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Professional paper - Review paper
Position of intragastric balloons in global initiative for obesity treatment
Collegium Antropologicum, 35 (2011), 4; 1353-1362. urn:nbn:hr:105:676846
Nikolić, Marko; Boban, Marko; Ljubičić, Neven; Supanc, Vladimir; Mirošević, Gorana; Pezo Nikolić, Borka; Zjačić-Rotkvić, Vanja; Gaćina, Petar; Mirković, Milan; Bekavac-Bešlin, Miroslav

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Nikolić, M., Boban, M., Ljubičić, N., Supanc, V., Mirošević, G., Pezo Nikolić, B. ... Bekavac Bešlin, M. (2011). Position of intragastric balloons in global initiative for obesity treatment . Collegium Antropologicum, 35. (4), 1353-1362. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:676846

Nikolić, Marko, et al. "Position of intragastric balloons in global initiative for obesity treatment ." Collegium Antropologicum, vol. 35, no. 4, 2011, pp. 1353-1362. https://urn.nsk.hr/urn:nbn:hr:105:676846

Nikolić, Marko, Marko Boban, Neven Ljubičić, Vladimir Supanc, Gorana Mirošević, Borka Pezo Nikolić, Vanja Zjačić Rotkvić, Petar Gaćina, Milan Mirković and Miroslav Bekavac Bešlin. "Position of intragastric balloons in global initiative for obesity treatment ." Collegium Antropologicum 35, no. 4 (2011): 1353-1362. https://urn.nsk.hr/urn:nbn:hr:105:676846

Nikolić, M., et al. (2011) 'Position of intragastric balloons in global initiative for obesity treatment ', Collegium Antropologicum, 35(4), pp. 1353-1362. Available at: https://urn.nsk.hr/urn:nbn:hr:105:676846 (Accessed 27 April 2024)

Nikolić M, Boban M, Ljubičić N, Supanc V, Mirošević G, Pezo Nikolić B, and sur.. Position of intragastric balloons in global initiative for obesity treatment . Collegium Antropologicum [Internet]. 2011 December [cited 2024 April 27];35(4):1353-1362. Available at: https://urn.nsk.hr/urn:nbn:hr:105:676846

M. Nikolić, et al., "Position of intragastric balloons in global initiative for obesity treatment ", Collegium Antropologicum, vol. 35, no. 4, pp. 1353-1362, December 2011. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:676846. [Accessed: 27 April 2024]

Metadata
Title (english)Position of intragastric balloons in global initiative for obesity treatment
Title (croatian)Pozicija intragastričnih balona u globalnoj inicijativi liječenja pretilosti
AuthorMarko Nikolić
AuthorMarko Boban
AuthorNeven Ljubičić
AuthorVladimir Supanc
AuthorGorana Mirošević
AuthorBorka Pezo Nikolić
AuthorVanja Zjačić-Rotkvić
AuthorPetar Gaćina
AuthorMilan Mirković
AuthorMiroslav Bekavac-Bešlin
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Obesity is chronic disease with multiple health consequences and among the most severe health problems worldwide. According to public health records around 65% of population in Croatia are overweight and 20% obese. National physicians chamber with support of Health and Social Welfare Ministry gave recommendations on diagnosing and treating of obesity in form of national consensus. Treatment of obesity is complex and enrolls multiple clinical specialties. Change of life style, strenuous physical activity and pharmacotherapy are part of conservative treatments. Patients are treated more efficiently by minimally invasive endoscopic procedures or bariatric surgery depending on starting body mass index score. Implantation of intragastric balloons is conceptually simple method of obesity treatment. Modern devices as Bio-Enterics intragastric balloons (BIB), (Inamed Health, USA) are gaining wide popularity among both patients and physicians. BIB intragastric offers the best gains with individuals ranging BMI from 35 to 40. Efficiency has relative timeline dependance from 85% at 6 months to 24% at 36 months. BIB offers substantial ameliorative influence on obesity comorbidities, particularly cardiovascular risk. Treatment with BIB is also efficient but transient treatment modality in morbidly and superobese individuals to reduce preoperative risks of general and bariatric surgery. Obesity treatment with BIB is well tolerated and safe, offering better quality of life. Nevertheless, due to relative poor results of conservative obesity treatments on long-term follow up further investigations defining new clinical parameters for solving treatment resistance. In order to provide resourcefully individualized approach modern perspectives are focused on endocrine constitutes of obesity. Hormonal effects of BIB treatment in compare to bariatric surgery are potentially interesting for the prospect studies.
Abstract (croatian)
Debljina je kronična bolest s višestrukim učincima za zdravstveno stanje pojedinca i među najvažnijim zdravstvenim problemima današnjice. Prema javnozdravstvenim podacima oko 65% populacije Hrvatske je preuhranjeno, a od toga oko 20% pretilo. Hrvatska liječnička komora u suradnji s Ministarstvom Zdravstva i socijalne skrbi izdali su smjernice o dijagnostici i liječenju debljine u obliku nacionalnog koncenzusa. Liječenje debljine je kompleksan problem i uključuje više kliničkih struka. Promjena životnih navika, energična tjelesna aktivnost i farmakoterapija dio su konzervativnog liječenja. Djelotvorniji se rezultati postižu primjenom barijatrijske kirurgije ili minimalno invanzivnih endoskopskih zahvata, koji se propisuju obzirom na početni indeks tjelesne mase (ITM). Ugradnja intragastričnih balona predstavlja konceptualno jednostavan princip liječenja debljine. Suvremeni intragastrični baloni od kojih je najzastupljeniji BioEnterics-ov(BIB®) (Inamed Health, USA) postaju sve popularniji među bolesnicima i liječnicima. BIB nudi najbolje rezultate za pojedince sa ITM od 35–40. Učinkovitost intragastričnih balona pokazuje vremensku zavisnost od 85% nakon 6-mjesečnog tretmana do 24% nakon praćenja od 36 mjeseci. BIB poboljšava stanje komorbiditeta debljine, pogotovo kardiovaskularnog rizika. Liječenje BIB-om također je djelotvorno, ali samo kao privremen oblik liječenja morbidno i super pretilih osoba na način da smanjuje perioperativni rizik za predstojeću barijatrijsku ili opću kirurgiju. Liječenje debljine uz pomoć BIB-a je djelotvorno, dobro podnošljivo, sigurno i nudi bolju kvalitetu života. Ukupni rezultati konzervativnih oblika liječenja debljine mogu se smatrati nezadovoljavajućim na dulji rok, te su potrebna nova istraživanja za identifikaciju dodatnih kliničkih parametara rezistencije. Kako bi se ponudio učinkovit, prema bolesniku individualiziran terapijski pristup suvremena istraživanja više su fokusirana na endokrinološke stavke debljine. Hormonalni učinci BIB liječenja, te usporedba prema barijatrijskoj kirurgiji su potencijalno interesantni za buduća istraživanja.
Keywords (english)
Languageenglish
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 35, no. 4, pp. 1353-1362
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:676846
Publication2011-12
Document URLhttps://hrcak.srce.hr/75693
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-27 19:24:07