作者: J. M. Culebras , G. Salgado , P. Villarreal , A. Valencia , B. Cobo
DOI: 10.3305/NUTR
关键词: Medicine 、 Sedation 、 Weight loss 、 Multidisciplinary team 、 Surgery 、 Physical exercise 、 Reflux 、 Major complication 、 Balloon 、 Young 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.