Comparison of Surgical Outcomes between a 12-Month Adjustable Intragastric Balloon Placement versus Laparoscopic Sleeve Gastrectomy in Class I-II Obesity: A Retrospective Study
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2022, Vol 66, Issue 1
Abstract
Objective: To compare weight loss between intragastric balloon (IGB) and laparoscopic sleeve gastrectomy (LSG) in patients with class I-II obesity. Materials and Methods: The authors retrospectively reviewed data of obese patients with a body mass index (BMI) of 30-40 kg/m2 whounderwent LSG or IGB in Vajira hospital from January 2012 to December 2017. The primary outcome was percent excess weight loss (%EWL), and secondary outcomes were improvement in co-morbidities, rate of complications, and changes in quality of life at 12 months after procedures. Results: Sixteen patients who underwent either LSG (n = 9) or IGB (n = 7) were enrolled. There were no significant differences in baseline characteristics except co-morbidity status. The median (interquartile range) %EWL following LSG and IGB placement was 67.8 (61.3, 81) and 20.5 (2.5, 34), respectively, at 12 months (p-value = 0.001). Most co-morbidities were improved or resolved after LSG, but none of them was improved after IGB placement. Complications and quality of life were not significantly different following either intervention. Conclusion: Results suggest that LSG may be more suitable than IGB placement for patients with class I–II obesity in terms of both weight loss.
Authors and Affiliations
Issaree Laopeamthong Vasin Jearapongpakorn Wisit Kasetsermwiriya Suphakarn Techapongsatorn Amarit Tansawet
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