Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis
The present review sought to evaluate by meta-analysis the efficacy of bariatric arterial embolization (BAE) in promoting weight loss in patients with body mass index (BMI) ranging from 25-40 kg/m2 . This study was performed and reported according to Preferred Reporting Items for Systematic reviews...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2023-12-01
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| Series: | Journal of Cardiovascular and Thoracic Research |
| Subjects: | |
| Online Access: | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-196.pdf |
| _version_ | 1797327245003456512 |
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| author | Rishabh Khurana Niraj Nirmal Pandey Sanjeev Kumar Priya Jagia |
| author_facet | Rishabh Khurana Niraj Nirmal Pandey Sanjeev Kumar Priya Jagia |
| author_sort | Rishabh Khurana |
| collection | DOAJ |
| description | The present review sought to evaluate by meta-analysis the efficacy of bariatric arterial embolization (BAE) in promoting weight loss in patients with body mass index (BMI) ranging from 25-40 kg/m2 . This study was performed and reported according to Preferred Reporting Items for Systematic reviews and Meta-analysis guidelines. A systematic literature search of MEDLINE, Embase Google Scholar, and World Health Organization Library database was done for studies evaluating BAE for promoting weight loss in patients with BMI ranging from 25-40 kg/ m2 published up to March 10, 2021. Primary outcome measure included weight loss after the embolisation procedure. Three single-arm studies comprising of a total of 28 patients (BMI: 25- 40 kg/m2 ) were found eligible for meta-analysis. All patients underwent embolization with either Embosphere microspheres or PVA particles. The predominant artery embolised was left gastric artery (in all patients). Additional arteries embolised included gastroepiploic artery (8 patients), or accessory left gastric artery (1 patient), or short gastric artery (1 patient). Pooled absolute mean weight loss was 7.854 kg (95% CI: 6.103-9.605). No significant statistical heterogeneity was detected (I2=51.75%, P=0.126) among pooled studies. In conclusion, limited single-arm studies report BAE as an effective, and relatively safe procedure for promoting weight loss in patients with BMI ranging from 25-40 kg/m2 , although the number of patients included is very small. Initial results of BAE in promoting weight loss are promising with no major/severe complications reported; however, long term follow-up is required to see the sustainability of the effects. |
| first_indexed | 2024-03-08T06:35:32Z |
| format | Article |
| id | doaj.art-9784cf0d09e248feb163fc3d5afe183e |
| institution | Directory Open Access Journal |
| issn | 2008-5117 2008-6830 |
| language | English |
| last_indexed | 2024-03-08T06:35:32Z |
| publishDate | 2023-12-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Cardiovascular and Thoracic Research |
| spelling | doaj.art-9784cf0d09e248feb163fc3d5afe183e2024-02-03T10:27:19ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302023-12-0115419620310.34172/jcvtr.2023.32900jcvtr-32900Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysisRishabh Khurana0Niraj Nirmal Pandey1Sanjeev Kumar2Priya Jagia3Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, IndiaThe present review sought to evaluate by meta-analysis the efficacy of bariatric arterial embolization (BAE) in promoting weight loss in patients with body mass index (BMI) ranging from 25-40 kg/m2 . This study was performed and reported according to Preferred Reporting Items for Systematic reviews and Meta-analysis guidelines. A systematic literature search of MEDLINE, Embase Google Scholar, and World Health Organization Library database was done for studies evaluating BAE for promoting weight loss in patients with BMI ranging from 25-40 kg/ m2 published up to March 10, 2021. Primary outcome measure included weight loss after the embolisation procedure. Three single-arm studies comprising of a total of 28 patients (BMI: 25- 40 kg/m2 ) were found eligible for meta-analysis. All patients underwent embolization with either Embosphere microspheres or PVA particles. The predominant artery embolised was left gastric artery (in all patients). Additional arteries embolised included gastroepiploic artery (8 patients), or accessory left gastric artery (1 patient), or short gastric artery (1 patient). Pooled absolute mean weight loss was 7.854 kg (95% CI: 6.103-9.605). No significant statistical heterogeneity was detected (I2=51.75%, P=0.126) among pooled studies. In conclusion, limited single-arm studies report BAE as an effective, and relatively safe procedure for promoting weight loss in patients with BMI ranging from 25-40 kg/m2 , although the number of patients included is very small. Initial results of BAE in promoting weight loss are promising with no major/severe complications reported; however, long term follow-up is required to see the sustainability of the effects.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-196.pdfbariatricsweight lossbody mass index |
| spellingShingle | Rishabh Khurana Niraj Nirmal Pandey Sanjeev Kumar Priya Jagia Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis Journal of Cardiovascular and Thoracic Research bariatrics weight loss body mass index |
| title | Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis |
| title_full | Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis |
| title_fullStr | Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis |
| title_full_unstemmed | Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis |
| title_short | Bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg/m2 : A systematic review & meta-analysis |
| title_sort | bariatric arterial embolization in patients with body mass index ranging from 25 to 40 kg m2 a systematic review meta analysis |
| topic | bariatrics weight loss body mass index |
| url | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-15-196.pdf |
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