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减肥以实现关节或椎手术:胃内气球是答案吗?
Danielle Abbitt1,2, Adom Netsanet3, Alexandra Kovar4
1Department of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, Aurora, CO, C-305, USA. danielle.abbitt@cuanschutz.edu.
Surgical endoscopy
|June 26, 2023
概括
胃内气球可以在肥胖患者中安全地促进显著的体重减轻,使超过75%的人能够接受选择性手术. 这种方法对于那些需要大幅度减轻手术前体重的人来说是一个可行的选择.
科学领域:
- 腹部外科 腹部外科
- 最少侵入性手术的方法
- 肥胖管理 肥胖管理
背景情况:
- 肥胖是接受选择性手术的患者术后并发症的重要危险因素.
- 手术前减肥可以减轻手术风险并改善患者的治疗结果.
- 在选择性手术之前,通常希望达到低于35公斤/平方米的目标体重指数 (BMI).
研究的目的:
- 评估胃内气球 (IGB) 放置在手术前减肥的安全性和有效性.
- 评估IGB在关节置换或修复前帮助患者达到BMI<35 kg/m2的能力.
- 为了确定IGB治疗后成功进展到合格的选择性手术的速度.
主要方法:
- 从2019年1月到2023年1月对IGB安置患者的回顾性审查.
- 纳入标准:BMI > 35 kg/m2,计划进行关节置换或修复,并参加减肥计划12个月.
- 收集的数据包括人口统计数据,气球持续时间,体重减轻,BMI减轻和手术结果.
主要成果:
- 20名患者完成了IGB治疗,平均体重减轻30.8磅 (14.0公斤),BMI降低4.4.
- 85%的患者 (17/20) 取得了成功的减肥,75% (15/20) 进行了选择性手术.
- 恶心是最常见的副作用;一个患者 (5%) 因肺炎重新入院.
结论:
- 胃内气球治疗是一种安全有效的方法,可以实现显著的手术前减肥 (平均在6个月内减轻30磅).
- 超过75%的患者在IGB治疗后成功接受了选择性关节置换或修复.
- 在选择性手术前需要减肥30-50磅的患者应该考虑IGB;对长期益处的进一步研究是有必要的.
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