Six intragastric balloons:Which to choose?  

作　　者：George Stavrou Anne Shrewsbury Katerina Kotzampassi 

机构地区：[1]Department of Colorectal Surgery,Addenbrooke’s Hospital,Cambridge CB22QQ,United Kingdom [2]Department of Surgery,Endoscopy Unit,Aristotle University of Thessaloniki,Thessaloniki 54636,Greece

出　　处：《World Journal of Gastrointestinal Endoscopy》2021年第8期238-259,共22页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Endoscopically placed intragastric balloons(IGBs)have played a significant role in obesity treatment over the last 30 years,successfully bridging the gap between lifestyle modification/pharmacotherapy and bariatric surgery.Since they provide a continuous sensation of satiety that helps the ingestion of smaller portions of food,facilitating maintenance of a low-calorie diet,they have generally been considered an effective and reversible,less invasive,non-surgical procedure for weight loss.However,some studies indicate that balloons have limited sustainable effectiveness for the vast majority attempting such therapy,resulting in a return to the previous weight after balloon removal.In this review we try to summarize the pros and cons of various balloon types,to guide decision making for both the physician and the obese individual looking for effective treatment.We analyzed the six most commonly used IGBs,namely the liquid-filled balloons Orbera,Spatz3,ReShape Duo and Elipse,and the gas-filled Heliosphere and Obalon-also including comments on the adjustable Spatz3,and the swallowable Obalon and Elipse-to optimize the choice for maximum efficacy and safety.

关 键 词：OBESITY Intragastric balloon Fluid-filled balloons Gas-filled balloons Swallowable balloons 

分 类 号：R589.2[医药卫生—内分泌]