建立一个多学科的减肥动脉栓塞程序:一个为期两年的临床经验.
Adham Khalil1,2, Alan J Kim1,3, Lawrence J Cheskin3,4,5
1Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Obesity pillars
|October 23, 2025
概括
腹腔动脉栓塞 (BAE) 是一种微创的肥胖治疗选择. 将BAE整合到体重管理计划中显示出潜在的好处,对符合条件的患者来说,并发症风险低.
科学领域:
- 干预性放射学 干预性放射学
- 肥胖医学 肥胖医学
- 最少侵入性手术的方法
背景情况:
- 腹腔动脉栓塞 (BAE) 是一种新兴的肥胖治疗方法.
- 它被认为是那些未经手术治疗而失败的患者,并且不是减肥手术的候选人.
- 需要关于将BAE整合到体重管理计划 (WMP) 的指导.
研究的目的:
- 描述建立一个多学科的临床计划,将BAE整合到常规肥胖护理中的经验.
- 在WMP中评估BAE的可行性和结果.
主要方法:
- 追溯,单中心观察案例系列 (2021年11月-2023年9月).
- 纳入标准:BMI ≥30 kg/m2,非手术治疗失败,不符合资格/不愿意接受代谢性腹腔外科手术.
- 通过多学科讨论来确定BAE的适用性.
主要成果:
- 31名患者被考虑,9人清除,5人接受BAE (平均年龄42岁,平均体重116公斤).
- 平均体重减轻:在4-5个月时7.0%,在12个月时4.2%.
- 成功的BAE与暂时的恶心/吐;平均成本为14329美元.
结论:
- 在全面的WMP中,BAE是一种可行的肥胖治疗选择,并发症风险低.
- 干预放射科医生和肥胖医学医生之间的合作至关重要.
- BAE应该是WMP的一个组成部分,而不是一个独立的程序.
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