Acute complications following endoscopic intragastric balloon insertion for treatment of morbid obesity in elderly patients. A single center experience
| Autor: | Velotti, Nunzio, Bianco, Paolo, Bocchetti, Alessio, Milone, Marco, Manzolillo, Domenico, Maietta, Paola, Amato, Maurizio, Buonomo, Oreste, Petrella, Giuseppe, Musella, Mario |
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| Přispěvatelé: | Velotti, Nunzio, Bianco, Paolo, Bocchetti, Alessio, Milone, Marco, Manzolillo, Domenico, Maietta, Paola, Amato, Maurizio, Buonomo, Oreste, Petrella, Giuseppe, Musella, Mario |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Perforation (oil well) Balloon Single Center 03 medical and health sciences Postoperative Complications 0302 clinical medicine Weight loss Gastroscopy medicine Humans Aged Gastric Balloon Retrospective Studies business.industry Incidence (epidemiology) Age Factors Middle Aged medicine.disease Obesity Obesity Morbid Surgery 030220 oncology & carcinogenesis Acute Disease Female 030211 gastroenterology & hepatology medicine.symptom business Esophagitis Body mass index |
| Zdroj: | Minerva Chirurgica. 75 |
| ISSN: | 1827-1626 0026-4733 |
| DOI: | 10.23736/s0026-4733.18.07712-x |
| Popis: | BACKGROUND Obesity is a serious disease, with an increasing incidence also among subjects over 60 years old; surgical management has proven to be the most effective in the production of significant and durable weight loss. Intragastric balloon (IGB) treatment promotes a reduction of five to nine Body Mass Index (BMI) units in 6 months with an impressive improvement of obesity-associated comorbidities. METHODS Two hundred and twenty-five patients, 106 men (47.1%) and 119 women (52.9%), were evaluated at our institution to be submitted to a IGB positioning. Of these, 12 patients (8 women and 4 men) were more than 60 years old. For all patients BMI, comorbidities, weight loss and complications were recorded. χ2 test was used to evaluate differences in complications rate between elderly and other patients. RESULTS For the 12 elderly patients, we recorded a mean excess weight loss rate (EWL%) of 31.4. About complications, we recorded 2 severe esophagitis requiring IGB removal and 1 late gastric perforation. A higher complications rate was found in elderly population and the comparison with other patients revealed a significant difference (P |
| Databáze: | OpenAIRE |
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