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Efficacy of Intragastric Balloon Treatment for Adolescent Obesity.
Fittipaldi-Fernandez, Ricardo José; Guedes, Marcella Rodrigues; Galvao Neto, Manoel P; Klein, Márcia Regina Simas Torres; Diestel, Cristina Fajardo.
Afiliação
  • Fittipaldi-Fernandez RJ; EndogastroRio Clinic, 43/1101, Siqueira Campos Street, Rio de Janeiro/RJ, 22031-901, Brazil. ricfittipaldi@hotmail.com.
  • Guedes MR; EndogastroRio Clinic, 43/1101, Siqueira Campos Street, Rio de Janeiro/RJ, 22031-901, Brazil.
  • Galvao Neto MP; Gastro Obeso Center, Sao Paulo, Brazil.
  • Klein MRST; Florida International University, Miami, FL, USA.
  • Diestel CF; Department of Applied Nutrition, Nutition Institute, Rio de Janeiro State University, 12th floor/524, São Francisco Xavier Street, Rio de Janeiro/RJ, 20550-900, Brazil.
Obes Surg ; 27(10): 2546-2551, 2017 10.
Article em En | MEDLINE | ID: mdl-28451930
BACKGROUND: Several studies conducted in adults suggest that intragastric balloon (IGB) is an effective and safe method for weight loss. Although the prevalence of obesity in adolescents has increased in recent years, the outcomes of IGB treatment in this age group are not known. The aim of this study was to evaluate the safety and efficacy of IGB treatment for weight loss in adolescents followed up for 6 months. METHODS: This is a retrospective longitudinal study including 27 adolescents (14-19 years; 23 female). All participants were referred to IGB treatment by their attending physician, presented body mass index (BMI) ≥ 29 kg/m2 (>p97 BMI/age index) and failed to lose weight in clinical treatments. A liquid-filled nonadjustable IGB with a volume of 600 to 700 ml was used for 6 months. All patients were included in a multidisciplinary program, and adherence to this program was evaluated as the number of attended appointments. RESULTS: There were no serious complications or deaths. The BMI decreased from 37.04 to 31.18 kg/m2 (p < 0.0001), body weight decreased from 102.21 to 86.23 kg (p < 0.0001), and excess weight diminished from 35.18 to 19.12 kg (p < 0.0001). The % excess weight loss (%EWL) was 56.19 and % total weight loss (%TWL) 16.35. Adherence to the multidisciplinary program correlated directly with %EWL (r = 0.55; p = 0.0033) and %TWL (r = 0.53; p = 0.0052). CONCLUSION: Endoscopic treatment of obesity with an IGB is safe, effective, and may be an emerging therapeutic option for adolescents.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Balão Gástrico / Obesidade Infantil / Intubação Gastrointestinal Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Balão Gástrico / Obesidade Infantil / Intubação Gastrointestinal Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos