Comparison of the Results of Intragastric Gastric Balloon Application Versus Sleeve Gastrectomy on the Quality of Life in Patients Who Were Diagnosed as Asthma

Öz

Aim: We have aimed to compare the postoperative outcomes of asthmatic patients who have underwent laparoscopic sleeve gastrectomy (LSG) versus intragastric balloon(IGB) application.
Materials and Methods: Total of asthmatic 84 patients who have underwent LSG versus IGB due to morbid obesity between March 2019 and February 2021 in the tertiary surgery department have retrospectively analyzed. Demographic findings, global symptom scores, and length of the stay in hospital of patients were evaluated. The patients in present resarch have similar in terms of BMI, age, and gender. Statistically significant results were accepted as p<0.05.
Results: The mean age of the patients participating in the study were 42.32±6.51 (range 28–54), mean BMI were 42.3±6.7 kg/m² (range 41–52). There were no major complications and mortality were observed in patients. Age and gender were defined as independent risk factors by multivariant logistic regression analysis, Age, p:0.054, (OR (95%CI): 2.017), BMI, p:0.067. (OR (95%CI): 1.379), Gender was determined as p:0.110 (OR (95%CI): 0.928.
Conclusion: We have concluded that although the morbidity of sleeve gastrectomy is higher than the gastric balloon application process, LSG provides more improvement in quality of life than IGB process.

Anahtar Kelimeler

• sleeve gastrectomy
• gastric balloon
• score

Kaynakça

1. 1. Obezite Tanı ve Tedavi Kılavuzu. Ankara:Türkiye Endokrinoloji ve Metabolizma Derneği Yayınları. ISBN: 978-605-4011-31-5 8. Baskı: Nisan 2019
2. 2. Beuther DA, Sutherland ER. Overweight, obesity and incident asthma: A meta-analysis of prospective epidemiologicstudies. Am J Respir Crit Care Med. 2007;175:661-6.
3. 3. Contreras ZA, Chen Z, Roumeliotaki T, et al. Does early onsetasthma increase childhood obesity risk? A pooled analysis of European cohorts. Eur Respir J. 2018;52:1800504.
4. 4. Akinbami LJ, Fryar CD. Current Asthma prevalence by weight status among adults: united states, 2001-2014. NCHS Data Brief. 2016;1-8.
5. 5. Lang JE, Bunnell HT, Hossain MJ, et al. Being overweightor obese and the development of asthma. Pediatrics. 2018;142:e20182119.
6. 6. Koebnick C, Fischer H, Daley MF, et al. Interacting effects of obesity, race, ethnicity and sex on the incidence and control of adultonset asthma. Allergy Asthma Clin Immunol. 2016;12:50.
7. 7. Kahrilas PJ, Shaheen NJ, Vaezi MF, et al. American Gastroenterological Association Medical Position Statement on the management of gastroesophageal reflux disease Gastroenterology. 2008;135:1383–91.
8. 8. DeVault KR, Castell DO. Updated Guidelines for the Diagnosis and Treatment of Gastroesophageal Reflux Disease. Am J Gastroenterol. 2005;100:190–200.

9. 9. Soriano JB, Abajobir AA, Abate KH, et al. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet Respir Med. 2017;5:691–706.
10. 10. Leinaar E, Alamian A, Wang L. A systematic review of the relationship between asthma, overweight, and the effects of physical activity in youth. Ann Epidemiol. 2016;26:504-10. 11. Vahlkvist S, Pedersen S. Fitness, daily activity and body composition in children with newly diagnosed, untreated asthma. Allergy. 2009;64:1649-55.
11. 12. Tanaka K , Miyake Y, Arakawa, et al. U-shaped association between body mass index and the prevalence of wheeze and asthma, but not eczema or rhinoconjunctivitis: the ryukyus child health study. J Asthma. 2011;48:804-10.
12. 13. Ownby DR, Peterson EL, Nelson D, et al. The relationship of physical activity and percentage of body fat to the risk of asthma in 8- to 10-year-old children. J Asthma. 2007;44:885-9.
13. 14. Mathus-Vliegen EM, Tytgat GN. Intragastric balloon for treatmentresistant obesity: safety, tolerance, and efficacy of 1-year balloon treatment followed by a 1-year balloon-free follow-up. Gastrointest Endosc. 2005;6:19-27.
14. 15. Antó JM, Sunyer J, Basagaña X, et al. Risk factors of new-onset asthma in adults: A population-based international cohort study. Allergy. 2010;65:1021–30.
15. 16. Guerra S, Wright AL, Morgan W, et al. Persistence of Asthma Symptoms during Adolescence: Role of obesity and age at the onset of puberty. Am J Respir Crit Care Med. 2004;170:78–85.
16. 17. Dias-Júnior SA, Reis M, De Carvalho-Pinto RM, et al. Effects of weight loss on asthma control in obese patients with severe asthma. Eur Respir J. 2014;43:1368–77.
17. 18. Stenius-Aarniala B, Poussa T, Kvarnström J, et al. Immediate and long term effects of weight reduction in obese people with asthma: Randomised controlled study. BMJ. 2000;320:827–32.
18. 19. Moreira A, Bonini M, Garcia-Larsen V, et al. Weight loss interventions in asthma: EAACI evidence-based clinical practice guideline (part I). Allergy. 2013;68:425–39.
19. 20. Sikka N, Wegienka G, Havstad S, et al. Respiratory medication prescriptions before and after bariatric surgery. Ann. Allergy Asthma Immunol. 2010;104:326–30.
20. 21. Van Huisstede A, Rudolphus A, Cabezas MC, et al. Effect of bariatric surgery on asthma control, lung function and bronchial and systemic inflammation in morbidly obese subjects with asthma. Thora. 2015;70:659–67.
21. 22. Dixon AE, Pratley RE, Forgione PM, et al. Effects of obesity and bariatric surgery on airway hyperresponsiveness, asthma control, and inflammation. J Allergy Clin Immunol. 2011;128:508–15.e2.
22. 23. Alley JB, Fenton SJ, Harnisch MC, et al. Quality of life after sleeve gastrectomy and adjustable gastric banding Surg Obes Relat Dis. 2012;8:31–40.
23. 24. Driscoll S, Gregory DM, Fardy JM, et al. Long-termhealth-relatedquality of life in bariatricsurgerypatients: a systematicreviewand meta-analysis. Obesity. 2016;24:60-70.
24. 25. Fezzi M, Kolotkin RL, Nedelcu M, et al. Improvement in quality of life after laparoscopic sleeve gastrectomy. Obes Surg. 2011;21:1161–7.