[病态肥胖的内镜和腹腔镜治疗——内镜胃内球囊置入术和腹腔镜可调节胃束带术]

[Endoscopic and laparoscopic treatments for morbid obesity--endoscopic intragastric balloon placement and laparoscopic adjustable gastric banding].

作者信息

Kai Seiichiro, Ohta Masayuki, Endo Yuichi, Eguchi Hidetoshi, Kitano Seigo

机构信息

Department of Surgery I, Oita University Faculty of Medicine.

出版信息

Nihon Rinsho. 2009 Feb;67(2):392-7.

PMID:19202917

Abstract

We have introduced intragastric balloon placement (IGB) and laparoscopic adjustable gastric banding (LAGB) into Japan since 2004. We performed IGB in 23 morbidly obese patients with 40 +/- 9 kg/m2 (BMI). When the balloon were removed after 5 months, the averaged weight loss and percent excess weight loss (%EWL) were 12 kg and 27%, respectively. Twenty-seven patients with 45 +/- 9 kg/m2 underwent LAGB in our institute, and after 12 and 24 months, the average weight loss were 25 kg and 35 kg, and %EWL were 40% and 54%. There was no serious complication after both the treatments. IGB and LAGB are safe and effective treatments for Japanease patients with morbid obesity.

摘要

自2004年以来，我们已将胃内球囊置入术（IGB）和腹腔镜可调节胃束带术（LAGB）引入日本。我们对23名病态肥胖患者进行了胃内球囊置入术，其体重指数（BMI）为40±9kg/m²。5个月后取出球囊时，平均体重减轻和超重体重减轻百分比（%EWL）分别为12kg和27%。我们机构对27名体重指数为45±9kg/m²的患者进行了腹腔镜可调节胃束带术，在12个月和24个月后，平均体重减轻分别为25kg和35kg，超重体重减轻百分比分别为40%和54%。两种治疗后均未出现严重并发症。胃内球囊置入术和腹腔镜可调节胃束带术对于日本病态肥胖患者是安全有效的治疗方法。