Preoperative intragastric balloon in morbid obesity is unable to decrease early postoperative morbidity of bariatric surgery (sleeve gastrectomy and gastric bypass): a clinical assay
Autor: | Javier Ramiro Martin, Norberto Herrera Merino, Cristina Vicente Martin, Raquel Barba Martin, Luis R. Rabago Torre, Miguel Perez Ferrer, Jaime Vazquez-Echarri, Maria Dolores Martin Rios, David Collado Pacheco, Luis Alonso Castillo Herrera, Marisa Arias Rivero |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Sleeve gastrectomy medicine.medical_treatment Gastric Bypass Bariatric Surgery Balloon 03 medical and health sciences Postoperative Complications 0302 clinical medicine Gastrectomy Weight loss Internal medicine Preoperative Care Weight Loss medicine Humans Postoperative Period Prospective Studies Adverse effect Gastric Balloon business.industry Length of Stay Middle Aged Hepatology Obesity Morbid Surgery Treatment Outcome 030220 oncology & carcinogenesis Number needed to treat Female 030211 gastroenterology & hepatology Morbidity medicine.symptom business Abdominal surgery |
Zdroj: | Surgical Endoscopy. 34:2519-2531 |
ISSN: | 1432-2218 0930-2794 |
DOI: | 10.1007/s00464-019-07061-w |
Popis: | There are few studies that investigate the usefulness of the preoperative intragastric balloon (IGB). This study will evaluate if pre-surgical weight loss with IGB reduces morbidity and mortality after surgery. Prospective randomised study of patients with morbid obesity treated with gastric bypass or vertical gastrectomy, with two arms: the balloon arm (B-arm), where an IGB was inserted within the 6 months before surgery, and the control arm (C-arm). The study included 66 patients: 65.6% women, 69.6% with bypass. Age: 43 years (SD 10.2) B-arm and 42.6 years (SD 9.2) in the C-arm. We found 34.4% therapeutic failures in IGB. The mean body weight loss, %EWL and BMI reduction before surgery was 16.2 kg (SD 9.84) B-arm versus 4.7 (SD 8.70) in the C-arm, 23.6% versus 4.7% (p |
Databáze: | OpenAIRE |
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