Intragastric Balloon as Bridging Therapy Prior to Bariatric Surgery for Patients with Severe Obesity (BMI ≥ 50 kg/m2): a Systematic Review and Meta-analysis

被引：18

作者：

Loo, Jing Hong ^{[1
]}

Lim, Yao Hui ^{[1
]}

Seah, Hwee Ling ^{[1
]}

Chong, Andrew Zhi Quan ^{[2
]}

Tay, Kon Voi ^{[2
,3
]}

机构：

[1] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[2] Tan Tock Seng Hosp, Dept Gen Surg, Singapore, Singapore

[3] Dept Gen Surg, Woodlands Hlth Campus, Singapore, Singapore

来源：

OBESITY SURGERY | 2022年 / 32卷 / 02期

关键词：

Intragastric balloon; Bariatric surgery; Bridging therapy; PREOPERATIVE WEIGHT-LOSS; LAPAROSCOPIC GASTRIC BYPASS; MORBID-OBESITY; SAFETY; EFFICACY; IMPACT; VOLUME; LIVER; DIET;

D O I：

10.1007/s11695-021-05772-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Bariatric surgery for patients with severe obesity (body mass index (BMI) > 50kg/m 2 ) is technically challenging. Intragastric balloon (IGB) has been proposed for weight loss before bariatric surgery to reduce surgical risks but its efficacy remains unclear. We conducted a systematic review and meta-analysis of the effectiveness of IGB as bridging therapy and assess potential complications. Amongst 2419 citations, 13 studies were included. IGB resulted in a BMI reduction of 6.60 kg/m(2) (MD=6.60, 95% CI: 5.06-8.15; I-2 =72%). The total post-procedural complication rate was 8.13% (95% CI: 4.04-13.17%), with majority being balloon intolerance. Overall, IGB is effective as a bridging therapy with adequate procedural safety profile, but further study is needed to evaluate the risk reduction for bariatric surgery and long-term weight-loss outcomes.

引用

页码：489 / 502

页数：14

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