Weight regain after intragastric balloon for pre-surgical weight loss  

作　　者：Danielle Abbitt Kevin Choy Alexandra Kovar Teresa S Jones Krzysztof J Wikiel Edward L Jones 

机构地区：[1]Department of Surgery,University of Colorado,Aurora,CO 80045,United States [2]Department of Surgery,Rocky Mountain Regional Veteran Affairs Medical Center,Aurora,CO 80045,United States

出　　处：《World Journal of Gastrointestinal Surgery》2024年第7期2040-2046,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Over one-third of Americans carry the diagnosis of obesity,many also with obesity-related comorbidities.This can place patients at increased risk of operative and postoperative complications.The intragastric balloon has been shown to aid in minor weight loss,however its weight recidivism in patients requiring short interval weight loss has not been well studied.AIM To evaluate weight loss,ability to undergo successful elective surgery after intragastric balloon placement,and weight management after balloon removal.METHODS This study is a retrospective review of patients in a single academic institution undergoing intragastric balloon placement from 2019-2023 to aid in weight loss prior to undergoing elective surgery.Clinical outcomes including weight loss,duration of balloon placement,successful elective surgery,weight regain postballoon and post-procedure complications were assessed.Exclusion criteria included those with balloon in place at time of study.RESULTS Thirty-three patients completed intragastric balloon therapy from 2019-2023 as a bridge to elective surgery.All patients were required to participate in a 12-month weight management program to be eligible for balloon therapy.Elective surgeries included incisional hernia repair,umbilical hernia repair,inguinal hernia repair,and knee and hip replacements.The average age at placement was 53 years±11 years,majority(91%)were male.The average duration of intragastric balloon therapy was 186 days±41 days.The average weight loss was 14.0 kg±7.4 kg and with an average percent excess body weight loss of 30.0%(7.9%-73.6%).Over half of the patients(52.0%)achieved the goal of 30-50 lbs(14-22 kg)weight loss.Twenty-one patients(64%)underwent their intended elective surgery,2 patients(6%)deferred surgery due to symptom relief with weight loss alone.Twenty-one of the patients(64%)have documented weights in 3 months after balloon removal,in these patients the majority(76%)gained weight after balloon removed.In patients with weight regain at 3 months,they ave

关 键 词：Intragastric balloon Weight loss OBESITY BARIATRIC Body mass index 

分 类 号：R656.61[医药卫生—外科学]