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在为手术前减肥而使用胃内气球后恢复体重
Danielle Abbitt1, Kevin Choy1, Alexandra Kovar1
1Department of Surgery, University of Colorado, Aurora, CO 80045, United States.
World journal of gastrointestinal surgery
|August 1, 2024
概括
胃内气球促进了选择性手术的短期减肥,大多数患者在切除后恢复了超过一半的体重. 这种工具有助于实现手术候选人,但需要持续的体重控制.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 肥胖医学 肥胖医学
背景情况:
- 肥胖影响了超过三分之一的美国人,增加了手术风险.
- 与肥胖相关的并发症很常见.
- 胃内气球可以提供短期减肥,但体重恢复是令人担忧的.
研究的目的:
- 使用胃内气球评估体重减轻.
- 评估适合选择性外科手术的气球后安置.
- 分析气球取出后的体重管理.
主要方法:
- 进行胃内气球安置 (2019-2023) 的患者的回顾性审查.
- 评估体重减轻,手术成功,以及手术后的体重变化.
- 包括患者在一个为期12个月的体重管理计划.
主要成果:
- 33名患者平均减轻了14公斤 (30%的体重减轻).
- 64%的患者接受了选择性手术;6%的患者由于症状缓解而推迟了手术.
- 76%的患者在去除后3个月内恢复了平均58.4%的体重.
结论:
- 在BMI>35的患者中,胃内气球有助于短期减肥,用于选择性手术.
- 三分之二的患者实现了手术候选.
- 显著的重量恢复需要患者对风险和长期管理的教育.
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