Clinical Outcomes in Patients Undergoing Sequential Intragastric Balloon (IGB) Treatment for Super Obesity: A Single Centre Retrospective Analysis.

Felix Hammett, Mariam Asarbakhsh, Hussamudin Adwan, Arin Saha, Robert Adair, Mark Peter, Brian Dobbins, William Ainslie, Tamir Salih
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Abstract

Purpose: We aimed to assess outcomes in patients undergoing sequential intragastric balloon (IGB) treatment for obesity.

Materials and methods: Consecutive patients who underwent treatment between May 2014 and February 2023 were identified. We recorded outcomes including: weight at 3-monthly intervals, progression to definitive bariatric procedure and morbidity.

Results: Forty-five patients were identified. Median weight loss with first IGB was 15.2 kg (8.8%). 11 patients (26.7%) had a second IGB, with median weight loss of 3.3 kg (1.9%). Twenty-one patients (46.7%) were suitable for definitive surgery after first IGB treatment. One further patient (2.2%) was suitable for surgery after a second IGB. During first IGB, median weight loss was observed during the each of the first 3 quartiles (0-3 months: 10.1 kg; 3-6 months: 2.3 kg; 6-9 months: 4.2 kg). There was a median 2 kg weight gain during 9-12 months.

Conclusion: Greatest weight loss was achieved during first IGB treatment. Sequential IGB treatment did not lead to beneficial weight loss or progression to surgery. Weight loss with first IGB was not uniform across the 12-month period of treatment, with net weight gain during the last quartile.

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接受序贯胃内球囊(IGB)治疗重度肥胖患者的临床结果:单中心回顾性分析
目的:我们旨在评估接受序贯胃内球囊(IGB)治疗的肥胖患者的预后。材料和方法:选取2014年5月至2023年2月连续接受治疗的患者。我们记录的结果包括:每3个月的体重,进展到最终的减肥手术和发病率。结果:共发现45例患者。首次IGB患者的中位体重减轻为15.2 kg(8.8%)。11例患者(26.7%)发生第二次IGB,中位体重减轻3.3 kg(1.9%)。21例(46.7%)患者在首次IGB治疗后适合最终手术。另有1例患者(2.2%)在第二次IGB后适合手术。在第一次IGB期间,在前3个四分位数(0-3个月:10.1 kg;3-6个月:2.3公斤;6-9个月:4.2公斤)。在9-12个月期间,平均体重增加2公斤。结论:首次IGB治疗体重减轻效果最大。连续的IGB治疗没有导致有益的体重减轻或进展到手术。在12个月的治疗期间,首次IGB的体重减轻并不均匀,最后四分之一的净体重增加。
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