Factors Affecting Weight Reduction after Intragastric Balloon Insertion: A Retrospective Study.

Autor: Bawahab MA; Surgery Department, Faculty of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia., Abbas KS; Surgery Department, Faculty of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia., Maksoud WMAE; Surgery Department, Faculty of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia., Abdelgadir RS; General Surgery, Abha International Private Hospital, Abha 62521, Saudi Arabia., Altumairi K; Abha International Private Hospital, Abha 62521, Saudi Arabia., Alqahtani AR; Surgery Department, Faculty of Medicine, King Saud University, Riyadh 11461, Saudi Arabia., Alzahrani HA; Surgery Department, Faculty of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia., Bhat MJ; Anesthesia, Surgery Department, Faculty of Medicine, King Khalid University, Abha 61421, Saudi Arabia.
Jazyk: angličtina
Zdroj: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 Feb 17; Vol. 11 (4). Date of Electronic Publication: 2023 Feb 17.
DOI: 10.3390/healthcare11040600
Abstrakt: Background and Objectives: Intragastric balloon (IGB) is a safe option for obesity management. However, studies determining the factors influencing the procedure's outcomes are scarce. Therefore, our goal was to determine the factors affecting weight reduction after IGB insertion.
Materials and Methods: This retrospective study included 126 obese patients who underwent IGB treatment using the ORBERA ® Intragastric Balloon System. Patients' records were retrieved; and demographic data, initial body mass index (BMI), complications, compliance with both diet and exercise programs, and percentage of excess weight reduction were recorded.
Results: The study included 108 female (85.7%) and 18 male (14.3%) patients. The mean age was 31.7 ± 8.1 years. The percentage of excess weight loss (EWL) was 55.8 ± 35.7%. The mean weight loss was 13.01 ± 7.51 kg. A significant association was found between EWL and age, initial weight, initial body mass index, and the number of pregnancies. No major complications were observed. However, the balloon had to be removed early in two patients (1.59%) due to its rupture and in two other patients (1.59%) due to severe gastritis.
Conclusions: IGB therapy is a safe and effective option for obesity management, associated with low rates of complications. The EWL after IGB insertion is significantly higher among older patients, those with a relatively low initial body mass index, those with a longer duration of IGB insertion, and female patients with less parity. Larger prospective studies are needed to support our results.
Databáze: MEDLINE