Kral J G
Division of Surgical Metabolism, St. Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons of Columbia University, New York, New York.
Gastroenterology. 1988 Jul;95(1):213-5. doi: 10.1016/0016-5085(88)90315-0.
Intragastric balloons have been suggested as a treatment for severe obesity, a degree of obesity associated with a relatively greater eating disorder or lack of control of energy balance. The premises that 250-500-ml balloons are able to simulate "satiety" in a 1700-ml stomach sufficiently to cause weight loss, that the stomach will not stretch to accommodate such a besoar (with or without ulcerating), and that behavioral modification is cost-effective in weight control in this population have not been corroborated. Experience from gastric restrictive surgery has demonstrated the conceptual failure of gastric satiety as a means of achieving and sustaining weight loss in a substantial percentage of morbidly obese patients. Other methods are needed to reduce the increased morbidity and mortality of severe obesity.
胃内气球已被提议作为治疗重度肥胖的一种方法，重度肥胖是一种与相对更严重的饮食失调或能量平衡控制不佳相关的肥胖程度。250 - 500毫升的气球能够在1700毫升的胃中充分模拟“饱腹感”以导致体重减轻、胃不会伸展以容纳这样一个异物（无论有无溃疡）以及行为改变在该人群的体重控制中具有成本效益等前提均未得到证实。胃限制性手术的经验表明，在相当比例的病态肥胖患者中，胃饱腹感作为实现和维持体重减轻的一种手段在概念上是失败的。需要其他方法来降低重度肥胖增加的发病率和死亡率。
