Intragastric balloon treatment of obesity must be combined with bariatric surgery: A pilot study in Turkey

Saruç, Murat; Böler, Deniz Eren; Karaarslan, Mehmet; Baysal, Caglar; Raşa, Kemal; Çakmakçı, Metin; Uras, Cihan; Tözün, Nurdan

doi:10.4318/tjg.2010.0117

Cited by 24 publications

(17 citation statements)

References 21 publications

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“…This price includes the cost of the balloon and the two endoscopic interventions for its placement and removal (the latter in an Operating Room). These facts are well verified in literature by some authors who labeled the balloon treatment as inefficient (25,29,45,46).…”

Section: Discussionsupporting

confidence: 63%

Usefulness of an intra-gastric balloon before bariatric surgery

et al. 2017

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Introduction: There are only few reports regarding the use of intragastric-balloons (IGB ® ) to achieve weight loss and subsequently decrease surgical complications. In this study, we try to assess whether presurgery weight loss using IGB decreases the postsurgical mortality after bariatric surgery.Material and methods: This is a prospective case-control study. We matched 1:1 by gender, age (± 10 y-o) and type of surgery (sleeve resection [LSG] or gastric bypass [LGBP]), matching cases (A) and controls (H, from a historic cohort). Morbidly obese patients with an indication for bariatric surgery were included in the study. Cases (A) were recruited from an ongoing clinical trial, and the controls (H) came from a historic cohort prior to the start of the clinic trial. The presurgical weight loss in group A was reached by IGB combined with diet, versus only diet in group H.Results: We included 58 patients, 65.5% women, 69% LGBP/31% LSG. The mean age of group A was 42 and 43.4 years old for group H. ASA III of 24.1% group A vs 58.6% group H, p = 0.012. The mean total weight loss (TWL) before surgery was greater in group A (16.2 kg, SD 9.75) than in group H (1.2 kg, SD 6.4), p < 0.0001. The % of EWL before surgery was 23.5 (SD 11.6) in group A vs 2.4 (SD 8) in group H, p < 0.001. Hospital stay was seven days for group A, and eight days for group H, p = 0.285. The rate of unsuccessful IGB treatment to accomplish the scheduled weight loss was 34.5%. The balloon morbidity was 17.2% (6.9% severe). All in all, morbidity (due to bariatric surgery and IGB) was 41% in both groups. Postsurgical morbidity moderate-severe was 20.3% in group A (6.9% severe) and 27.3% in group H (17.2% severe) without statistical significance. One patient died in group H (mortality rate, 3.44%).Conclusion: Preoperative IGB treatment in morbid obesity has not been found to be effective at decreasing postsurgical morbidity LSG and LGBP, despite the fact that it acheives a greater weight loss than diet and exercise.

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Section: Discussionsupporting

confidence: 63%

Usefulness of an intra-gastric balloon before bariatric surgery

et al. 2017

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“…Intragastric balloon placement is a very common method of treatment of obesity and is often used by non-surgical teams in endoscopy departments [14, 19]. The likelihood of spontaneous intragastric balloon damage is a well-known phenomenon [20].…”

Section: Discussionmentioning

confidence: 99%

Small bowel necrosis as a consequence of spontaneous deflation and migration of an air-filled intragastric balloon - a potentially life-threatening complication.

Drozdowski¹,

Wyleżoł²,

Frączek³

et al. 2013

Videosurgery and Other Miniinvasive Techniques

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Intragastric balloon placement is a common method of treatment of obesity and is often used by non-surgical teams in endoscopy departments. The likelihood of spontaneous intragastric balloon damage is a well-known phenomenon. We describe a patient who was disqualified from surgical obesity treatment and in whom intragastric fluid-filled balloons had already been inserted twice and removed due to their intolerance. Therefore we qualified this patient for placement of the air-filled balloon Heliosphere BAG. Two months after the planned check-up, he arrived at the surgery department complaining of nausea and vomiting and due to symptoms of ileus diagnosed with an X-ray and ultrasound examination we qualified him for emergency surgery. We would like to emphasise the following issues: the necessity of air-filled balloon removal according to the producer's instructions and multidisciplinary specialist team care along with appropriate diagnostic tools in every case of intragastric balloon insertion.

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“…There is only one study that have investigated the long-term success rate in Turkish population (27). Saruç et al demonstrated that after BIB removal, almost all patients had returned to their initial weights in Turkey.…”

Section: Kg (4-9 Kg/mmentioning

confidence: 99%