Usefulness of an intra-gastric balloon before bariatric surgery
Introduction: There are only few reports regarding the use of intragastric-balloons (IGB®) to achieve weight loss and subsequently decrease surgical complications. In this study, we try to assess whether presurgery weight loss using IGB decreases the postsurgical mortality after bariatric surgery. M...
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Aran Ediciones
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| Series: | Revista Espanola de Enfermedades Digestivas |
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| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000400004&lng=en&tlng=en |
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| author | Cristina Vicente Luis R. Rábago Alejandro Ortega Marisa Arias Jaime Vázquez-Echarri |
| author_facet | Cristina Vicente Luis R. Rábago Alejandro Ortega Marisa Arias Jaime Vázquez-Echarri |
| author_sort | Cristina Vicente |
| collection | DOAJ |
| description | Introduction: There are only few reports regarding the use of intragastric-balloons (IGB®) to achieve weight loss and subsequently decrease surgical complications. In this study, we try to assess whether presurgery weight loss using IGB decreases the postsurgical mortality after bariatric surgery. Material and methods: This is a prospective case-control study. We matched 1:1 by gender, age (± 10 y-o) and type of surgery (sleeve resection [LSG] or gastric bypass [LGBP]), matching cases (A) and controls (H, from a historic cohort). Morbidly obese patients with an indication for bariatric surgery were included in the study. Cases (A) were recruited from an ongoing clinical trial, and the controls (H) came from a historic cohort prior to the start of the clinic trial. The presurgical weight loss in group A was reached by IGB combined with diet, versus only diet in group H. Results: We included 58 patients, 65.5% women, 69% LGBP/31% LSG. The mean age of group A was 42 and 43.4 years old for group H. ASA III of 24.1% group A vs 58.6% group H, p = 0.012. The mean total weight loss (TWL) before surgery was greater in group A (16.2 kg, SD 9.75) than in group H (1.2 kg, SD 6.4), p < 0.0001. The % of EWL before surgery was 23.5 (SD 11.6) in group A vs 2.4 (SD 8) in group H, p < 0.001. Hospital stay was seven days for group A, and eight days for group H, p = 0.285. The rate of unsuccessful IGB treatment to accomplish the scheduled weight loss was 34.5%. The balloon morbidity was 17.2% (6.9% severe). All in all, morbidity (due to bariatric surgery and IGB) was 41% in both groups. Postsurgical morbidity moderate-severe was 20.3% in group A (6.9% severe) and 27.3% in group H (17.2% severe) without statistical significance. One patient died in group H (mortality rate, 3.44%). Conclusion: Preoperative IGB treatment in morbid obesity has not been found to be effective at decreasing postsurgical morbidity LSG and LGBP, despite the fact that it acheives a greater weight loss than diet and exercise. |
| first_indexed | 2024-12-21T20:50:26Z |
| format | Article |
| id | doaj.art-ed4707853ed14134aa1cf015a63f502a |
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| language | English |
| last_indexed | 2024-12-21T20:50:26Z |
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| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-ed4707853ed14134aa1cf015a63f502a2022-12-21T18:50:44ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-0108109425626410.17235/reed.2017.4624/2016S1130-01082017000400004Usefulness of an intra-gastric balloon before bariatric surgeryCristina Vicente0Luis R. Rábago1Alejandro Ortega2Marisa Arias3Jaime Vázquez-Echarri4Hospital Severo OchoaHospital Severo OchoaHospital Severo OchoaHospital Severo OchoaHospital Severo OchoaIntroduction: There are only few reports regarding the use of intragastric-balloons (IGB®) to achieve weight loss and subsequently decrease surgical complications. In this study, we try to assess whether presurgery weight loss using IGB decreases the postsurgical mortality after bariatric surgery. Material and methods: This is a prospective case-control study. We matched 1:1 by gender, age (± 10 y-o) and type of surgery (sleeve resection [LSG] or gastric bypass [LGBP]), matching cases (A) and controls (H, from a historic cohort). Morbidly obese patients with an indication for bariatric surgery were included in the study. Cases (A) were recruited from an ongoing clinical trial, and the controls (H) came from a historic cohort prior to the start of the clinic trial. The presurgical weight loss in group A was reached by IGB combined with diet, versus only diet in group H. Results: We included 58 patients, 65.5% women, 69% LGBP/31% LSG. The mean age of group A was 42 and 43.4 years old for group H. ASA III of 24.1% group A vs 58.6% group H, p = 0.012. The mean total weight loss (TWL) before surgery was greater in group A (16.2 kg, SD 9.75) than in group H (1.2 kg, SD 6.4), p < 0.0001. The % of EWL before surgery was 23.5 (SD 11.6) in group A vs 2.4 (SD 8) in group H, p < 0.001. Hospital stay was seven days for group A, and eight days for group H, p = 0.285. The rate of unsuccessful IGB treatment to accomplish the scheduled weight loss was 34.5%. The balloon morbidity was 17.2% (6.9% severe). All in all, morbidity (due to bariatric surgery and IGB) was 41% in both groups. Postsurgical morbidity moderate-severe was 20.3% in group A (6.9% severe) and 27.3% in group H (17.2% severe) without statistical significance. One patient died in group H (mortality rate, 3.44%). Conclusion: Preoperative IGB treatment in morbid obesity has not been found to be effective at decreasing postsurgical morbidity LSG and LGBP, despite the fact that it acheives a greater weight loss than diet and exercise.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000400004&lng=en&tlng=enBariatric surgeryPreoperative intragastric balloonPostsurgical complicationsPreoperative weight loss |
| spellingShingle | Cristina Vicente Luis R. Rábago Alejandro Ortega Marisa Arias Jaime Vázquez-Echarri Usefulness of an intra-gastric balloon before bariatric surgery Revista Espanola de Enfermedades Digestivas Bariatric surgery Preoperative intragastric balloon Postsurgical complications Preoperative weight loss |
| title | Usefulness of an intra-gastric balloon before bariatric surgery |
| title_full | Usefulness of an intra-gastric balloon before bariatric surgery |
| title_fullStr | Usefulness of an intra-gastric balloon before bariatric surgery |
| title_full_unstemmed | Usefulness of an intra-gastric balloon before bariatric surgery |
| title_short | Usefulness of an intra-gastric balloon before bariatric surgery |
| title_sort | usefulness of an intra gastric balloon before bariatric surgery |
| topic | Bariatric surgery Preoperative intragastric balloon Postsurgical complications Preoperative weight loss |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000400004&lng=en&tlng=en |
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