Intragastric balloon and multidisciplinary team

作者: J. M. Culebras , G. Salgado , P. Villarreal , A. Valencia , B. Cobo

DOI: 10.3305/NUTR

关键词: MedicineSedationWeight lossMultidisciplinary teamSurgeryPhysical exerciseRefluxMajor complicationBalloonYoung adult

摘要: Background: The intragastric balloon is widely used for weight reduction in obese patients, but results are variable. We describe our enhancing the importance of a Multidisciplinary Team (MT) taking part treatment. Methods: A retrospective review was done concerning total 119 balloons , placed 116 under endoscopic control and conscious sedation, from May 2001 until August 2006. 49 patients were prepared recommended to be followed by MT physical unit, at least every 15 days during 6 months. 67 indicated other colleagues, without MT. Removal performed months later. Results: Concerning mean age 38, 1 years, 31 female 18 males, with BMI ranged between 32 63, average 42. decrease excess 31, 85% (-4, 45-80, 4%), diminished 5,3 points (from 13,6 gain 0,9). treatment failed 34,6 % —including 4 lost follow-up (8, 16%)—, compared 53, 8% structured selection follow-up. Physical exercise enhanced markedly 45, loss women 39, 7% 14, 15, 6% who didn’t follow program. mostly fat mass, 89,9% men 75,6% women.The maintenance obtained 40% one year There no major complications; had removed 3 weeks because intolerance, another 5 gastroesophageal reflux. Conclusions: BIB an effective help achieve short term patients; nevertheless, good long lasting will depend on modification life style multidisciplinary approach.

参考文章(16)
A. Genco, T. Bruni, S. B. Doldi, P. Forestieri, M. Marino, L. Busetto, C. Giardiello, L. Angrisani, L. Pecchioli, P. Stornelli, F. Puglisi, M. Alkilani, A. Nigri, N. Di Lorenzo, F. Furbetta, A. Cascardo, M. Cipriano, M. Lorenzo, N. Basso, BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients Obesity Surgery. ,vol. 15, pp. 1161- 1164 ,(2005) , 10.1381/0960892055002202
José A. Sallet, João B. Marchesini, Dyker S. Paiva, Keila Komoto, Carlos E. Pizani, Maurélio L.B. Ribeiro, Pablo Miguel, Álvaro M. Ferraz, Paulo C. Sallet, Brazilian Multicenter Study of the Intragastric Balloon Obesity Surgery. ,vol. 14, pp. 991- 998 ,(2004) , 10.1381/0960892041719671
E. ETotté, L. Hendrickx, M. Pauwels, R. Van Hee, Weight Reduction by Means of Intragastric Device: Experience with the Bioenterics Intragastric Balloon Obesity Surgery. ,vol. 11, pp. 519- 523 ,(2001) , 10.1381/096089201321209459
Allan Geliebter, Sami A. Hashim, Gastric capacity in normal, obese, and bulimic women Physiology & Behavior. ,vol. 74, pp. 743- 746 ,(2001) , 10.1016/S0031-9384(01)00619-9
Barbara Metcalf, Robert A. Rabkin, John M. Rabkin, Laura J. Metcalf, Lee B. Lehman-Becker, Weight loss composition: the effects of exercise following obesity surgery as measured by bioelectrical impedance analysis. Obesity Surgery. ,vol. 15, pp. 183- 186 ,(2005) , 10.1381/0960892053268381
Harry J. M. Lemmens, Jay B. Brodsky, Donald P. Bernstein, Estimating Ideal Body Weight – A New Formula Obesity Surgery. ,vol. 15, pp. 1082- 1083 ,(2005) , 10.1381/0960892054621350
Fernando Carrasco, Karin Papapietro, Attila Csendes, Gabriela Salazar, Constanza Echenique, Cecilia Lisboa, Emma Díaz, Jorge Rojas, Changes in Resting Energy Expenditure and Body Composition after Weight Loss following Roux-en-Y Gastric Bypass Obesity Surgery. ,vol. 17, pp. 608- 616 ,(2007) , 10.1007/S11695-007-9117-Z
S. B. Doldi, G. Micheletto, M. N. Perrini, M. C. Librenti, S. Rella, Treatment of Morbid Obesity with Intragastric Balloon in Association with Diet Obesity Surgery. ,vol. 12, pp. 583- 587 ,(2002) , 10.1381/096089202762252398
J. Herve, C. H. Wahlen, A. Schaeken, B. Dallemagne, J. M. Dewandre, S. Markiewicz, B. Monami, J. Weerts, C. Jehaes, What becomes of patients one year after the intragastric balloon has been removed Obesity Surgery. ,vol. 15, pp. 864- 870 ,(2005) , 10.1381/0960892054222894
Sabine Roman, Bertrand Napoléon, François Mion, Roger-Michel Bory, Philippe Guyot, Hervé D'Orazio, Salomon Benchetrit, Intragastric balloon for "non-morbid" obesity: a retrospective evaluation of tolerance and efficacy. Obesity Surgery. ,vol. 14, pp. 539- 544 ,(2004) , 10.1381/096089204323013587