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Intragastric balloon in obese patients.
Obes Surg. 2000 Dec; 10(6):578-81.OS

Abstract

BACKGROUND

Since March 1998, 143 BioEnterics Intragastric Balloons (BIB) were placed in 132 obese and morbidly obese patients, to study the clinical possibilities of a new system, both from the point of view of the materials used and the application method.

METHODS

36 patients were male and 96 female; mean age was 43 years (21-70); mean weight was 115.4 kg (67-229), and mean BMI was 41.0 (29-81). 8 patients were affected by severe respiratory insufficiency. We placed and removed the balloon endoscopically under conscious sedation or general anesthesia. BIB was removed in the majority of patients 4 months after insertion. The patients were given a balanced diet of 800-1000 kcal/day; follow-up involved a monthly check-up (routine blood tests, weight control) and a visit every 15 days with the dietitian.

RESULTS

Mean weight loss was 14.4 kg; mean reduction in BMI was 5.2. Weight loss was much better in males. The weight loss produced an improvement of the complications associated with the obesity. Complications observed were: balloon intolerance (9 early removals), 1 balloon deflated and passed, 2 cases of gastric ulcer at balloon removal.

CONCLUSIONS

The most correct indications for BIB should be: extremely obese patients (BMI>40) in preparation for a bariatric operation; obese patients with BMI 30-35 with a chronic disease otherwise unresolved; patients with BMI<30 in a multidisciplinary approach.

Authors+Show Affiliations

Unità Operativa di Chirurgia Generale, Istituto Clinico Sant'Ambrogio, Milan, Italy. santobre@tin.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11175969

Citation

Doldi, S B., et al. "Intragastric Balloon in Obese Patients." Obesity Surgery, vol. 10, no. 6, 2000, pp. 578-81.
Doldi SB, Micheletto G, Di Prisco F, et al. Intragastric balloon in obese patients. Obes Surg. 2000;10(6):578-81.
Doldi, S. B., Micheletto, G., Di Prisco, F., Zappa, M. A., Lattuada, E., & Reitano, M. (2000). Intragastric balloon in obese patients. Obesity Surgery, 10(6), 578-81.
Doldi SB, et al. Intragastric Balloon in Obese Patients. Obes Surg. 2000;10(6):578-81. PubMed PMID: 11175969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intragastric balloon in obese patients. AU - Doldi,S B, AU - Micheletto,G, AU - Di Prisco,F, AU - Zappa,M A, AU - Lattuada,E, AU - Reitano,M, PY - 2001/2/15/pubmed PY - 2001/3/17/medline PY - 2001/2/15/entrez SP - 578 EP - 81 JF - Obesity surgery JO - Obes Surg VL - 10 IS - 6 N2 - BACKGROUND: Since March 1998, 143 BioEnterics Intragastric Balloons (BIB) were placed in 132 obese and morbidly obese patients, to study the clinical possibilities of a new system, both from the point of view of the materials used and the application method. METHODS: 36 patients were male and 96 female; mean age was 43 years (21-70); mean weight was 115.4 kg (67-229), and mean BMI was 41.0 (29-81). 8 patients were affected by severe respiratory insufficiency. We placed and removed the balloon endoscopically under conscious sedation or general anesthesia. BIB was removed in the majority of patients 4 months after insertion. The patients were given a balanced diet of 800-1000 kcal/day; follow-up involved a monthly check-up (routine blood tests, weight control) and a visit every 15 days with the dietitian. RESULTS: Mean weight loss was 14.4 kg; mean reduction in BMI was 5.2. Weight loss was much better in males. The weight loss produced an improvement of the complications associated with the obesity. Complications observed were: balloon intolerance (9 early removals), 1 balloon deflated and passed, 2 cases of gastric ulcer at balloon removal. CONCLUSIONS: The most correct indications for BIB should be: extremely obese patients (BMI>40) in preparation for a bariatric operation; obese patients with BMI 30-35 with a chronic disease otherwise unresolved; patients with BMI<30 in a multidisciplinary approach. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/11175969/Intragastric_balloon_in_obese_patients_ L2 - https://dx.doi.org/10.1381/096089200321594200 DB - PRIME DP - Unbound Medicine ER -