胃内气球作为代谢和腹部手术前的桥梁:系统性审查和元分析
Mohammad Kermansaravi1, Ali Esparham2, Chetan Parmar3
1Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com.
Obesity surgery
|April 8, 2025
概括
术前的胃内气球 (IGB) 插入在代谢性腹手术 (MBS) 之前提供短期的BMI降低. 然而,与单独使用MBS相比,它没有显著改善长期减肥或减少并发症.
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:
- 胃内气球 (IGB) 是用于短期体重管理的限制性设备.
- 代谢性减肥手术 (MBS) 提供了显著的长期减肥和并发症改善.
- 作为IGB与MBS之间的桥梁,IGB的作用需要对外科手术后期结果进行进一步的调查.
研究的目的:
- 系统地审查和对手术前IGB插入作为通往MBS的桥梁的疗效进行元分析.
- 为了比较患者接受MBS的体重减轻结果和并发症率,先前有或没有IGB安置.
- 评估IGB诱导的体重减轻对MBS结果的长期影响.
主要方法:
- 从PubMed,Embase,Scopus和Web of Science获取的研究的系统审查和元分析.
- 包括评估IGB作为MBS之前的手术前干预的研究.
- 使用随机效应和固定效应模型比较体质指数 (BMI) 变化和并发症率.
主要成果:
- 在手术前插入IGB导致6.14个月的平均BMI损失为7.45kg/m2,主要并发症率为5%.
- 在MBS后15.06个月后,IGB和对照组之间没有观察到平均BMI变化的显著差异 (MD -4.08,p=0.07).
- 分析显示,两组之间的MBS后并发症率没有显著差异 (OR 0.66,p=0.12).
结论:
- 虽然手术前的IGB插入可以实现显著的短期BMI降低,但它不会增强代谢性减肥手术后的长期减肥结果.
- 使用IGB作为MBS的桥梁程序似乎没有降低整体并发症率.
- 进一步的研究可能会探索患者选择标准,以优化联合方法.
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