Analysis of Subcutaneous and Visceral Fat After Gastric Balloon Treatment

Lc, Cabral; Gl, de Carvalho; Jp, de Melo Junior; Fm, de Moura; Ap, Leite

doi:10.4293/jsls.2015.00023

Cited by 5 publications

(4 citation statements)

References 10 publications

(14 reference statements)

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“…This area is anatomically well defined and insensitive against respiratory and digestive organ movement. According to our data, a loss of visceral and subcutaneous fat was described by Cabral in 25 patients via ultrasound [ 32 ]. We could not find a measurement of retroperitoneal fat in the literature during gastric balloon therapy.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Morphologic Changes in MRI during Gastric Balloon Therapy

Kessler¹,

Glitsch²,

Hübner³

et al. 2022

Obes Facts

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Introduction: Adiposity and excessive weight are on the rise in western industrialized countries. In cases where conservative measures fail and surgical interventions are not (yet) desired, gastric balloon therapy has proven to be a safe and reversible endoscopic method. Methods: Aside from weight progression under gastric balloon therapy and by using MRI, our research paper describes the behavior of different abdominal body fat compartments at the beginning and at the end of the gastric balloon therapy. Additionally, the volume of the left liver lobe as well as the fill volume and performance of the gastric balloon were analyzed over the duration of treatment. For assessing potential impacts of weight reduction on the muscle mass, we determined the area of the m. psoas on a comparable cross-sectional area at the beginning and at the end of the therapy. Results: We were able to verify a significant reduction of the layer of subcutaneous fat, adipose capsule of kidney and intra-abdominal fatty tissue during the therapy. The volume of the left liver lobe was shrinking in addition to a muscle loss during the balloon therapy. The volume of the gastric balloon remained stable (not hyperinflation). There were variable gas bubbles in the gastric balloon. Conclusion: The gastric balloon is a temporary and successful option for weight reduction by reducing body fat, liver volume but also muscle mass.

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Section: Discussionmentioning

confidence: 99%

Abdominal Morphologic Changes in MRI during Gastric Balloon Therapy

Kessler¹,

Glitsch²,

Hübner³

et al. 2022

Obes Facts

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“…Based on these findings, the restrictive effect of the balloon may provide a positive reinforcement that persists beyond removal, with early satiety and weight loss promoting continued behavioral change 27 and with improved lung function, metabolic parameters, and body fat distribution. 31 , 33 …”

Section: Discussionmentioning

confidence: 99%

Intragastric Balloon for Overweight Patients

et al. 2016

JSLS

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Background and Objectives:Current treatments for overweight adults include reduced-calorie diet, exercise, behavior modification, and selective use of medications. Many achieve suboptimal results with these measures and progress to obesity. Whether the intragastric balloon (IGB), a reversible device approved for treatment of obesity, is a safe and effective option in overweight adults is less well studied. We conducted a study to prospectively analyze the safety and effectiveness of IGB in overweight adults, to compare the results to a simultaneously studied cohort of obese patients, and to share procedural tips for safe IGB placement and removal.Methods:One hundred thirty-nine patients were evaluated in this prospective, nonrandomized study. Twenty-six overweight [body mass index (BMI), 26–30)] and 113 obese (BMI > 30) patients underwent outpatient, endoscopic IGB placement under intravenous sedation. The IGB was filled with a 550–900 mL (average, 640 mL) solution of saline, radiological contrast, and methylene blue, with an approximate final proportion of 65:2:1. The patients were followed up at 1–2 weeks and then monthly for 6 months. At 6 months, they underwent IGB removal via an esophageal overtube to optimize safety, and then they were observed for 6 more months.Results:IGB time was 190 ± 36 d in the overweight patients and 192 ± 43 d in the obese patients. Symptoms of IGB intolerance included nausea and pain, which were transiently present in 50–95% of patients for several days, and necessitated early IGB removal in 6% of patients. There were no procedure-related complications and no IGB-related esophagitis, erosion, perforation, or obstruction. The percentage of excess weight loss (EWL%) was 96 ± 54% in the overweight group and 41 ± 26% in the obese group (P < 0.001).Conclusion:In overweight adults failing standard treatments, IGB placement for 6 months had an acceptable safety profile and excellent weight loss.

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“…Some studies reported that there was a significant reduction of visceral fat area 6,34 , while other authors reported that the visceral fat area showed no significant decrease 33 .…”

Section: /7mentioning

confidence: 99%

Intragastric Balloon and Impact on Weight Loss: Experience in Quito, Equador

Jerez,

Cabrera,

Cisneros

et al. 2023

ABCD, arq. bras. cir. dig.

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BACKGROUND: Obesity is associated with different medical conditions, such as cardiologic, respiratory, gastrointestinal, and genitourinary, and constitutes a severe health problem. AIMS: This study aimed to evaluate the use of intragastric fluid-filled balloon in the reduction of weight and other measurements related to body composition. METHODS: This is a retrospective, monocentric study involving all patients who opted for the intragastric balloon Spatz® placement from January 2018 to July 2019, with fulfillment of inclusion and exclusion criteria. The patients were analyzed after 6 and 12 months after the intragastric fluid-filled balloon placed. RESULTS: A total of 121 subjects were included in this study, with 83 (68.6%) females and 38 (31.4%) males. The mean age was 36 years and height was 1.64±0.09. Weight mean and standard deviation was 89.85±14.65 kg, and body mass index was 33.05±4.03; body mass index decreased to 29.4 kg/m2 with a mean weight of 79.83 kg, after 12 months of follow-up. There were statistical differences between body mass index and the 12 months in fat percentage, fat-free mass (kg), visceral fat area, and basal metabolic rate. There was a significant variation according to gender, with males having highest reduction. The percentage of excess weight loss was 46.19, and the total weight loss was 9.24 at the end of the study. CONCLUSIONS: The study demonstrated a benefit of intragastric fluid-filled balloon on weight loss after 12 months. At the end of treatment, body mass index and the measurements of body composition were significantly lower. Men benefited more than women from the treatment.

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Analysis of Subcutaneous and Visceral Fat After Gastric Balloon Treatment

Cited by 5 publications

References 10 publications

Abdominal Morphologic Changes in MRI during Gastric Balloon Therapy

Abdominal Morphologic Changes in MRI during Gastric Balloon Therapy

Intragastric Balloon for Overweight Patients

Intragastric Balloon and Impact on Weight Loss: Experience in Quito, Equador

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