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Intra gastric balloon

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https://www.readbyqxmd.com/read/27795553/intra-gastric-balloon-as-an-adjunct-to-lifestyle-support-in-severely-obese-adolescents-impact-on-weight-physical-activity-cardio-respiratory-fitness-and-psychosocial-wellbeing
#1
L J Reece, N P Wright, P Sachdev, M Thomson, J K Wales, R J Copeland
BACKGROUND: Severe adolescent obesity (BMI>99.6th centile) is a significant public health challenge. Current non-invasive treatments, including community-based lifestyle interventions, are often of limited effectiveness in this population, with NICE guidelines suggesting the use of bariatric surgery as the last line of treatment (NICE, 2013). Health professionals are understandably reluctant to commission bariatric surgery and as an alternative, the use of an intra-gastric balloon as an adjunct to a lifestyle programme might offer a reversible, potentially safer and less invasive option...
October 31, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27785714/endoluminal-treatments-for-obesity-and-related-hypertension-updates-review-and-clinical-perspective
#2
REVIEW
Courtney Cripps, Mitchell Roslin
PURPOSE OF REVIEW: Obesity is a global epidemic that continues to grow and results in related conditions such as hypertension and diabetes despite established interventions, thus suggesting the importance of new technologies. RECENT FINDINGS: Endoscopic interventions are vast in scope and effectiveness. Intra-gastric balloons appear to dominate the field at this time, but a recent FDA-approved technique, the Aspire device, may soon cause a shift in the treatment paradigm...
November 2016: Current Hypertension Reports
https://www.readbyqxmd.com/read/27679950/robotic-assisted-modified-retroauricular-cervical-approach-initial-experience-in-latin-america
#3
Thiago Celestino Chulam, Renan Bezerra Lira, Luiz Paulo Kowalski
OBJECTIVE: to evaluate the thickness of the gastric wall at the time of intra gastric balloon (IGB) placement, at the time of its withdrawal and one month after withdrawal. METHODS: fifteen morbidly obese patients underwent the introduction of IGB under general anesthesia. In all patients, there was infusion of 500ml of distilled water in the balloon for the test. Measurements of the thickness of the gastric wall were made in the antrum, body and proximal body, using a radial echoendoscope with a frequency of 12MHz and maximum zoom, and its own balloon inflated with 5ml of distilled water...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27679949/gastric-wall-changes-after-intragastric-balloon-placement-a-preliminary-experience
#4
Luís Gustavo Santos Périssé, Paulo Cézar Marques Périssé Ecbc-Rj, Kelson Ferreira Ribeiro
OBJECTIVE: : to evaluate the thickness of the gastric wall at the time of intra gastric balloon (IGB) placement, at the time of its withdrawal and one month after withdrawal. METHODS: : fifteen morbidly obese patients underwent the introduction of IGB under general anesthesia. In all patients, there was infusion of 500ml of distilled water in the balloon for the test. Measurements of the thickness of the gastric wall were made in the antrum, body and proximal body, using a radial echoendoscope with a frequency of 12MHz and maximum zoom, and its own balloon inflated with 5ml of distilled water...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27518432/migration-of-an-intragastric-balloon-a-case-report
#5
Nael M Al Shammari, Abdulaziz S Alshammari, Mohammad A Alkandari, Ahmad J Abdulsalam
INTRODUCTION: Intragastric balloons are a non-surgical treatment method for obesity. PRESENTATION OF CASE: We report a 28year old Kuwaiti women presented with vomiting and epigastric pain two years following insertion of a intra gastric balloon. The women was diagnosed as a case of intestinal obstruction secondary to intragastric balloon migration. DISCUSSION: Most intragastric balloons, should be removed in 6 months, to prevent complications...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27309571/brto-assisted-endoscopic-histoacryl-injection-in-treating-gastric-varices-with-gastrorenal-shunt
#6
Qiong Wu, Hua Jiang, Enqiang Linghu, Lanjing Zhang, Weifeng Wang, Jie Zhang, Zhandi He, Juan Wang, Yunsheng Yang, Guohui Sun, Gang Sun
AIMS: We evaluated the feasibility, efficacy and safety of a novel technique of balloon-occluded retrograde transvenous obliteration (BRTO) assisted endoscopic Histoacryl (N-buthyl-2-cyanoacrylate) injection. MATERIAL AND METHODS: A total with 11 patients were enrolled and analyzed in this single center, open-label, prospective study. Patients with high-risk gastric varices (defined as fundal varices, large GV (>5 mm), presence of a red spot, and Child-Pugh score C) and concurrent gastrorenal shunt underwent endoscopic Histoacryl injection while the gastrorenal shunt was temporarily occluded with an occlusion balloon...
June 16, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27158425/usefulness-of-intra-procedural-cone-beam-computed-tomography-in-modified-balloon-occluded-retrograde-transvenous-obliteration-of-gastric-varices
#7
Edward Wolfgang Lee, Naomi So, Ryan Chapman, Justin P McWilliams, Christopher T Loh, Ronald W Busuttil, Stephen T Kee
AIM: To evaluate whether intra-procedural cone-beam computed tomography (CBCT) performed during modified balloon-occluded retrograde transvenous obliteration (mBRTO) can accurately determine technical success of complete variceal obliteration. METHODS: From June 2012 to December 2014, 15 patients who received CBCT during mBRTO for treatment of portal hypertensive gastric variceal bleeding were retrospectively evaluated. Three-dimensional (3D) CBCT images were performed and evaluated prior to the end of the procedure, and these were further analyzed and compared to the pre-procedure contrast-enhanced computed tomography to determine the technical success of mBRTO including: Complete occlusion/obliteration of: (1) gastrorenal shunt (GRS); (2) gastric varices; and (3) afferent feeding veins...
April 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27072787/impact-of-electrical-stimulation-of-the-stomach-on-gastric-distension-induced-emesis-in-the-musk-shrew
#8
C C Horn, L Zirpel, M G Sciullo, D M Rosenberg
BACKGROUND: Gastric electrical stimulation (GES) is implicated as a potential therapy for difficult-to-treat nausea and vomiting; however, there is a lack of insight into the mechanisms responsible for these effects. This study tested the relationship between acute GES and emesis in musk shrews, an established emetic model system. METHODS: Urethane-anesthetized shrews were used to record emetic responses (monitoring intra-tracheal pressure and esophageal contractions), respiration rate, heart rate variability, blood pressure, and gastrointestinal electromyograms...
August 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/26894909/the-effects-of-bariatric-procedures-on-bowel-habit
#9
Sorena Afshar, Seamus B Kelly, Keith Seymour, Sean Woodcock, Anke-Dorothee Werner, John C Mathers
BACKGROUND: Bariatric procedures are increasingly being used to combat the rising obesity epidemic. The aim of this study was to assess the effect of these interventions on bowel habit. METHODS: We recruited obese adults listed for a bariatric procedure. Demographic data, medical history, medications and anthropometric measurements were recorded. Bowel habit was characterized using a 7-day Bristol Stool Form Scale (BSFS) diary. A validated food frequency questionnaire (FFQ) was used to assess diet...
October 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26855921/novel-endoscopic-management-of-obesity
#10
REVIEW
Jerome Dargent
Endoscopic procedures have been well-documented in the obesity field, but have not yet reached a sufficient level of evidence as stand-alone methods for treating obesity. It is unclear if they should take over. Although expanding, the array of bariatric surgical techniques does not fully meet the current needs, and there are not enough resources for increasing surgery. Surgery is avoided by a majority of patients, so that less aggressive procedures are necessary. For the time being, relevant endoscopic methods include intra-gastric balloons, gastric partitioning (Endo-plication), and the metabolic field (Endo-barrier)...
January 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/26815309/development-and-testing-of-a-magnetically-actuated-capsule-endoscopy-for-obesity-treatment
#11
Thanh Nho Do, Tian En Timothy Seah, Khek Yu Ho, Ho Khek Yu, Soo Jay Phee
Intra-gastric balloons (IGB) have become an efficient and less invasive method for obesity treatment. The use of traditional IGBs require complex insertion tools and flexible endoscopes to place and remove the balloon inside the patient's stomach, which may cause discomfort and complications to the patient. This paper introduces a new ingestible weight-loss capsule with a magnetically remote-controlled inflatable and deflatable balloon. To inflate the balloon, biocompatible effervescent chemicals are used. As the source of the actuation is provided via external magnetic fields, the magnetic capsule size can be significantly reduced compared to current weight-loss capsules in the literature...
2016: PloS One
https://www.readbyqxmd.com/read/26445945/unplanned-admission-after-gastrectomy-as-a-consequence-of-fast-track-surgery-a-comparative-risk-analysis
#12
Michitaka Honda, Naoki Hiki, Souya Nunobe, Manabu Ohashi, Shinji Mine, Masayuki Watanabe, Satoshi Kamiya, Tomoyuki Irino, Takeshi Sano, Toshiharu Yamaguchi
BACKGROUND: The objectives of this study were to evaluate the incidence of and the risk factors for readmission after gastrectomy. Our hypothesis was that early discharge may be related to an increase in the incidence of readmission. METHODS: This was a retrospective, single-center, observational study of 1442 patients who underwent gastrectomy for stage I gastric cancer. The main outcome was the incidence of early readmission after gastrectomy, which was defined as an admission within 6 months after the first discharge day...
July 2016: Gastric Cancer
https://www.readbyqxmd.com/read/26225133/smoking-habit-in-severe-obese-after-bariatric-procedures
#13
Mauro Maniscalco, Pierluigi Carratù, Stanislao Faraone, Maria Rosaria Cerbone, Stefano Cristiano, Anna Zedda, Onofrio Resta
BACKGROUND: Bariatric procedures provide an effective means of short term weight loss and sustained weight control for the morbidly obese. The effect of bariatric procedures on smoking habit in obese subjects is not well known. Therefore, we examined the short term effect of bariatric surgery on smoking habit of severe obese patients up to 12 months from the intervention. PATIENTS AND METHODS: Smoking habit was assessed in a cohort of 78 morbid smoking obese patients followed at our clinic for bariatric procedures...
2015: Tobacco Induced Diseases
https://www.readbyqxmd.com/read/25901223/bowel-perforation-due-to-break-and-distal-passage-of-the-safety-ring-of-an-adjustable-intra-gastric-balloon-a-potentially-life-threatening-situation
#14
Ali M Al-Zubaidi, Hassan U Alghamdi, Abdu H Alzobydi, Irshad A Dhiloon, Laeeque A Qureshi
A 45-year-old man of Middle Eastern origin, morbid obese, with a body mass index of 39 had an intra-gastric balloon, filled with 500 mL of saline/methylene blue and intended as definite therapy, inserted some 8 wk previously. He was admitted to the emergency department with abdominal cramps. An ultrasound of the abdomen was performed in ER which confirmed the balloon to be in place without any abnormality. He was discharged home on symptomatic medication. Patient remains symptomatic therefore he reported back to ER 2 d later...
April 16, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25879595/-efficiency-of-endoscopic-treatment-with-intra-gastric-balloon-in-severe-to-morbid-obesity
#15
Fatma Houissa, Senda Trabelsi, Kamel Hadj Brahim, Leila Mouelhi, Slim Bouzaidi, Mohamed Salem, Haiffa Mekki, Kaouther El Jery, Yosra Said, Sana Kheder, Radhouane Debbech, Taoufik Najjar
BACKGROUND: Obesity raises such a healthcare matter throughout the world. Its management is not only complex but also most often multidisciplinary. The medico-dietary treatment is of inconstant efficiency and the surgical treatment, though more efficient, presents a considerable morbidity-death rate. The endoscopic treatment through intra-gastric balloon avails a seducing alternative namely accounting for surgery preparation. AIM: To assess the efficiency of the endoscopic treatment through gastric balloon, both in the short and long term, and this is accounting for weight loss as well as tolerance...
December 2014: La Tunisie Médicale
https://www.readbyqxmd.com/read/25102711/fatal-visceral-ischemia-as-a-complication-of-intra-aortic-balloon-placement
#16
K E Y Claes, K K J Cathenis, Ph K E W Ballaux
We present a case of visceral ischemia due to an anatomic versus balloon length mismatch. An 80-year-old women underwent elective coronary artery bypass graft surgery. The direct post-operative period was complicated by low cardiac output, not responding to inotropic or vasopressor drugs. An intra-aortic balloon pump (IABP) was inserted during an explorative rethoracotomy. The first 3 days, an improvement of the hemodynamic function was seen. During this period, hepatic dysfunction, renal failure with need for hemodialysis and rising values of serum lactate were seen...
May 2014: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/24777561/complete-small-bowel-obstruction-from-a-migrated-intra-gastric-balloon-emergency-laparoscopy-for-retrieval-via-enterotomy-and-intra-corporeal-repair
#17
Salomone Di Saverio, Claudio Bianchini Massoni, Sergio Boschi, Andrea Biscardi, Gregorio Tugnoli, Michele Masetti, Elio Jovine
A 49-year-old female (weight 81 kg, height 161 cm, BMI 31.2) presented at the emergency department complaining of 2-day history of worsening cramp-like abdominal pain and vomiting. She had not passed stools or flatus in the last 36 h and reported to have had an intra-gastric balloon (BioEnterics Intra-gastric Balloon, Allergan. Inc, Irvine, Calif) inserted 9 months earlier to treat grade I obesity. The balloon was introduced during an upper endoscopy at another institution in Latin America, and she denied having any follow-up since moving to Europe...
October 2014: Obesity Surgery
https://www.readbyqxmd.com/read/24742329/delayed-gastric-emptying-after-esophagectomy-for-malignancy
#18
Bin Li, Jian-Hua Zhang, Cheng Wang, Tie-Niu Song, Zhi-Qiang Wang, Yun-Jiu Gou, Jian-Bao Yang, Xiao-Ping Wei
BACKGROUND: Controversy still exists about the need for pyloric drainage procedures after esophagectomy with gastric conduit reconstruction. Although pyloric drainage may prevent postoperative delayed gastric emptying (DGE), it may also promote dumping syndrome and bile reflux. The aims of this study were to audit the incidence and management of DGE in patients without routine pyloric drainage after esophagectomy in a university medical center. PATIENTS AND METHODS: From July 2006 to June 2012, data from 356 consecutive patients who underwent esophagectomy with a gastric conduit without pyloric drainage for esophageal or gastric cardia carcinoma were reviewed...
May 2014: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/24632457/inhibitory-effect-of-the-selective-serotonin-5-ht%C3%A2-receptor-antagonist-ramosetron-on-duodenal-acidification-induced-gastric-hypersensitivity-in-rats
#19
Mari Nakata-Fukuda, Takuya Hirata, Yoshihiro Keto, Mayumi Yamano, Toshihide Yokoyama, Yasuo Uchiyama
Irritable bowel syndrome (IBS) and functional dyspepsia (FD) are both functional gastrointestinal disorders and frequently co-occur in patients. While one cause of FD appears to be gastric hypersensitivity, whether the hypersensitivity is affected by IBS treatments remains unclear, given the lack of appropriate animal models for testing. Here, we established an experimental model of duodenal acidification-induced gastric hypersensitivity in conscious rats. The model involved duodenal acidification induced by the infusion of hydrochloric acid into the proximal duodenum, with the nociceptive response being determined as the change in mean arterial pressure (MAP) during gastric distension via an indwelling latex balloon...
May 15, 2014: European Journal of Pharmacology
https://www.readbyqxmd.com/read/24482727/simple-strategy-of-anesthesia-for-the-neonate-with-tracheoesophageal-fistula-a-case-report
#20
Yang Ni, Yusheng Yao, Peng Liang
A 3-day-old neonate, given a diagnosis of esophageal atresia (EA) with tracheoesophageal fistula (TEF), which is large and just above the carina, was scheduled for TEF repair. Routine anesthetic management focuses on adequate ventilation and avoidance of gastric distension during positive pressure ventilation. Using a balloon-tipped embolectomy catheter or a Fogarty catheter to block the fistula under the guidance of fiberoptic scope has been described. In most of the medical centers, however, the pediatric fiberoptic scope may not be available...
2014: International Journal of Clinical and Experimental Medicine
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