Advertisement

Obesity Surgery

, Volume 19, Issue 2, pp 237–242 | Cite as

An Improved Intragastric Balloon Procedure Using a New Balloon: Preliminary Analysis of Safety and Efficiency

  • Gustavo L. CarvalhoEmail author
  • Cesar B. Barros
  • Masaichi Okazaki
  • Moacir L. Novaes
  • Pedro C. Albuquerque
  • Nair C. Almeida
  • Pedro Paulo C. Albuquerque
  • Chika Wakiyama
  • Thiago G. Vilaça
  • José Sergio N. Silva
  • Rapahel M. Coelho
Research Article

Abstract

Background

The authors developed a new intragastric balloon procedure with the objective of making it safer, faster, and less expensive than the established ones. The proposed procedure uses a new gastric balloon with technical improvements in the placement and removal procedures.

Methods

From June 2006 to July 2007, 52 patients were submitted to the new treatment with the Silimed Gastric Balloon (SGB), as part of a multidisciplinary program involving clinical, psychological, and behavioral approaches.

Results

The new placement and removal procedures of the SGB were effective and safe in all the cases. Due to simplicity and shortened duration of the procedures, all the patients left the outpatient clinic in less than 1 h after the placement or removal of the SGB. For the 14 patients who had completed the 6-month treatment, the initial mean weight, mean body mass index (BMI), and mean excess of weight (EW) were, respectively, 100.7 kg, 35.7 kg/m2, and 30.0 kg. After the 6-month treatment, these values decreased significantly: 89.4 kg, 31.8 kg/m2, and 19.6 kg.

Conclusions

Preliminary data suggest that the procedure with the new balloon comes forth as a safe and effective alternative to the treatment of weight loss in patients with appropriate indication of use.

Keywords

Gastric balloon Endoscopic treatment Endoscopic procedures Safety Efficiency BMI EWL Weight loss Massive obesity 

Notes

Open Access

This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

References

  1. 1.
    Evans JD, Scott MH. Intragastric balloon in the treatment of patients with morbid obesity. Br J Surg. 2001;88:1245–8.CrossRefGoogle Scholar
  2. 2.
    Genco A, Bruni T, Doldi SB, et al. Bioenterics Intragastric Balloon: the Italian Experience with 2515 patients. Obes Surg. 2005;15:1161–4.CrossRefGoogle Scholar
  3. 3.
    Genco A, Cipriano M, Bacci V, et al. Bioenterics Intragastric Balloon (BIB®): a short-term, double-blind, randomized, controlled, crossover study on weight reduction in morbidly obese patients. Int J Obes. 2006;30:129–33.CrossRefGoogle Scholar
  4. 4.
    Sallet JA, Marchesini JB, Dyker SP, et al. Brazilian multicenter of the intragastric balloon. Obes Surg. 2004;14:991–8.CrossRefGoogle Scholar
  5. 5.
    Schapiro M, Benjamin S, Blackburn G, et al. Obesity and the gastric balloon: a comprehensive workshop. Gastrointest Endosc. 1987;33:323–7.CrossRefGoogle Scholar
  6. 6.
    Nieben OG, Harboe H. Intragastric balloon as an artificial bezoar for treatment of obesity. Lancet. 1982;1:198–9.CrossRefGoogle Scholar
  7. 7.
    Durrans D, Taylor TV. The intragastric balloon, a new treatment for obesity. Clinical Nutrition. 1986;81:860–2.Google Scholar
  8. 8.
    Garren L. Garren gastric bubble. Bariatric Surgery. 1985;3:14–5.Google Scholar
  9. 9.
    Mathus-Vliegen EM, Tytgat GN, Veldhuyzen-Offermans EA. Intragastric balloon in the treatment of super-morbid obesity. Double-blind, sham-controlled, crossover evaluation of 500-milliliter balloon. Gastroenterology. 1990;85:833–7.Google Scholar
  10. 10.
    Bioenterics Intragastric Balloon (BIB®) System. Revisions to Indications for Use. Manufacturer’s guidelines information sheet. Carpinteria, California: Bioenterics Corporation, 1999.Google Scholar
  11. 11.
    Herve J, Wahlen CH, Schaeken A, et al. What becomes of patients one year after the intragastric balloon has been removed? Obes Surg. 2005;15:864–70.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2008

Open AccessThis is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/2.0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Gustavo L. Carvalho
    • 1
    Email author
  • Cesar B. Barros
    • 2
  • Masaichi Okazaki
    • 1
  • Moacir L. Novaes
    • 1
  • Pedro C. Albuquerque
    • 1
  • Nair C. Almeida
    • 1
  • Pedro Paulo C. Albuquerque
    • 1
  • Chika Wakiyama
    • 1
  • Thiago G. Vilaça
    • 1
  • José Sergio N. Silva
    • 1
  • Rapahel M. Coelho
    • 1
  1. 1.School of Medicine (FCM)University of Pernambuco (UPE)RecifeBrazil
  2. 2.Clinical Research DepartmentSilimed Product Support DepartmentRio de JaneiroBrazil

Personalised recommendations