Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/31894
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorALMEIDA, Leonardo Salles de
dc.contributor.authorBAZARBASHI, Ahmad Najdat
dc.contributor.authorSOUZA, Thiago Ferreira de
dc.contributor.authorMOURA, Bruna Furia Buzetti Hourneaux de
dc.contributor.authorMOURA, Diogo Turiani Hourneaux de
dc.date.accessioned2019-05-30T13:45:14Z
dc.date.available2019-05-30T13:45:14Z
dc.date.issued2019
dc.identifier.citationOBESITY SURGERY, v.29, n.4, p.1445-1446, 2019
dc.identifier.issn0960-8923
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31894
dc.description.abstractIntroduction The use of intragastric balloons (IGB) for the treatment of obesity has been increasing significantly, with data confirming its effectiveness with low complication rates. Adjustable balloons are not widely available for use in all countries, including the USA. In this video, we demonstrate a unique technique in which a conventional nonadjustable balloon is modified to an adjustable balloon to improve weight loss. Methods A 35-year-old woman with a BMI of 36.1 kg/m(2) (84.4 kg) who had failed prior medical therapy for obesity presented for IGB placement. After discussion with the patient, including risks and benefits, a conventional IGB modified to a novel adjustable IGB was placed. Results In this primary experience, we describe the use of a conventional IGB modified to an adjustable balloon. First, during balloon placement, an initial 500 ml of saline was instilled. At one-month follow-up, the patient only experienced 3.67%TBWL; thus, the balloon was adjusted with the addition of 160 ml of saline through the newly created modification catheter. At a 2-month follow-up, a second adjustment was performed with the addition of 180 ml, for a total of 840 ml. At 4 months, patient experienced 10% TBWL and decreased in BMI by 3.6 kg/m(2). No adverse events were reported. Conclusion The transformation of a nonadjustable balloon into an adjustable balloon is feasible and effective in weight loss. This technique may be an alternative in cases where adjustable balloon is not available. Further studies are warranted to confirm the safety and efficacy of this novel device.eng
dc.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofObesity Surgery
dc.rightsrestrictedAccesseng
dc.subjectObesityeng
dc.subjectWeight losseng
dc.subjectIntragastric ballooneng
dc.subjectEndoscopyeng
dc.subjectAdjustable ballooneng
dc.subjectExperimentaleng
dc.titleModifying an Intragastric Balloon for the Treatment of Obesity: a Unique Approacheng
dc.typearticleeng
dc.rights.holderCopyright SPRINGEReng
dc.identifier.doi10.1007/s11695-019-03771-1
dc.identifier.pmid30737762
dc.subject.wosSurgeryeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalALMEIDA, Leonardo Salles de:IMO, Belo Horizonte, MG, Brazil
hcfmusp.author.externalBAZARBASHI, Ahmad Najdat:Harvard Med Sch, Brigham & Womens Hosp, Div Gastroenterol Hepatol & Endoscopy, Boston, MA 02115 USA
hcfmusp.author.externalMOURA, Bruna Furia Buzetti Hourneaux de:Hosp Municipal Dr Moises Deutsch, Sao Paulo, SP, Brazil
hcfmusp.description.beginpage1445
hcfmusp.description.endpage1446
hcfmusp.description.issue4
hcfmusp.description.volume29
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000467148300058
hcfmusp.origem.id2-s2.0-85061291631
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
hcfmusp.relation.referenceGenco A, 2013, OBES SURG, V23, P953, DOI 10.1007/s11695-013-0891-5eng
hcfmusp.relation.referenceMoura D, 2016, SURG OBES RELAT DIS, V12, P420, DOI 10.1016/j.soard.2015.10.077eng
dc.description.indexMEDLINEeng
dc.identifier.eissn1708-0428
hcfmusp.citation.scopus1-
hcfmusp.scopus.lastupdate2022-06-10-
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