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对超肥胖进行顺序内胃气球 (IGB) 治疗的患者的临床结果:单一中心的回顾性分析
Felix Hammett1, Mariam Asarbakhsh1, Hussamudin Adwan1
1Department of General Surgery, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, Yorkshire, United Kingdom.
Journal of metabolic and bariatric surgery
|January 13, 2025
概括
顺序性胃内气球 (IGB) 治疗肥胖症显示,第一个设备的体重减轻最大. 进一步的IGB治疗并没有显著改善体重减轻或手术候选性.
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:
- 肥胖是一种复杂的慢性疾病,需要有效的管理策略.
- 胃内气球 (IGB) 是减肥的一种不那么侵入性的选择.
- 为了持续的肥胖管理,正在探索IGB的连续使用.
研究的目的:
- 评估顺序性胃内气球 (IGB) 治疗肥胖症的结果.
- 评估体重减轻,减肥手术的进展,以及与IGB治疗相关的发病率.
主要方法:
- 从2014年5月到2023年2月连续接受IGB治疗的患者的回顾性审查.
- 收集的数据包括3个月间隔的体重,减肥手术的进展和并发症.
- 在连续IGB安置期间和之间分析体重减轻模式.
主要成果:
- 其中包括45名患者. 第一次IGB的结果是体重平均减轻15.2公斤 (8.8%).
- 11名患者 (26.7%) 接受了第二次IGB,达到3.3公斤 (1.9%) 的中位数额外体重减轻.
- 46.7%的人在第一次IGB后有资格接受减肥手术;体重减轻不均,最后四分之一的体重增加.
结论:
- 主要的减肥益处与最初的胃内气球放置有关.
- 连续IGB治疗没有显示显著的额外体重减轻或改善手术候选性.
- 在IGB治疗期间的体重减轻在整个治疗期间是不一致的,有可能恢复体重.
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