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胃内球囊治疗肥胖的真实世界经验:来自 FDA 制造商和用户设施设备不良事件数据库(MAUDE)的见解。

Real-World Experience of Intragastric Balloons for Obesity: Insights from the FDA Manufacturer and User Facility Device Experience (MAUDE) Database.

机构信息

Department of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA.

Department of Medical Sciences, Section of Gastroenterology, University of Foggia, 71122, Foggia, Italy.

出版信息

Obes Surg. 2021 Jul;31(7):3360-3364. doi: 10.1007/s11695-021-05324-x. Epub 2021 Mar 9.

Abstract

Intragastric balloons have been used to bridge the obesity treatment gap. We aim to investigate the number and type of complications associated with intragastric balloons using public-access governmental databanks. We analyzed post-marketing surveillance data from the FDA Manufacturer and User Facility Device Experience (MAUDE) database from Jan 2017 through Nov 2020. During the study period, approximately 773 cases with 830 device issues and 1134 patient complications were identified. Most balloon complications were due to leaks (33.4%). The most reported adverse events were vomiting (26.6%), abdominal pain (25.3%), and nausea (15.8%). Findings from the MAUDE database highlight patient and device adverse outcomes that should be addressed to improve clinical success.

摘要

胃内球囊已被用于弥合肥胖治疗缺口。我们旨在通过公共获取的政府数据库调查与胃内球囊相关的并发症的数量和类型。我们分析了 2017 年 1 月至 2020 年 11 月期间 FDA 制造商和用户设施设备体验(MAUDE)数据库的上市后监测数据。在研究期间,大约有 773 例患者发生了 830 例设备问题和 1134 例患者并发症。大多数球囊并发症是由于泄漏(33.4%)引起的。报告最多的不良事件是呕吐(26.6%)、腹痛(25.3%)和恶心(15.8%)。MAUDE 数据库的结果强调了应解决的患者和设备不良后果,以提高临床成功率。

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