapy effectively reduces body fat and liver volume, but also leads to significant muscle mass loss. This reversible endoscopic method aids weight reduction when other options fail.
Area of Science:
- Bariatric Endoscopy
- Medical Imaging
- Body Composition Analysis
Background:
- Rising rates of obesity in industrialized nations necessitate effective weight management strategies.
- Gastric balloon therapy offers a safe, reversible endoscopic alternative for patients unsuitable for or delaying surgery.
Purpose of the Study:
- To evaluate changes in abdominal fat compartments, liver lobe volume, and muscle mass during gastric balloon therapy.
- To assess gastric balloon fill volume and performance throughout treatment.
Main Methods:
- Magnetic Resonance Imaging (MRI) to quantify abdominal fat depots (subcutaneous, visceral, renal capsule).
- Measurement of left liver lobe volume and psoas muscle area.
- Analysis of gastric balloon fill volume and stability.
Main Results:
- Significant reductions observed in subcutaneous fat, renal capsule fat, and intra-abdominal fat.
- A decrease in left liver lobe volume and psoas muscle area (muscle loss) was noted.
- Gastric balloon volume remained stable, with variable gas bubble presence.
Conclusions:
- Gastric balloon therapy is a successful temporary option for weight reduction, decreasing body fat and liver volume.
- The therapy also results in a loss of muscle mass, a critical consideration for patient management.
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