Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study
Aim To compare the efficacy of laparoscopic sleeve gastrectomy (LSG) and BioEnterics intragastric balloon (BIB ® ) to lose weight and comorbidities after 12 months of follow-up before a more invasive bariatric procedure. Methods From January 2004 to December 2006, 40 patients underwent laparoscopic...
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| Veröffentlicht in: | Surgical endoscopy 2009-08, Vol.23 (8), p.1849-1853 |
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| creator | Genco, Alfredo Cipriano, Massimiliano Materia, Alberto Bacci, Vincenzo Maselli, Roberta Musmeci, Luca Lorenzo, Michele Basso, Nicola |
| description | Aim
To compare the efficacy of laparoscopic sleeve gastrectomy (LSG) and BioEnterics intragastric balloon (BIB
®
) to lose weight and comorbidities after 12 months of follow-up before a more invasive bariatric procedure.
Methods
From January 2004 to December 2006, 40 patients underwent laparoscopic sleeve gastrectomy (LSG) as a first step in biliopancreatic diversion with duodenal switch. Controls (
n
= 80) were selected based on charts of patients who, during the same period, underwent BioEnterics intragastric balloon therapy. In both groups we considered: length of procedure, hospital stay, intraoperative or endoscopic complications, postoperative or postendoscopic complications, comorbidities at baseline, after 6 months (time of BIB removal), and after 12 months from baseline, and weight loss parameters [weight in kg, percentage excess weight less (%EWL), body mass index (BMI), and percentage excess BMI loss (%EBL)]. Results are expressed as mean ± standard deviation.
Results
Mortality, intra- and postoperative complications (in LSG group), and intra- and postendoscopic complications (in BIB group) were absent. Mean operative time in the LSG group was 120 ± 40 (range 60–200) min. Mean positioning time for BIB was 15 ± 5 (range 10–25) min. BMI at baseline was 54.1 ± 2.9 (range 45.1–55.9) kg/m
2
and 54.8 ± 2.5 (range 45.1–56.2) kg/m
2
in BIB and LSG groups, respectively. At 6-month follow-up, mean BMI was 46.2 ± 3.5 and 45.3 ± 5.5 kg/m
2
in the BIB and LSG patients, respectively [
p
= not significant (ns)]. After 12 months BIB patients regained BMI, even if strictly followed with a diet regimen, while LSG patients continued to lose weight. Significant differences between groups were absent for the comorbidities considered.
Conclusions
Laparoscopic sleeve gastrectomy and BioEnterics intragastric balloon are two valid options for producing weight loss as a first-step procedure. LSG has all the related risks of general anesthesia, laparoscopic surgery, and digestive anastomosis, whereas BIB presents a very low rate of minor complications, such as psychological intolerance. For all these reasons, at this time, BIB is considered a better option than LSG as a first-step procedure in the short term (12 months). |
| doi_str_mv | 10.1007/s00464-008-0285-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67492122</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67492122</sourcerecordid><originalsourceid>FETCH-LOGICAL-c399t-ba6d585f2134c78a40bc55cbf84d1761a587c5e37a2c39c12e7704cf57d78bd53</originalsourceid><addsrcrecordid>eNp1kFFr2zAQx0VZadJuH6AvwwzaN7WSLFlS30pot0GgFLpncZbl4uBYmc4O5NtXWUILhT0d3P3uf8ePkEvObjhj-hYZk5WkjBnKhFFUnJA5l6WgQnDzhcyZLRkV2soZOUdcsYxbrs7IjFteWS3VnDwvYQMpoo-bzhfYh7ANxSvgmIIf43pXbEPCCYtuGBP862eshr6PcbgroPCAgfqYp7EvcJya3Vdy2kKP4duxXpA_jw8vi190-fTz9-J-SX1p7UhrqBplVCt4Kb02IFntlfJ1a2TDdcVBGe1VKDWIvOC5CFoz6VulG23qRpUX5PqQu0nx7xRwdOsOfeh7GEKc0FVaWsGFyOCPT-AqTmnIvznBrZQV02WG-AHyWQam0LpN6taQdo4zt5ftDrJdlu32st0--PsxeKrXofnYONrNwNURAPTQtwkG3-E7J7i2xpT74-LAYR4NryF9fPj_628JFJcR</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219446073</pqid></control><display><type>article</type><title>Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Genco, Alfredo ; Cipriano, Massimiliano ; Materia, Alberto ; Bacci, Vincenzo ; Maselli, Roberta ; Musmeci, Luca ; Lorenzo, Michele ; Basso, Nicola</creator><creatorcontrib>Genco, Alfredo ; Cipriano, Massimiliano ; Materia, Alberto ; Bacci, Vincenzo ; Maselli, Roberta ; Musmeci, Luca ; Lorenzo, Michele ; Basso, Nicola</creatorcontrib><description>Aim
To compare the efficacy of laparoscopic sleeve gastrectomy (LSG) and BioEnterics intragastric balloon (BIB
®
) to lose weight and comorbidities after 12 months of follow-up before a more invasive bariatric procedure.
Methods
From January 2004 to December 2006, 40 patients underwent laparoscopic sleeve gastrectomy (LSG) as a first step in biliopancreatic diversion with duodenal switch. Controls (
n
= 80) were selected based on charts of patients who, during the same period, underwent BioEnterics intragastric balloon therapy. In both groups we considered: length of procedure, hospital stay, intraoperative or endoscopic complications, postoperative or postendoscopic complications, comorbidities at baseline, after 6 months (time of BIB removal), and after 12 months from baseline, and weight loss parameters [weight in kg, percentage excess weight less (%EWL), body mass index (BMI), and percentage excess BMI loss (%EBL)]. Results are expressed as mean ± standard deviation.
Results
Mortality, intra- and postoperative complications (in LSG group), and intra- and postendoscopic complications (in BIB group) were absent. Mean operative time in the LSG group was 120 ± 40 (range 60–200) min. Mean positioning time for BIB was 15 ± 5 (range 10–25) min. BMI at baseline was 54.1 ± 2.9 (range 45.1–55.9) kg/m
2
and 54.8 ± 2.5 (range 45.1–56.2) kg/m
2
in BIB and LSG groups, respectively. At 6-month follow-up, mean BMI was 46.2 ± 3.5 and 45.3 ± 5.5 kg/m
2
in the BIB and LSG patients, respectively [
p
= not significant (ns)]. After 12 months BIB patients regained BMI, even if strictly followed with a diet regimen, while LSG patients continued to lose weight. Significant differences between groups were absent for the comorbidities considered.
Conclusions
Laparoscopic sleeve gastrectomy and BioEnterics intragastric balloon are two valid options for producing weight loss as a first-step procedure. LSG has all the related risks of general anesthesia, laparoscopic surgery, and digestive anastomosis, whereas BIB presents a very low rate of minor complications, such as psychological intolerance. For all these reasons, at this time, BIB is considered a better option than LSG as a first-step procedure in the short term (12 months).</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-008-0285-2</identifier><identifier>PMID: 19169745</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Bariatric Surgery ; Biological and medical sciences ; Body Mass Index ; Case-Control Studies ; Combined Modality Therapy ; Comorbidity ; Digestive system. Abdomen ; Endoscopy ; Female ; Gastrectomy - methods ; Gastric Balloon ; Gastroenterology ; General aspects ; Gynecology ; Hepatology ; Humans ; Intraoperative Complications - epidemiology ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity - diet therapy ; Obesity - surgery ; Obesity - therapy ; Patient Acceptance of Health Care ; Postoperative Complications - epidemiology ; Preoperative Care - methods ; Proctology ; Recurrence ; Stomach, duodenum, intestine, rectum, anus ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Treatment Outcome ; Weight Loss</subject><ispartof>Surgical endoscopy, 2009-08, Vol.23 (8), p.1849-1853</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-ba6d585f2134c78a40bc55cbf84d1761a587c5e37a2c39c12e7704cf57d78bd53</citedby><cites>FETCH-LOGICAL-c399t-ba6d585f2134c78a40bc55cbf84d1761a587c5e37a2c39c12e7704cf57d78bd53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-008-0285-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-008-0285-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21798833$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19169745$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Genco, Alfredo</creatorcontrib><creatorcontrib>Cipriano, Massimiliano</creatorcontrib><creatorcontrib>Materia, Alberto</creatorcontrib><creatorcontrib>Bacci, Vincenzo</creatorcontrib><creatorcontrib>Maselli, Roberta</creatorcontrib><creatorcontrib>Musmeci, Luca</creatorcontrib><creatorcontrib>Lorenzo, Michele</creatorcontrib><creatorcontrib>Basso, Nicola</creatorcontrib><title>Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Aim
To compare the efficacy of laparoscopic sleeve gastrectomy (LSG) and BioEnterics intragastric balloon (BIB
®
) to lose weight and comorbidities after 12 months of follow-up before a more invasive bariatric procedure.
Methods
From January 2004 to December 2006, 40 patients underwent laparoscopic sleeve gastrectomy (LSG) as a first step in biliopancreatic diversion with duodenal switch. Controls (
n
= 80) were selected based on charts of patients who, during the same period, underwent BioEnterics intragastric balloon therapy. In both groups we considered: length of procedure, hospital stay, intraoperative or endoscopic complications, postoperative or postendoscopic complications, comorbidities at baseline, after 6 months (time of BIB removal), and after 12 months from baseline, and weight loss parameters [weight in kg, percentage excess weight less (%EWL), body mass index (BMI), and percentage excess BMI loss (%EBL)]. Results are expressed as mean ± standard deviation.
Results
Mortality, intra- and postoperative complications (in LSG group), and intra- and postendoscopic complications (in BIB group) were absent. Mean operative time in the LSG group was 120 ± 40 (range 60–200) min. Mean positioning time for BIB was 15 ± 5 (range 10–25) min. BMI at baseline was 54.1 ± 2.9 (range 45.1–55.9) kg/m
2
and 54.8 ± 2.5 (range 45.1–56.2) kg/m
2
in BIB and LSG groups, respectively. At 6-month follow-up, mean BMI was 46.2 ± 3.5 and 45.3 ± 5.5 kg/m
2
in the BIB and LSG patients, respectively [
p
= not significant (ns)]. After 12 months BIB patients regained BMI, even if strictly followed with a diet regimen, while LSG patients continued to lose weight. Significant differences between groups were absent for the comorbidities considered.
Conclusions
Laparoscopic sleeve gastrectomy and BioEnterics intragastric balloon are two valid options for producing weight loss as a first-step procedure. LSG has all the related risks of general anesthesia, laparoscopic surgery, and digestive anastomosis, whereas BIB presents a very low rate of minor complications, such as psychological intolerance. For all these reasons, at this time, BIB is considered a better option than LSG as a first-step procedure in the short term (12 months).</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Combined Modality Therapy</subject><subject>Comorbidity</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastric Balloon</subject><subject>Gastroenterology</subject><subject>General aspects</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity - diet therapy</subject><subject>Obesity - surgery</subject><subject>Obesity - therapy</subject><subject>Patient Acceptance of Health Care</subject><subject>Postoperative Complications - epidemiology</subject><subject>Preoperative Care - methods</subject><subject>Proctology</subject><subject>Recurrence</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kFFr2zAQx0VZadJuH6AvwwzaN7WSLFlS30pot0GgFLpncZbl4uBYmc4O5NtXWUILhT0d3P3uf8ePkEvObjhj-hYZk5WkjBnKhFFUnJA5l6WgQnDzhcyZLRkV2soZOUdcsYxbrs7IjFteWS3VnDwvYQMpoo-bzhfYh7ANxSvgmIIf43pXbEPCCYtuGBP862eshr6PcbgroPCAgfqYp7EvcJya3Vdy2kKP4duxXpA_jw8vi190-fTz9-J-SX1p7UhrqBplVCt4Kb02IFntlfJ1a2TDdcVBGe1VKDWIvOC5CFoz6VulG23qRpUX5PqQu0nx7xRwdOsOfeh7GEKc0FVaWsGFyOCPT-AqTmnIvznBrZQV02WG-AHyWQam0LpN6taQdo4zt5ftDrJdlu32st0--PsxeKrXofnYONrNwNURAPTQtwkG3-E7J7i2xpT74-LAYR4NryF9fPj_628JFJcR</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Genco, Alfredo</creator><creator>Cipriano, Massimiliano</creator><creator>Materia, Alberto</creator><creator>Bacci, Vincenzo</creator><creator>Maselli, Roberta</creator><creator>Musmeci, Luca</creator><creator>Lorenzo, Michele</creator><creator>Basso, Nicola</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study</title><author>Genco, Alfredo ; Cipriano, Massimiliano ; Materia, Alberto ; Bacci, Vincenzo ; Maselli, Roberta ; Musmeci, Luca ; Lorenzo, Michele ; Basso, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-ba6d585f2134c78a40bc55cbf84d1761a587c5e37a2c39c12e7704cf57d78bd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Combined Modality Therapy</topic><topic>Comorbidity</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastric Balloon</topic><topic>Gastroenterology</topic><topic>General aspects</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity - diet therapy</topic><topic>Obesity - surgery</topic><topic>Obesity - therapy</topic><topic>Patient Acceptance of Health Care</topic><topic>Postoperative Complications - epidemiology</topic><topic>Preoperative Care - methods</topic><topic>Proctology</topic><topic>Recurrence</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Genco, Alfredo</creatorcontrib><creatorcontrib>Cipriano, Massimiliano</creatorcontrib><creatorcontrib>Materia, Alberto</creatorcontrib><creatorcontrib>Bacci, Vincenzo</creatorcontrib><creatorcontrib>Maselli, Roberta</creatorcontrib><creatorcontrib>Musmeci, Luca</creatorcontrib><creatorcontrib>Lorenzo, Michele</creatorcontrib><creatorcontrib>Basso, Nicola</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Genco, Alfredo</au><au>Cipriano, Massimiliano</au><au>Materia, Alberto</au><au>Bacci, Vincenzo</au><au>Maselli, Roberta</au><au>Musmeci, Luca</au><au>Lorenzo, Michele</au><au>Basso, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>23</volume><issue>8</issue><spage>1849</spage><epage>1853</epage><pages>1849-1853</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Aim
To compare the efficacy of laparoscopic sleeve gastrectomy (LSG) and BioEnterics intragastric balloon (BIB
®
) to lose weight and comorbidities after 12 months of follow-up before a more invasive bariatric procedure.
Methods
From January 2004 to December 2006, 40 patients underwent laparoscopic sleeve gastrectomy (LSG) as a first step in biliopancreatic diversion with duodenal switch. Controls (
n
= 80) were selected based on charts of patients who, during the same period, underwent BioEnterics intragastric balloon therapy. In both groups we considered: length of procedure, hospital stay, intraoperative or endoscopic complications, postoperative or postendoscopic complications, comorbidities at baseline, after 6 months (time of BIB removal), and after 12 months from baseline, and weight loss parameters [weight in kg, percentage excess weight less (%EWL), body mass index (BMI), and percentage excess BMI loss (%EBL)]. Results are expressed as mean ± standard deviation.
Results
Mortality, intra- and postoperative complications (in LSG group), and intra- and postendoscopic complications (in BIB group) were absent. Mean operative time in the LSG group was 120 ± 40 (range 60–200) min. Mean positioning time for BIB was 15 ± 5 (range 10–25) min. BMI at baseline was 54.1 ± 2.9 (range 45.1–55.9) kg/m
2
and 54.8 ± 2.5 (range 45.1–56.2) kg/m
2
in BIB and LSG groups, respectively. At 6-month follow-up, mean BMI was 46.2 ± 3.5 and 45.3 ± 5.5 kg/m
2
in the BIB and LSG patients, respectively [
p
= not significant (ns)]. After 12 months BIB patients regained BMI, even if strictly followed with a diet regimen, while LSG patients continued to lose weight. Significant differences between groups were absent for the comorbidities considered.
Conclusions
Laparoscopic sleeve gastrectomy and BioEnterics intragastric balloon are two valid options for producing weight loss as a first-step procedure. LSG has all the related risks of general anesthesia, laparoscopic surgery, and digestive anastomosis, whereas BIB presents a very low rate of minor complications, such as psychological intolerance. For all these reasons, at this time, BIB is considered a better option than LSG as a first-step procedure in the short term (12 months).</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19169745</pmid><doi>10.1007/s00464-008-0285-2</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Surgical endoscopy, 2009-08, Vol.23 (8), p.1849-1853 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67492122 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Abdominal Surgery Adult Bariatric Surgery Biological and medical sciences Body Mass Index Case-Control Studies Combined Modality Therapy Comorbidity Digestive system. Abdomen Endoscopy Female Gastrectomy - methods Gastric Balloon Gastroenterology General aspects Gynecology Hepatology Humans Intraoperative Complications - epidemiology Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Medicine Medicine & Public Health Middle Aged Obesity - diet therapy Obesity - surgery Obesity - therapy Patient Acceptance of Health Care Postoperative Complications - epidemiology Preoperative Care - methods Proctology Recurrence Stomach, duodenum, intestine, rectum, anus Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Treatment Outcome Weight Loss |
| title | Laparoscopic sleeve gastrectomy versus intragastric balloon: a case-control study |
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