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胃内球囊治疗的疗效:移除后6个月的结果及患者满意度

Efficacy of Intragastric Balloon Treatment: Outcomes and Patient Satisfaction 6 Months After Removal.

作者信息

Berhuni Mehmet Sait, Elkan Hasan, Yüksekyayla Baran, Kaplan Vedat

机构信息

Faculty of Medicine, Department of General Surgery, Harran University, Sanliurfa 63200, Türkiye.

出版信息

Medicina (Kaunas). 2025 Mar 28;61(4):616. doi: 10.3390/medicina61040616.

DOI:10.3390/medicina61040616
PMID:40282907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12029056/
Abstract

: This study aimed to investigate the weight loss, changes in eating habits, and satisfaction with the intragastric balloon (IGB) procedure in patients undergoing treatment for obesity, with follow-up until 6 months after IGB removal. : This study included patients who underwent the IGB procedure between January 2020 and September 2024 at our clinic and were followed-up for 6 months after IGB removal. Patient records were retrieved from the endoscopy database. Parameters before IGB and during IGB removal were obtained from these records. Upon obtaining verbal consent from patients contacted via their registered phone numbers, their self-reported weights 6 months after IGB removal were recorded, and their body mass index (BMI) was calculated. During the same interview, patients were asked about their eating habits before IGB and 6 months after IGB removal, as well as their satisfaction with the procedure, based on questionnaires used in previous studies. The data collected included patients' age, sex, weight, BMI, percentages of weight and BMI loss at IGB removal and 6 months after IGB removal, duration of IGB placement, maximum weight lost during IGB placement, time to achieve maximum weight lost, changes in eating habits, and satisfaction levels. : The mean age of the 62 patients who were included in this study was 33.24 ± 8.71 years, with 37 (59.67%) women and 25 (40.32%) men. The mean weight of the patients before IGB was 91.58 ± 7.04 kg, and the mean BMI was 32.00 ± 4.25 kg/m. The mean duration of IGB placement was 5.83 ± 0.41 months, with a mean maximum weight loss of 14.22 ± 4.70 kg and a mean time to achieve weight loss of 3.91 ± 0.91 months. There was a statistically significant difference between the weight before the IGB and the weight at IGB removal ( < 0.001). A significant difference was also noted in the weight before the IGB and 6 months after IGB removal ( < 0.001). The comparison of satisfaction levels showed no statistically significant difference in eating habits before the IGB ( = 0.384), whereas a significant difference was found in eating habits 6 months after IGB removal ( < 0.001). The weight loss differences between the satisfied and dissatisfied patients were significant at IGB removal and 6 months after, although no statistical difference was found in the pre-IGB weights between the satisfied and dissatisfied patients ( < 0.001). : Patients undergoing the IGB procedure for obesity should correct their poor eating habits to maintain successful mid-term weight loss results.

摘要

本研究旨在调查肥胖症治疗患者的体重减轻情况、饮食习惯变化以及对胃内球囊(IGB)手术的满意度,并随访至IGB取出后6个月。本研究纳入了2020年1月至2024年9月在我们诊所接受IGB手术并在IGB取出后随访6个月的患者。从内镜数据库中检索患者记录。从这些记录中获取IGB放置前和IGB取出期间的参数。在通过患者注册电话号码获得口头同意后,记录他们在IGB取出后6个月的自我报告体重,并计算他们的体重指数(BMI)。在同一次访谈中,根据先前研究中使用的问卷,询问患者IGB放置前和IGB取出后6个月的饮食习惯,以及他们对该手术的满意度。收集的数据包括患者的年龄、性别、体重、BMI、IGB取出时和IGB取出后6个月的体重和BMI下降百分比、IGB放置持续时间、IGB放置期间的最大体重减轻、达到最大体重减轻的时间、饮食习惯变化和满意度水平。本研究纳入的62例患者的平均年龄为33.24±8.71岁,其中女性有(37例,59.67%),男性有25例(40.32%)。IGB放置前患者的平均体重为91.58±7.04kg,平均BMI为32.00±4.25kg/m²。IGB放置的平均持续时间为5.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/8ae2a4ce4951/medicina-61-00616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/2739ebaf864d/medicina-61-00616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/ec12ff2e2545/medicina-61-00616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/8ae2a4ce4951/medicina-61-00616-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/2739ebaf864d/medicina-61-00616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/ec12ff2e2545/medicina-61-00616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/12029056/8ae2a4ce4951/medicina-61-00616-g003.jpg

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本文引用的文献

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Lifestyle Therapy for Obesity.生活方式治疗肥胖症。
Gastrointest Endosc Clin N Am. 2024 Oct;34(4):577-589. doi: 10.1016/j.giec.2024.03.003. Epub 2024 Apr 24.
2
Endoscopic treatment of obesity: A protocol of updated systematic review with network meta-analysis of randomized controlled trials.内镜治疗肥胖症:一项更新的系统评价和随机对照试验网络荟萃分析方案。
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Dietary and Lifestyle Strategies for Obesity.肥胖的饮食和生活方式策略。
Nutrients. 2024 Aug 15;16(16):2714. doi: 10.3390/nu16162714.
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Weight regain after intragastric balloon for pre-surgical weight loss.用于术前减重的胃内球囊置入后体重反弹。
World J Gastrointest Surg. 2024 Jul 27;16(7):2040-2046. doi: 10.4240/wjgs.v16.i7.2040.
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Intragastric Balloon as a First Step Before Metabolic Bariatric Surgery in Patients with BMI ≥ 50 kg/m: are the Results After Balloon Related to Global Outcomes After Surgery?胃内球囊作为 BMI≥50kg/m2 的患者代谢减重手术前的第一步:球囊后的结果是否与手术后的总体结果相关?
Obes Surg. 2024 Sep;34(9):3195-3202. doi: 10.1007/s11695-024-07418-8. Epub 2024 Jul 23.
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Recent advances in bariatric surgery: a narrative review of weight loss procedures.减肥手术的最新进展:减肥手术的叙述性综述
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Is time of eating associated with BMI and obesity? A population-based study.进食时间与 BMI 和肥胖有关吗?一项基于人群的研究。
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The Swallowable Intragastric Balloon Combined with Lifestyle Coaching: Short-Term Results of a Safe and Effective Weight Loss Treatment for People Living with Overweight and Obesity.可吞咽胃内球囊联合生活方式指导:超重和肥胖人群安全有效的减肥治疗的短期结果。
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