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Obesity Surgery

, Volume 29, Issue 2, pp 713–720 | Cite as

Efficacy and Safety of Intra-gastric Balloon Placement in Dialyzed Patients Awaiting Kidney Transplantation

  • Séverine BeaudreuilEmail author
  • Franck Iglicki
  • Séverine Ledoux
  • Michelle Elias
  • Erika NNang Obada
  • Hadia Hebibi
  • Emmanuel Durand
  • Bernard Charpentier
  • Benoit Coffin
  • Antoine Durrbach
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Abstract

Background

The number of obese patients who are candidates for renal transplantation has considerably increased, but obesity can be a barrier to kidney transplantation. Weight loss is often difficult through diet alone. We studied the efficacy and tolerance of the intra-gastric balloon (IGB) procedure in obese patients who were undergoing dialysis and were candidates for a renal transplantation.

Patients and Methods

Obese patients (BMI > 30 kg/m2) who were candidates for renal transplantation were prospectively included in the study between 2010 and 2012. The balloon was inserted and removed during a gastric endoscopy under general anesthesia. The treatment lasted 6 months. The end point was a decrease in BMI after 6 months. Body impedance spectrometry (BIS) and nutritional statute were evaluated initially and then after IGB removal.

Results

Seventeen patients (nine females and eight males) with a mean age of 53.4 years [19.4–69.4] were included. The decrease in body mass index (BMI) during the 6-month placement was 3 kg/m2 (from 37.7 to 34.4 kg/m2). The mean weight loss was 7 kg. The mean percentage of excess weight loss after 6 months was 20.2 (± 11.4). The tolerance was good without any complications. Eleven patients underwent kidney transplantation.

Conclusion

IGB in obese dialyzed patients who are candidates for renal transplantation is safe and effective. However, the amount of weight loss can vary.

Keywords

Obesity Intra-gastric balloon Awaiting kidney transplantation Hemodialysis Efficacy Safety 
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Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human Rights

The study was conducted in accordance with human rights.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Séverine Beaudreuil
    • 1
    • 2
    Email author
  • Franck Iglicki
    • 3
  • Séverine Ledoux
    • 4
  • Michelle Elias
    • 1
  • Erika NNang Obada
    • 1
  • Hadia Hebibi
    • 1
  • Emmanuel Durand
    • 5
  • Bernard Charpentier
    • 1
    • 2
  • Benoit Coffin
    • 3
  • Antoine Durrbach
    • 1
    • 2
  1. 1.Department of Nephrology Dialysis, Transplantation, IFRNTUniversity of Paris-SudLe Kremlin BicetreFrance
  2. 2.INSERM UMRS1197VillejuifFrance
  3. 3.Gastroenterology Unit, AP-HPLouis Mourier Hospital and Denis Diderot University Paris 7ParisFrance
  4. 4.Service des Explorations Fonctionnelles and Centre Intégré Nord Francilien de prise en charge de l’Obésité (CINFO)Hôpital Louis Mourier (AP-HP) and Université Paris DiderotParisFrance
  5. 5.IR4M (UMR8081), 91405 Univ Paris Sud, Univ Paris Saclay, Department of Nuclear MedicineHôpitaux Universitaires Paris SudParisFrance

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