Effect of Weight Loss Induced by Intragastric Balloon Therapy on Cardiac Function in Morbidly Obese Individuals: A Pilot Study


Koc F., Kayaoglu H. A., Celik A., Altunkas F., Karayakali M., Ozbek K., ...Daha Fazla

MEDICAL PRINCIPLES AND PRACTICE, cilt.24, sa.5, ss.432-435, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 5
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1159/000431177
  • Dergi Adı: MEDICAL PRINCIPLES AND PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.432-435
  • Anahtar Kelimeler: Obesity, Intragastric balloon therapy, Echocardiography, Tissue Doppler, MYOCARDIAL PERFORMANCE INDEX, ECHOCARDIOGRAPHIC-ASSESSMENT, DIASTOLIC FUNCTIONS, POPULATION
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Objective: The aim of the study was to investigate the effect of intragastric balloon therapy on left ventricular function and left ventricular mass in a cohort of morbidly obese patients. Subjects and Methods: A prospective trial was performed in a cohort of 17 class II and class III morbidly obese individuals. The intragastric balloon was retained in the stomach for an average of 6 months. Conventional and tissue Doppler echocardiography were performed in all patients before and after the procedure. Results: The mean age of the study participants was 36 +/- 10 years (range: 18-55). The mean body mass index was significantly decreased following the intragastric balloon insertion procedure (44 +/- 8 vs. 38 +/- 5, p < 0.001). The left ventricular mass index and left atrial volume index were significantly decreased following the procedure (112 +/- 21 vs. 93 +/- 17, p = 0.001 and 20 +/- 6 vs. 14 +/- 5, p = 0.02, respectfully). In addition, the ratio of mitral peak early diastolic velocity to tissue Doppler-derived peak diastolic velocity and tissue Doppler echocardiography-derived left ventricular myocardial performance index were decreased significantly following the procedure (9.5 +/- 1.9 vs. 7.7 +/- 1.5, p = 0.002 and 0.57 +/- 0.11 vs. 0.46 +/- 0.06, p = 0.001, respectively). Conclusions: Intragastric balloon therapy resulted in significant weight reduction in morbidly obese patients. This weight reduction was associated with improved left ventricular function. (C) 2015 S. Karger AG, Basel