Effectiveness of Intra-Gastric Balloon as a Bridge to Definitive Surgery in the Super Obese

Obesity Surgery
William BallJames Rink

Abstract

British National guidelines (NICE) recommend bariatric surgery for patients with a body mass index (BMI) > 40 kg/m2, or BMI > 35 kg/m2 with any comorbidities of the metabolic syndrome. Intra-gastric balloons (IGB) can be used in super obese patients as a first step, before definitive surgery. Quantify weight loss 6 months after IGB placement, measure progression to definitive surgery and identify complications. Data collected retrospectively on 50 patients. Forty-six proposed for definitive bariatric surgery, four patients excluded. Analysis performed using SPSS v23.0. Median weight decreased from 165.5 to 155 kg (range 78 to 212, p < 0.01), BMI from 57.4 to 52.15 (range 32.9 to 70.5, p < 0.01), percentage excess weight loss (%EWL) was 12.9% (range - 3.3 to 64.66%, p < 0.01) and BMI reduction was 4.25 kg/m2 (range - 1.3 to 13.9, p < 0.01). Twenty-nine out of 46 patients (63%) progressed to definitive bariatric surgery. Ten out of 46 patients (21.7%) had complications requiring readmission. Seven of these patients required early balloon removal and six failed to progress to definitive surgery. Six patients had a second balloon placement, their actual weight loss was less successful, with some regaining weight. IGB is useful to a...Continue Reading

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Citations

Jun 18, 2020·Therapeutic Advances in Gastrointestinal Endoscopy·Beatrice OrlandiniGuido Costamagna
May 21, 2020·Current Obesity Reports·T WigginsS Agrawal
Aug 3, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Murat KanliozTurgay Karatas
Nov 19, 2020·Current Gastroenterology Reports·Jad FarhaDilhana Badurdeen
Nov 17, 2020·American Journal of Surgery·David LewAbdelkader Hawasli
Mar 22, 2021·The Surgical Clinics of North America·Michael J Klingler, Matthew Kroh

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