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- Title
Impact of Intragastric Balloon Before Laparoscopic Gastric Bypass on Patients with Super Obesity: a Randomized Multicenter Study.
- Authors
Coffin, B.; Maunoury, V.; Pattou, F.; Hébuterne, X.; Schneider, S.; Coupaye, M.; Ledoux, S.; Iglicki, F.; Mion, F.; Robert, M.; Disse, E.; Escourrou, J.; Tuyeras, G.; Le Roux, Y.; Arvieux, C.; Pouderoux, P.; Huten, N.; Alfaiate, T.; Hajage, D.; Msika, S.
- Abstract
Background: Super obese patients are recommended to lose weight before bariatric surgery. The effect of intragastric balloon (IGB)-induced weight loss before laparoscopic gastric bypass (LGBP) has not been reported. The aim of this prospective randomized multicenter study was to compare the impact of preoperative 6-month IGB with standard medical care (SMC) in LGBP patients. Methods: Patients with BMI >45 kg/m selected for LGBP were included and randomized to receive either SMC or IGB. After 6 months (M6), the IGB was removed and LGBP was performed in both groups. Postoperative follow-up period was 6 months (M12). The primary endpoint was the proportion of patients requiring ICU stay >24 h; secondary criteria were weight changes, operative time, hospitalization stay, and perioperative complications. Results: Only 115 patients were included (BMI 54.3 ± 8.7 kg/m), of which 55 underwent IGB insertion. The proportion of patients who stayed in ICU >24 h was similar in both groups ( P = 0.87). At M6, weight loss was significantly greater in the IGB group than in the SMC group ( P < 0.0001). Three severe complications occurred during IGB removal. Mean operative time for LGBP was similar in both groups ( P = 0.49). Five patients had 1 or more surgical complications, all in the IGB group ( P = 0.02). Both groups had similar hospitalization stay ( P = 0.59) and weight loss at M12 ( P = 0.31). Conclusion: IGB insertion before LGBP induced weight loss but did not improve the perioperative outcomes or affect postoperative weight loss.
- Subjects
BARIATRIC surgery; WEIGHT loss; GASTRIC banding; PREOPERATIVE care; HOSPITAL care
- Publication
Obesity Surgery, 2017, Vol 27, Issue 4, p902
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-016-2383-x