{"id":4866,"date":"2018-06-01T08:48:31","date_gmt":"2018-06-01T07:48:31","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=4866"},"modified":"2019-03-01T09:32:35","modified_gmt":"2019-03-01T09:32:35","slug":"effectiveness-of-intragastric-balloon-as-a-bridge-to-definitive-bariatric-surgery-in-the-super-obese-endoscopic-and-2017","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2018\/06\/01\/effectiveness-of-intragastric-balloon-as-a-bridge-to-definitive-bariatric-surgery-in-the-super-obese-endoscopic-and-2017\/","title":{"rendered":"Effectiveness of intragastric balloon as a bridge to definitive bariatric surgery in the super-obese endoscopic and percutaneous interventional procedures (2017)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Ball W.; *Raza S.S.; *Loy J.; *Riera M.; *Pattar J.; *Adjepong S.; *Rink J.; *Lyons H.; *Price B.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nObesity Surgery; Jul 2017; vol. 27 (Supplement\u00a01); p. 335<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nIntroduction: Super Obese patients with body mass index (BMI) &gt; 60KG\/M2 pose particular difficulties for primary laparoscopic bariatric surgery. Laparoscopic port access, stapling and suturing become increasingly difficult with higher BMI. Our unit's practice of placing an intragastric balloon for 6 months prior to definitive surgery in patients with BMI &gt; 60KG\/M2 aims to make definitive surgery less difficult by reducing weight. Objectives: To quantify weight loss after balloon placement and determine if these patients subsequently underwent definitive bariatric surgery. Methods: Retrospective review of 46 consecutive patients with intragastric balloon placement using SPSS statistical analysis on the results. Results: Median weight loss 14kg (0-42) P&lt;0.0001, median % excess weight loss (%EWL) 15% (-3.3-64.66) P&lt;0.001 and median BMI reduction 5KG\/M2 (-1.3-13.9) P&lt;0.001. 29\/46 (63%) patients underwent definitive bariatric surgery. 10\/46 (22%) patients had minor complications (nausea, vomiting and pain) requiring re-admission, of these 7\/10 (70%) had early balloon removal and 6\/10 (60%) did not have definitive bariatric surgery. 6\/46 patients had second balloon placement median weight loss-6kg (-22-33), median %EWL-4.85% (-21.6-34.96), median BMI reduction-1.3KG\/M2 (-8.5-2.5). Conclusion: Results from intragastric balloon placement are encouraging and comparable with a recent metaanalysis. Re-admissions and low %EWL with the first balloon are predictors for early balloon removal and failure to proceed to definitive surgery. Intragastric balloons as a bridge to definitive bariatric surgery are effective and safe. Sequential intragastric balloons are not recommended.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Ball W.; *Raza S.S.; *Loy J.; *Riera M.; *Pattar J.; *Adjepong S.; *Rink J.; *Lyons H.; *Price B. Citation: Obesity Surgery; Jul 2017; vol. 27 (Supplement\u00a01); p. 335 Abstract: Introduction: Super Obese patients with<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2018\/06\/01\/effectiveness-of-intragastric-balloon-as-a-bridge-to-definitive-bariatric-surgery-in-the-super-obese-endoscopic-and-2017\/\">Read more <span class=\"screen-reader-text\">Effectiveness of intragastric balloon as a bridge to definitive bariatric surgery in the super-obese endoscopic and percutaneous interventional procedures (2017)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[677,527],"class_list":["post-4866","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-677","tag-bariatric-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4866","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=4866"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4866\/revisions"}],"predecessor-version":[{"id":5226,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4866\/revisions\/5226"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=4866"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=4866"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=4866"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}