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Establishing a multidisciplinary bariatric arterial embolization program: A two-year clinical experience.

Adham Khalil1,2, Alan J Kim1,3, Lawrence J Cheskin3,4,5

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Bariatric arterial embolization (BAE) is a minimally invasive obesity treatment option. Integrating BAE into weight management programs shows potential benefits with low complication risks for eligible patients.

Keywords:
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Area of Science:

  • Interventional Radiology
  • Obesity Medicine
  • Minimally Invasive Procedures

Background:

  • Bariatric arterial embolization (BAE) is an emerging treatment for obesity.
  • It is considered for patients who failed nonoperative treatments and are not candidates for bariatric surgery.
  • Guidance on integrating BAE into weight management programs (WMPs) is needed.

Purpose of the Study:

  • To describe the experience of building a multidisciplinary clinical program integrating BAE into routine obesity care.
  • To evaluate the feasibility and outcomes of BAE within a WMP.

Main Methods:

  • Retrospective, single-center observational case series (November 2021-September 2023).
  • Inclusion criteria: BMI ≥30 kg/m², failure of nonoperative management, ineligible/unwilling for metabolic-bariatric surgery.
  • BAE suitability determined by multidisciplinary discussion.

Main Results:

  • Thirty-one patients considered, 9 cleared, 5 underwent BAE (mean age 42, mean weight 116 kg).
  • Mean weight loss: 7.0% at 4-5 months, 4.2% at 12 months.
  • Successful BAE with transient nausea/vomiting; mean cost $14,329.

Conclusions:

  • BAE is a viable obesity treatment option with low complication risk within a comprehensive WMP.
  • Collaboration between interventional radiologists and obesity medicine physicians is crucial.
  • BAE should be a component of a WMP, not a standalone procedure.