El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy
Intragastric Balloon for the treatment of Obesity. Intragastric Globe (air filled).

Intragastric Balloon for the treatment of Obesity.

Intragastric Globe (air filled).

 Most studies were performed using liquid-filled balloons.
 Air-filled balloons may increase digestive tolerance,
 efficacy of a new air-filled intragastric balloon in
 nonmorbidly obese patients.

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Intragastric Balloon for the treatment of Obesity , Placement of IGB is carried out in an Endoscopy Suite. Intravenous conscious sedation is administered and the throat is sprayed with local anesthetic. Endoscopic examination of the upper gastrointestinal tract is performed. The scope is then withdrawn. The IGB in its collapsed state is attached to an introducer tube. This ensemble is introduced into the stomach via the mouth. Once it is in the correct position the IGB is inflated with air and the introducer tube detached and removed. The entire procedure takes about 15 or 20 minutes.Patients are carefully monitored during the endoscopic procedure and during recovery until they are fully alert.

Video Endoscopic Sequence 1 of 13.

Intragastric Balloon for the treatment of Obesity

 This procedure is totally ambulatory and does not require
 surgery.

 Placement of IGB is carried out in an Endoscopy Suite.
 Intravenous conscious sedation is administered and the
 throat is sprayed with local anesthetic. Endoscopic
 examination of the upper gastrointestinal tract is
 performed. The scope is then withdrawn. The IGB in its
 collapsed state is attached to an introducer tube. This
 ensemble is introduced into the stomach via the mouth.
 Once it is in the correct position the IGB is inflated with air
 and the introducer tube detached and removed. The entire
 procedure takes about 15 or 20 minutes.Patients are
 carefully monitored during the endoscopic procedure and
 during recovery until they are fully alert.
Intragastric balloon: a temporary treatment for obesity. The upper gastrointestinal tract is visualized immediately prior to insertion of the balloon. The diagnostic endoscopy is performed to define anatomy and to exclude concomitant disease which could preclude the safe and effective use of the device. If the stomach is healthy the balloon is introduced into the stomach

Video Endoscopic Sequence 2 of 13.

Intragastric balloon: a temporary treatment for obesity

 The upper gastrointestinal tract is visualized immediately
 prior to insertion of the balloon. The diagnostic endoscopy
 is performed to define anatomy and to exclude concomitant
 disease which could preclude the safe and effective use of
 the device. If the stomach is healthy the balloon is
 introduced into the stomach.

 
Intragastric balloons are a temporary non-surgical obesity treatment that induces short-term weight loss by partially filling the stomach to achieve satiety and reduce food intake.

Video Endoscopic Sequence 3 of 13.

 Intragastric balloons are a temporary non-surgical obesity
 treatment that induces short-term weight loss by partially
 filling the stomach to achieve satiety and reduce food
 intake.

 Obesity is a chronic metabolic disorder with considerable
 health risks, which can be approved by a sustained modest
 weight loss. This can be achieved by medical treatment
 through behavioral therapy, diet, exercise and
 pharmacotherapy. Surgery is often needed for the severely
 obese. Intragastric balloon treatment stands in between,
 being more drastic than medical treatment but less invasive
 than surgery.
Candidates for IGB: · Patients with moderate obesity (BMI 30 40) which places them at serious medical risk. Patients with severe obesity (BMI >40) who are awaiting definitive surgery (isolated gastric bypass or gastric banding). Patients with co morbid conditions which make them high risk for surgery or anesthesia who wish to lose weight.

Video Endoscopic Sequence 4 of 13.

Candidates for IGB

  • Patients with moderate obesity (BMI 30 40) which places them at serious medical risk.
  • Patients with severe obesity (BMI >40) who are awaiting definitive surgery (isolated gastric bypass or gastric banding)
  • Patients with co morbid conditions which make them high risk for surgery or anesthesia who wish to lose weight.
IGB Therapy. The inflated IGB stays in the stomach for a maximum of 6 months during which time patients are followed carefully by our medical specialists. In rare circumstances the IGB may have to be removed before the end of the six months. This can be done at any time. While the balloon is in the stomach the patient will experience a felling of fullness (satiety). Because the balloon takes up a lot of space in the stomach less space is available for food. This results in smaller meals and the loss of excess weight. During the six months the average weight loss is 35 lbs. (range 12-42 lbs).

Video Endoscopic Sequence 5 of 13.

IGB Therapy

 The inflated IGB stays in the stomach for a maximum of 6
 months during which time patients are followed carefully by
 our medical specialists. In rare circumstances the IGB may
 have to be removed before the end of the six months. This
 can be done at any time. While the balloon is in the
 stomach the patient will experience a felling of fullness
 (satiety). Because the balloon takes up a lot of space in the
 stomach less space is available for food. This results in
 smaller meals and the loss of excess weight. During the six
 months the average weight loss is 35 lbs. (range 12-42 lbs).

 Some patients have lost until 60 lbs.
Is a balloon with a triple shell of air molded silicone and both have polymerized interiors totally biocompatible, that permits a better homogeneity with its thickness. This mechanism reduces to a minimum the possibility of migration. The Gastric Balloon is inflated with air and its maximum weight is between 26 and 28 grams. The life expectancy of the Gastric Balloon is between 6 and 7 months, at which time it has to be removed in the same way it was placed with the help of the gastroscope as an ambulatory procedure.

Video Endoscopic Sequence 6 of 13.

 Is a balloon with a triple shell of air molded silicone and
 both have polymerized interiors totally biocompatible, that
 permits a better homogeneity with its thickness. This
 mechanism reduces to a minimum the possibility of
 migration. The Gastric Balloon is inflated with air and its
 maximum weight is between 26 and 28 grams. The life
 expectancy of the Gastric Balloon is between 6 and 7
 months, at which time it has to be removed in the same way
 it was placed with the help of the gastroscope as an
 ambulatory procedure.
Positioning was performed, after diagnostic endoscopy, under unconscious sedation. After placement, the balloon was slowly inflated with 840-960 cc of air, which gives the inflated final volume of 650-700 cc of air, as the air is compressed.

Video Endoscopic Sequence 7 of 13.

 Positioning was performed, after diagnostic endoscopy,
 under unconscious sedation. After placement, the balloon
 was slowly inflated with 840-960 cc of air, which gives the
 inflated final volume of 650-700 cc of air, as the air is
 compressed.

 
It is important to understand that the IGB is an aid to weight loss and must be used in conjunction with a prescribed diet and behaviour modification program. Therefore, the amount of weight lose will depend on how closely follow the diet. How long maintain weight loss will depend on how completely adopt long-term lifestyle changes involving eating behavior and exercise.

Video Endoscopic Sequence 8 of 13.

 It is important to understand that the IGB is an aid to
 weight loss and must be used in conjunction with a
 prescribed diet and behaviour modification program.
 Therefore, the amount of weight lose will depend on how
 closely follow the diet. How long maintain weight loss will
 depend on how completely adopt long-term lifestyle
 changes involving eating behavior and exercise.

 
The Intragastric Balloon is indicated for use for up to six months in patients with a BMI from 30 kg/m2 to 40 kg/m2, who have significant obesity-related health risks. It is also indicated for use in morbidly obese individuals, defined as those having a BMI >40 or a BMI <35 with serious physiological risks, who refuse surgery or who have a high surgical risk due to their excessive weight. Weight reduction through the use of the intra-gastric balloon may help to reduce surgical risk before bariatric (weight-loss) or other surgery.

Video Endoscopic Sequence 9 of 13.

 The Intragastric Balloon is indicated for use for up to six
 months in patients with a BMI from 30 kg/m2 to 40 kg/m2,
 who have significant obesity-related health risks.

 It is also indicated for use in morbidly obese individuals,
 defined as those having a BMI >40 or a BMI <35 with
 serious physiological risks, who refuse surgery or who have
 a high surgical risk due to their excessive weight.

 Weight reduction through the use of the intra-gastric
 balloon may help to reduce surgical risk before bariatric
 (weight-loss) or other surgery.
The intragastric balloon may be useful when obesity is not severe enough to justify bariatric surgery, or when patients refuse surgery. The intragastric balloon is less invasive than surgery, can be repeated, and is reversible.Consecutive balloons can potentially be placed to extend treatment.The use of a second balloon was followed by significant weight reduction in a period of 6 months.

Video Endoscopic Sequence 10 of 13.

 

 The intragastric balloon may be useful when obesity is not
 severe enough to justify bariatric surgery, or when patients
 refuse surgery.

 The intragastric balloon is less invasive than surgery, can
 be repeated, and is reversible. Consecutive balloons can
 potentially be placed to extend treatment. The use of a
 second balloon was followed by significant weight reduction
 in a period of 6 months.
Abdominal pain, nausea, and vomiting are common, particularly in the first week after balloon implantation. Lifestyle intervention, including a combination of low-calorie diet, behavioural modification,and physical activity, is recommended for weight loss. Anti-obesity drug therapy may be used as an adjunct to lifestyle intervention.

Video Endoscopic Sequence 11 of 13.

Abdominal pain, nausea, and vomiting are common, particularly in the first week after balloon implantation.

 Lifestyle intervention, including a combination of
 low-calorie diet, behavioural modification,and physical
 activity, is recommended for weight loss. Anti-obesity drug
 therapy may be used as an adjunct to lifestyle intervention.

 
Moderate weight loss may be achieved if patients adhere to a weight-reduction program. Weight gain can recur when the balloon is removed after six months therefore the patient should be following a diet program. Obesity appears to lessen life expectancy markedly, especially among younger adults. Obesity increases the risk of premature death from coronary heart disease, stroke, type 2 diabetes, gallbladder disease, and some cancers.

Video Endoscopic Sequence 12 of 13.

 Moderate weight loss may be achieved if patients adhere
 to a weight-reduction program.

 Weight gain can recur when the balloon is removed after
 six months therefore the patient should be following a diet
 program.

 Obesity appears to lessen life expectancy markedly,
 especially among younger adults. Obesity increases the
 risk of premature death from coronary heart disease,
 stroke, type 2 diabetes, gallbladder disease, and some
 cancers.
The balloon is place immediately after the GE junction.

Video Endoscopic Sequence 13 of 13.

The balloon is place immediately after the GE junction.
Plain Abdominal Film. This image shows the space that is occupied by the balloon.

Plain Abdominal Film

This image shows the space that is occupied by the balloon.

Click here to enlarge the image