Sciumè Carmelo, Geraci Girolamo, Pisello Franco, Arnone Enrico, Mortillaro Mariangela, Modica Giuseppe
Unità Operativa Semplice di Endoscopia Chirurgica, Università degli Studi di Palermo.
Ann Ital Chir. 2009 Mar-Apr;80(2):113-7.
Obesity leads to serious health consequences, therefore many strategies are recommended for preventing or curing this emerging problem. Treatments are various: diet, physical activity, psychotherapy, drugs and bariatric surgery. In order to try to improve the tolerance of intragastric balloons, a new device inflated with air to improve weight loss was developed in 2004 (Heliosphere BAG). We report our personal experience about this tool.
Between January 2005 and December 2007, in our unit, 50 intragastric air filled insertion were performed under analgosedation and endoscopic control. The balloon was removed (24 hours) in two patients (4%) for acute intolerance. In other 2 patients (4%) the balloon was easily removed after 5 months because of premature desuflation, radiologically confirmed. The remnant 46 balloons were removed after six months. We evaluated efficacy, tolerance and the safety of this procedure.
Forty one women and 9 men, with a mean age of 38.1 years (range 18-62), mean basal BMI of 39.8 (range 28-64) were included, after providing informed consent. Weight and BMI loss were evaluated on all patients. BMI decreased 5.9%, weight loss was 16.8 kg. Tolerance was very good, limited only to some dispeptic symptoms during the first 2 days after insertion. No serious technical problems were noted at balloon insertion. Balloon removal was very simple after correct desuflation after the conclusion of learning curve (10 procedures).
The aim to treat obesity before bariatric surgery is based on reduction of bariatric surgical risks, general surgical risks and the prevalence of cardiovascular diseases, diabetes, musculoskeletal disorders and some cancers.
The intragastric air filled balloon showed an acceptable profile of efficacy, good tolerance and improvement of comorbidities after 6 months.
肥胖会导致严重的健康后果，因此推荐了许多预防或治疗这一新兴问题的策略。治疗方法多种多样：饮食、体育活动、心理治疗、药物和减肥手术。为了提高胃内球囊的耐受性，2004年研发了一种充入空气以促进体重减轻的新装置（太阳神球囊）。我们报告我们使用该工具的个人经验。
2005年1月至2007年12月期间，在我们科室，50例胃内充气置入术在镇痛镇静和内镜控制下进行。2例患者（4%）因急性不耐受在（24小时）后取出球囊。另外2例患者（4%）在5个月后因过早放气（经放射学证实）而轻松取出球囊。其余46个球囊在6个月后取出。我们评估了该手术的疗效、耐受性和安全性。
在获得知情同意后，纳入了41名女性和9名男性，平均年龄38.1岁（范围18 - 62岁），平均基础体重指数为39.8（范围28 - 64）。对所有患者评估体重和体重指数的下降情况。体重指数下降了5.9%，体重减轻了16.8千克。耐受性非常好，仅在置入后的头2天出现一些消化不良症状。球囊置入时未发现严重技术问题。在学习曲线（10例手术）完成后正确放气后，球囊取出非常简单。
在减肥手术前治疗肥胖的目的是基于降低减肥手术风险、普通外科手术风险以及心血管疾病、糖尿病、肌肉骨骼疾病和某些癌症的患病率。
胃内充气球囊在6个月后显示出可接受的疗效、良好的耐受性并改善了合并症。
