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胃内气球MedSil对体重减轻、脂肪组织、脂质代谢以及能量平衡相关激素的影响。

Effects of the intragastric balloon MedSil on weight loss, fat tissue, lipid metabolism, and hormones involved in energy balance.

作者信息

Bužga Marek, Evžen Machytka, Pavel Klvaňa, Tomáš Kupka, Vladislava Zavadilová, Pavel Zonča, Svagera Zdeněk

机构信息

Department of Physiology and Pathophysiology, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava, 703 00, Czech Republic,

出版信息

Obes Surg. 2014 Jun;24(6):909-15. doi: 10.1007/s11695-014-1191-4.

Abstract

BACKGROUND

The prevalence of obesity continues to increase worldwide. Because obesity is associated with a number health-related problems as well as a shortened life span, treating obesity is an important clinical concern. Although various treatments are currently available, many are not efficacious in the long term. Therefore, additional medical treatment options for morbidly obese individuals must be explored. In this study, we examined the effects of the intragastric balloon MedSil on anthropometric measures and hormones associated with lipid and energy metabolism.

METHODS

Twenty-two obese patients underwent insertion of the intragastric balloon MedSil following a clinical exam, body composition scan, and collection of blood samples. Six months following implantation of the balloon, additional anthropometric and serological measures were taken.

RESULTS

Six months following insertion of the MedSil balloon, we observed significant decreases in body weight, body mass index, and fat mass. Compared with baseline levels, ghrelin serum levels were increased significantly, while leptin, FGF21, and glycated hemoglobin levels significantly decreased, 6 months after balloon insertion.

CONCLUSIONS

The MedSil intragastric balloon is a safe and effective treatment for morbid obesity, with positive effects on anthropometric measures and lipid metabolism.

摘要

背景

肥胖症在全球范围内的患病率持续上升。由于肥胖与许多健康相关问题以及寿命缩短有关,治疗肥胖是一个重要的临床关注点。尽管目前有多种治疗方法,但许多方法从长期来看并不有效。因此,必须探索针对病态肥胖个体的其他医学治疗选择。在本研究中,我们研究了胃内气球MedSil对人体测量指标以及与脂质和能量代谢相关的激素的影响。

方法

22名肥胖患者在进行临床检查、身体成分扫描和采集血样后,接受了胃内气球MedSil的植入。气球植入6个月后,进行了额外的人体测量和血清学检测。

结果

MedSil气球植入6个月后,我们观察到体重、体重指数和脂肪量显著下降。与基线水平相比,气球插入6个月后,胃饥饿素血清水平显著升高,而瘦素、成纤维细胞生长因子21和糖化血红蛋白水平显著下降。

结论

MedSil胃内气球是一种治疗病态肥胖的安全有效的方法,对人体测量指标和脂质代谢有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d1d/4022986/cd75c4c36386/11695_2014_1191_Fig1_HTML.jpg

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