Effects of the Intragastric Balloon MedSil® on Weight Loss, Fat Tissue, Lipid Metabolism, and Hormones Involved in Energy Balance

被引:35
作者
Buzga, Marek [1 ]
Machytka, Evzen [2 ]
Klvana, Pavel [2 ]
Kupka, Tomas [2 ]
Zavadilova, Vladislava [1 ]
Zonca, Pavel [3 ]
Svagera, Zdenek [4 ]
机构
[1] Univ Ostrava, Dept Physiol & Pathophysiol, Fac Med, Ostrava 70300, Czech Republic
[2] Univ Ostrava, Dept Clin Studies, Fac Med, Ostrava 70300, Czech Republic
[3] Univ Ostrava, Dept Surg Studies, Fac Med, Ostrava 70300, Czech Republic
[4] Univ Ostrava, Dept Biomed Sci, Fac Med, Ostrava 70300, Czech Republic
关键词
Intragastric balloon; Leptin; Ghrelin; FGF21; Lipid metabolism; Fat tissue; Weight loss; PLASMA GHRELIN LEVELS; SERUM CONCENTRATIONS; LEPTIN; OBESITY; TERM; REDUCTION; FGF-21; LIVER; DIET;
D O I
10.1007/s11695-014-1191-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
The prevalence of obesity continues to increase worldwide. Because obesity is associated with a number health-related problems as well as a shortened life span, treating obesity is an important clinical concern. Although various treatments are currently available, many are not efficacious in the long term. Therefore, additional medical treatment options for morbidly obese individuals must be explored. In this study, we examined the effects of the intragastric balloon MedSilA (R) on anthropometric measures and hormones associated with lipid and energy metabolism. Twenty-two obese patients underwent insertion of the intragastric balloon MedSilA (R) following a clinical exam, body composition scan, and collection of blood samples. Six months following implantation of the balloon, additional anthropometric and serological measures were taken. Six months following insertion of the MedSilA (R) balloon, we observed significant decreases in body weight, body mass index, and fat mass. Compared with baseline levels, ghrelin serum levels were increased significantly, while leptin, FGF21, and glycated hemoglobin levels significantly decreased, 6 months after balloon insertion. The MedSilA (R) intragastric balloon is a safe and effective treatment for morbid obesity, with positive effects on anthropometric measures and lipid metabolism.
引用
收藏
页码:909 / 915
页数:7
相关论文
共 40 条
[1]   Cost-effectiveness and budget impact of obesity surgery in patients with type-2 diabetes in three European countries [J].
Ackroyd, Roger ;
Mouiel, Jean ;
Chevallier, Jean-Marc ;
Daoud, Frederic .
OBESITY SURGERY, 2006, 16 (11) :1488-1503
[2]   What are the long-term benefits of weight reducing diets in adults? A systematic review of randomized controlled trials [J].
Avenell, A ;
Brown, TJ ;
McGee, MA ;
Campbell, MK ;
Grant, AM ;
Broom, J ;
Jung, RT ;
Smith, WCS .
JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2004, 17 (04) :317-335
[3]   CNS leptin and insulin action in the control of energy homeostasis [J].
Belgardt, Bengt F. ;
Bruening, Jens C. .
YEAR IN DIABETES AND OBESITY, 2010, 1212 :97-113
[4]   Improvement of Metabolic Syndrome Following Intragastric Balloon: 1 Year Follow-up Analysis [J].
Crea, Nicola ;
Pata, Giacomo ;
Della Casa, Domenico ;
Minelli, Luigi ;
Maifredi, Giovanni ;
Di Betta, Ernesto ;
Mittempergher, Francesco .
OBESITY SURGERY, 2009, 19 (08) :1084-1088
[5]   A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans [J].
Cummings, DE ;
Purnell, JQ ;
Frayo, RS ;
Schmidova, K ;
Wisse, BE ;
Weigle, DS .
DIABETES, 2001, 50 (08) :1714-1719
[6]   Changes in Body Composition, Cardiovascular Disease Risk Factors, and Eating Behavior after an Intensive Lifestyle Intervention with High Volume of Physical Activity in Severely Obese Subjects: A Prospective Clinical Controlled Trial [J].
Danielsen, Kjersti Karoline ;
Svendsen, Mette ;
Mhlum, Sverre ;
Sundgot-Borgen, Jorunn .
JOURNAL OF OBESITY, 2013, 2013
[7]   Intragastric balloon for weight loss: results in 100 individuals followed for at least 2.5 years [J].
Dastis, S. Negrin ;
Francois, E. ;
Deviere, J. ;
Hittelet, A. ;
Mehdi, A. Ilah ;
Barea, M. ;
Dumonceau, J. -M. .
ENDOSCOPY, 2009, 41 (07) :575-580
[8]   Five Percent Weight Lost in the First Month of Intragastric Balloon Treatment May Be a Predictor for Long-Term Weight Maintenance [J].
Dogan, Umit Bilge ;
Gumurdulu, Yuksel ;
Akin, Mustafa Salih ;
Yalaki, Serkan .
OBESITY SURGERY, 2013, 23 (07) :892-896
[9]   Evidence-based Review of the Bioenterics Intragastric Balloon for Weight Loss [J].
Dumonceau, Jean-Marc .
OBESITY SURGERY, 2008, 18 (12) :1611-1617
[10]   Intragastric balloon in the treatment of patients with morbid obesity [J].
Evans, JD ;
Scott, MH .
BRITISH JOURNAL OF SURGERY, 2001, 88 (09) :1245-1248