Document Detail

One-year Adjustable Intragastric Balloons: Results in 73 Consecutive Patients in the UK.
MedLine Citation:
PMID:  24442419     Owner:  NLM     Status:  Publisher    
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.
J Brooks; E D Srivastava; E M H Mathus-Vliegen
Related Documents :
18406179 - Is heparin reversal with protamine after carotid endarterectomy dangerous?
17543679 - The value of urgent carotid surgery for crescendo transient ischemic attacks.
3503019 - Carotid endarterectomy in patients with occlusion of the contralateral carotid artery. ...
23359399 - Obesity and operative time in primary total joint arthroplasty.
24170999 - Changes in serum levels of bone morphogenic protein 4 and inflammatory cytokines after ...
23455579 - Treatment outcomes and compliance according to obesity in patients with obstructive sle...
24090539 - Clinical results of patients with subaxial cervical spine trauma treated according to t...
7706179 - Aspoxicillin versus piperacillin in severe abdominal infections--a comparative phase ii...
12618689 - A systematic review of pneumatic compression for treatment of chronic venous insufficie...
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:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The genetic basis of pulmonary arterial hypertension.
Next Document:  Outcomes of Laparoscopic Sleeve Gastrectomy in Patients Older than 60 Years.