Intragastric balloon (IGB) placement under endoscopy is a non-invasive method for weight loss.By placing a space-occupying balloon in the stomach, IGB treatment can achieve better effect of weight loss than medications.Herein we review the development of IGB, its effect on weight loss and the mechanism, and the eligible individuals for IGB treatment.We also examine the high-intensity postoperative management following IGB placement, which is important for maintaining long-term weight loss, and discuss the future development of IGB.The patients should understand that on the basis of ensuring a high safety, the weight-losing effect of IGB can be limited and relies heavily on postoperative management.Patients should make a decision on IGB placement after careful consideration of their own physical, economic, and psychological conditions, lifestyle and the line of work in addition to the indications of IGB.IGB placement combined with high-intensity postoperative management and active interventions of lifestyle and dietary habits help to achieve long-term effect of weight loss and improve obesity-related complications.
肥胖是一种全球性的慢性疾病, 严重影响着肥胖个体的身心健康, 给家庭和社会带来沉重的负担。减重手段从传统内科→内镜→外科手术呈梯次发展, 不同人群根据自身需求可以选择不同的减重方式。胃内水球(IGB)是一种内镜下无创的减肥方法, 通过在胃内放置占位性球囊, 实现优于药物治疗的减重效果。本文简述了IGB的发展史, 综述其减重效果及机制, 探讨了适用人群, 强调了IGB联合高强度的术后管理对维持长期减重的重要性以及未来发展趋势, 旨在引导患者理性认识:IGB较高的安全性、减重效果的有限性和对术后管理的依赖性。患者可以根据身体状况、经济条件、心理状态及生活工作性质结合IGB的适应证进行合理选择。在IGB放置后结合高强度的术后管理, 积极干预患者的生活方式和饮食习惯, 才有可能实现长期减重及改善肥胖相关伴发病。
Keywords: intragastric balloon; obesity; weight loss methods.