| New technique for endoscopic removal of intragastric balloon placed for treatment of morbid obesity. | |
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MedLine Citation:
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PMID: 17658026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Placement and removal of the intragastric balloon for obesity are performed endoscopically often under general anesthesia. We propose a safer and faster technique for endoscopic removal of the intragastric balloon using standard sedation. METHODS: In 87 obese patients, we performed 3 removal techniques: 1) standard gastroscope and foreign body forceps, 2) standard gastroscope and retrieval snare, 3) double-channel gastroscope and foreign body forceps plus symmetrical "shark model" polypectomy snare. Balloon retrieval time, number of times the grasping devices lost the balloon, amount of antispasmodic drug, symptoms cumulative score and VAS score for discomfort were evaluated. RESULTS: The technique by double-channel gastroscope and foreign body forceps plus symmetrical polypectomy shark retrieval snare showed a significantly lower balloon retrieval time, number of lost balloons, total number of ampoules used, symptoms cumulative score and VAS score compared to the other two techniques (Dunn's P<0.05). Number of lost balloons was positively associated with number of antispasmodic ampoules used, balloon retrieval time and VAS score. CONCLUSIONS: Technique by double-channel gastroscope and foreign body forceps plus symmetrical polypectomy shark retrieval snare, allows balloon removal safely, quickly and easily, avoiding loss of the balloon, with good patient endurance. |
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Authors:
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Giuseppe Galloro; Luigi Sivero; Luca Magno; Giorgio Diamantis; Antonio Pastore; Paris Karagiannopulos; Maurizio Inzirillo; Cesare Formisano; Paola Iovino |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Obesity surgery Volume: 17 ISSN: 0960-8923 ISO Abbreviation: Obes Surg Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-07-30 Completed Date: 2007-09-18 Revised Date: 2007-12-05 |
Medline Journal Info:
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Nlm Unique ID: 9106714 Medline TA: Obes Surg Country: England |
Other Details:
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Languages: eng Pagination: 658-62 Citation Subset: IM |
Affiliation:
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Department of General, Geriatric, Oncological Surgery and Advanced Technologies Special Section of Surgical Digestive Endoscopy, School of Medicine, University Federico II of Naples, Italy. galloro.g@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Device Removal / adverse effects, methods* Female Gastric Balloon* Gastroscopy / methods* Humans Male Middle Aged Obesity, Morbid / therapy* Pain / etiology, prevention & control Pain Measurement Prospective Studies Time Factors |
| Comments/Corrections | |
Erratum In:
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Obes Surg. 2007 Jul;17(7):996 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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