Document Detail


One-year Adjustable Intragastric Balloons: Results in 73 Consecutive Patients in the UK.
MedLine Citation:
PMID:  24442419     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Most intragastric balloons have 6-month approval. We report results with the Spatz Adjustable Balloon: approved for 12 months and adjustable.
METHODS: Seventy-three patients (mean: age 45.5; weight 114.5 kg; BMI 36.6 kg/m(2)) scheduled for 1-year implantation with Spatz balloon (mean volume 417 ml saline). Adjustments performed for early intolerance and weight loss plateau.
RESULTS: Three patients failed insertion. There were 21 early removals (4 intolerant refusing adjustment; 3 deflations; 14 satisfied patients) leaving 49 patients at 12 months. Results of 70 patients (49 patients at 12 months and 21 patients at <12 months) were a mean 21.6 kg weight loss; 19 % weight loss; and 45.7 % EWL (excess weight loss). Ten intolerant patients were adjusted and lost additional mean 13.2 kg. Fifty-one patients with weight loss plateau scheduled for adjustment: adjustments failed in 6 and non-response in 7. The adjusted 38 patients lost an additional mean 9.4 kg and at extraction had mean 40.9 % EWL with 18.7 % weight loss. Three catheter impactions required surgical extraction, and three deflated balloons didn't migrate beyond stomach.
CONCLUSIONS: The Spatz balloon is an effective procedure without mortality; however, it carries a risk of catheter impaction necessitating surgical extraction (4.1 %). The failure rate-4.1 %; intolerance without ability to adjust balloon-5.5 %; major complications occurred in 3 (4.1 %); minor (balloon deflations) in 3 (4.1 %), and 2 asymptomatic gastric ulcers at extraction (2.7 %). The longer implantation period and adjustment option combine to produce greater weight loss, albeit <10 % weight loss beyond the pre-adjustment weight loss.
Authors:
J Brooks; E D Srivastava; E M H Mathus-Vliegen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-1-19
Journal Detail:
Title:  Obesity surgery     Volume:  -     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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