Efficacy of Intragastric Balloon in Obese Egyptian Patients and the Value of Extended Liquid Diet Period in Mounting the Weight Loss
Efficacy of Intragastric Balloon in Obese Egyptian Patients and the Value of Extended Liquid Diet Period in Mounting the Weight Loss
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DOI：
10.1089/lap.2012.0382
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发表时间：
2013-03-01
影响因子：
1.3
通讯作者：
El Kayal, El Said
中科院分区：
文献类型：
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作者：
Abdel-Salam, Wael Nabil;Bekheit, Mohamed;El Kayal, El Said
背景：病态肥胖的外科治疗面临着诸多挑战。替代治疗策略可能在降低围手术期风险方面发挥重要作用。BioEnterics (R)胃内气囊（BIB） （Inamed Health, Santa Barbara， CA）已被描述为在减肥手术前有效地用作桥梁。本研究考察了BIB在埃及肥胖患者中的疗效，以及延长低热量液体饮食计划在减肥中的价值。对象和方法：对前瞻性维持的肥胖数据库进行回顾性审查。分析体重变化及并发症资料。讨论了BIB放置的适应症。结果：共检索患者55例（男11例，女44例）。平均初始体重指数（BMI）为45.3±11 kg/m(2)。平均超重率为111.96±53.2%。恶心30例（54.5%）。23例（41.8%）患者出现上腹部不适，27例（49.1%）患者出现呕吐。6例（10.9%）患者早期切除球囊，4例（7.2%）延迟切除（超过6个月）。平均体重减轻率（EWL%）为17.2%。患者的BMI从45.3降至38.3 kg/m(2) （P < 0.001）。EWL%与性别、年龄或初始BMI之间无显著相关性。2例患者进行第二次球囊插入，无并发症。1周液体饮食组与延长（4周）低热量饮食组的EWL%无显著差异。结论：BIB对埃及肥胖患者的体重减轻是有效和安全的。延长液体节食期的影响不显著。
Background: The surgical management of morbid obesity is faced by several challenges. Alternative therapeutic strategies could have an important role in the perioperative risk reduction. The BioEnterics (R) intragastric balloon (BIB) (Inamed Health, Santa Barbara, CA) has been described as being effective in weight reduction and is used as a bridge before bariatric surgery. This study examined the efficacy of BIB in obese Egyptian patients and the value of the extended low caloric liquid diet program in weight loss.Subjects and Methods: A retrospective review of a prospectively maintained bariatric database was conducted. Weight changes and complications data were analyzed. Indications for BIB placement were discussed.Results: Records of 55 patients (11 males and 44 females) were retrieved. The mean initial body mass index (BMI) was 45.3 +/- 11 kg/m(2). The mean of excess body weight percentage was 111.96 +/- 53.2%. Nausea was reported in 30 patients (54.5%). Epigastric discomfort was reported in 23 patients (41.8 %), and vomiting was reported in 27 patients (49.1%). Six patients (10.9%) had an early removal of the balloon, whereas 4 (7.2%) had delayed removal (more than 6 months). The mean excess weight loss percentage (EWL%) was 17.2%. There was significant reduction in patients' BMI from 45.3 to 38.3 kg/m(2) (P < .001). There was no significant correlation between the EWL% and the gender, age, or initial BMI. Two patients had second balloon insertions without complications. There was no significant difference in the EWL% between the 1-week liquid diet group and the extended (4-week) low caloric diet group.Conclusions: The BIB is effective and safe in weight reduction in obese Egyptian patients. The impact of extended liquid dieting period is not significant.