Morbid Obesity: treatment with Bioenterics Intragastric Balloon (BIB), psychological and nursing care: our experience

AbstractObesity is considered a chronic disease, difficult to treat, and is the first cause of death in the world that is predictable. The surgical approach is limited to patients with severe obesity but there is an intermediate group who are not candidates for immediate surgery. The BioEnterics Intragastric Balloon (BIB) is recommended for weight reduction as a bridge to bariatric surgery.All patients in the study underwent a psychological evaluation prior to placement of the BIB.

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Preoperative intragastric balloon in morbid obesity is unable to decrease early postoperative morbidity of bariatric surgery (sleeve gastrectomy and gastric bypass): a clinical assay

Surgical Endoscopy ◽

10.1007/s00464-019-07061-w ◽

2019 ◽

Vol 34 (6) ◽

pp. 2519-2531 ◽

Cited By ~ 1

Author(s):

Cristina Vicente Martin ◽

Luis R. Rabago Torre ◽

Luis A. Castillo Herrera ◽

Marisa Arias Rivero ◽

Miguel Perez Ferrer ◽

...

Keyword(s):

Bariatric Surgery ◽

Morbid Obesity ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Intragastric Balloon ◽

Postoperative Morbidity ◽

Clinical Assay

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Nursing In The Pre And Postoperative Of Bariatric Surgery

International Archives of Medicine ◽

10.3823/2473 ◽

2017 ◽

Vol 10 ◽

Author(s):

Joseane Caetano dos Santos ◽

Josefa Danielma Lopes Ferreira ◽

Carla Lidiane Jácome de Lima ◽

Thalys Maynnard Costa Ferreira ◽

Graciela Maria Carneiro Maciel ◽

...

Keyword(s):

Bariatric Surgery ◽

Morbid Obesity ◽

Nursing Care ◽

Active Member ◽

Good Recovery ◽

Review Of Literature ◽

Exclusion Criteria ◽

Health Team ◽

Whole Process ◽

Online Journals

Objective: To describe the studies disseminated in online journals about the nursing care in the pre- and post-operative bariatric surgery. Method: This is an integrative review of literature, a method that aims to gather and synthesize results of research about a topic. We conducted a survey of 405 articles, which, after passing by the inclusion and exclusion criteria, resulted in 8 scientific productions for analysis. Results: The selected publications were divided into two thematic categories: Nursing care for the patient undergoing bariatric surgery and systematization of nursing care for patients under bariatric surgery. Conclusion: The analysis of these studies evidences the importance of the nurse as an active member of the health team and essential in the whole process of bariatric surgery that the patient undergoes. It was also seen that the systematization of nursing care is determinant for a good recovery of these patients. Descriptors: Bariatric Surgery; Nursing Care; Obesity; Morbid Obesity.

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The BioEnterics Intragastric Balloon for the Nonsurgical Treatment of Obesity and Morbid Obesity

Minimally Invasive Bariatric Surgery ◽

10.1007/978-0-387-68062-0_45 ◽

2007 ◽

pp. 389-394 ◽

Cited By ~ 1

Author(s):

Franco Favretti ◽

Maurizio De Luca ◽

Gianni Segato ◽

Luca Busetto ◽

Enzo Bortolozzi ◽

...

Keyword(s):

Morbid Obesity ◽

Intragastric Balloon ◽

Nonsurgical Treatment ◽

Bioenterics Intragastric Balloon ◽

Treatment Of Obesity

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Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

Problems of Endocrinology ◽

10.14341/probl201662325-32 ◽

2016 ◽

Vol 62 (3) ◽

pp. 25-32 ◽

Cited By ~ 1

Author(s):

Pavel L. Okorokov ◽

Olga V. Vasyukova ◽

Ivan I. Dedov

Keyword(s):

Bariatric Surgery ◽

Morbid Obesity ◽

Conservative Treatment ◽

Literature Review ◽

Patient Selection ◽

Metabolic Surgery ◽

Metabolic Complications ◽

The World ◽

Different Types ◽

Selection For

Morbid obesity in children is associated with various metabolic complications, often persisting into adulthood and leading to reduced quality and duration of life. Conservative treatment of morbid obesity, often ineffective, and therefore, bariatric surgery in adolescents is becoming more common throughout the world. This review presents an analysis of international clinical guidelines for patient selection for bariatric surgery, assessed the efficiency and safety of different types of bariatric operations and identified the main problems of the widespread use of metabolic surgery as a method of treatment of morbid obesity in adolescents.

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SUN-540 Inflammasome Components After Bariatric Surgery: Novel Targets for a Chronic Disease

Journal of the Endocrine Society ◽

10.1210/jendso/bvaa046.1777 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

Author(s):

Aura D Herrera-Martinez ◽

Vicente Herrero Aguayo ◽

Prudencio Sez ◽

Juan L López-Cánovas ◽

Fernando L-López ◽

...

Keyword(s):

Bariatric Surgery ◽

Chronic Disease ◽

Severe Obesity ◽

The Body ◽

Inflammasome Activation ◽

Type2 Diabetes ◽

Biochemical Evaluation ◽

First Time ◽

Metabolic Comorbidities

Abstract Background: Obesity is a metabolic chronic disease with important associated morbidity and mortality. Bariatric surgery (BS) is the most effective treatment for keeping long-term weight loss in severe obesity and consequently decreases obesity-related complications including inflammation. Aim: to explore changes in the inflammasome components after BS and their relations with clinical and biochemical parameters at baseline and six months after surgery. Patients and methods: 22 patients that underwent BS (sleeve gastrectomy and roux-en-Y gastric bypass) were included. Epidemiological, clinical, anthropometric and biochemical evaluation was performed. Four groups of inflammasome components and inflammatory associated factors were evaluated: NOD-like receptors; inflammasome activation components; cytoquines and inflammation/apoptosis related components; and cell-cycle and DNA-damage regulators. Clinical-molecular correlations and associations were for the first time performed in a cohort of patients with morbid obesity that underwent BS. Results: The four groups of inflammasome components were dysregulated after BS. The mRNA expression of several factors was markedly decreased after BS, specially CXCL3, CCL8, TLR4, NLRC4 and NLRP12. Most changes were independent of the performed surgical technique. Inflammasome components displayed several clinical and biochemical correlations including the presence of baseline metabolic comorbidities (type2 diabetes, dyslipidemia and hypetension) and the body composition. Conclusion: the regulation of several inflammasome system components may explain the improvement and reversion of some obesity-related comorbidities after BS.

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Intragastric Balloon as Bridging Therapy Prior to Bariatric Surgery for Patients with Severe Obesity (BMI ≥ 50 kg/m2): a Systematic Review and Meta-analysis

Obesity Surgery ◽

10.1007/s11695-021-05772-5 ◽

2021 ◽

Author(s):

Jing Hong Loo ◽

Yao Hui Lim ◽

Hwee Ling Seah ◽

Andrew Zhi Quan Chong ◽

Kon Voi Tay

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Intragastric Balloon ◽

Severe Obesity ◽

Meta Analysis ◽

Bridging Therapy

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The role of endoluminal interventions in the preparation of high-risk patients with super-obesity for bariatric surgery

General Surgery ◽

10.30978/gs-2021-1-18 ◽

2021 ◽

Author(s):

O. Y. Ioffe ◽

M. S. Kryvopustov ◽

O. P. Stetsenko ◽

T. V. Tarasiuk ◽

Y. P. Tsiura

Keyword(s):

Bariatric Surgery ◽

Body Mass Index ◽

Morbid Obesity ◽

High Risk ◽

Intragastric Balloon ◽

Conservative Therapy ◽

Control Group ◽

Obese Patients ◽

Super Obesity

Obesity causes increased morbidity, disability and mortality rates as well as affects the quality of life. Given the known risks to the patient’s health, the International Federation for the Surgery of Obesity and Metabolic Disorders pays special attention to the problem of morbid obesity (body mass index ≥ 40 kg/m2), with particular emphasis on super‑obesity (body mass index ≥ 50 kg/m2). Objective is to investigate the role of endoluminal interventions in the preparation of super obese patients with high risk of surgical and anaesthesia‑related complications for bariatric surgery. Materials and methods. From 2011 to 2018, 97 patients with morbid obesity and high risk of surgery and anaesthesia‑related complications (ASA PS III — IV) underwent a course of treatment at the clinical setting of the Department of General Surgery No2 of Bohomolets National Medical University. The treatment was carried out in 2 stages. In the main group (n = 60), the first stage of treatment included the intragastric balloon placement for a term of 6 months. The control group (n = 37) received a six‑month conservative therapy. In the second stage of treatment the patients of both groups underwent a surgical procedure for the morbid obesity management. Results. The outcomes of the first stage of treatment showed that the patients, who underwent the intragastric balloon placement, had statistically significantly (p < 0.001) higher mean the percentage of excess weight loss (% EWL) than the patients who received conservative therapy. In the main group, the average ASA PS score, which is identified as an anaesthetic and surgical risk indicator, decreased from 3.28 (95 % confidence interval (CI) 3.17 — 3.40) to 2.15 (95 % CI 2.06 — 2.24, p < 0.001), and in the control group — from 3.24 (95 % CI 3.10 — 3.39) to 3.14 (95 % CI 2.96 — 3.31, p > 0.05). Conclusions. The results of the study provide strong evidence that the intragastric balloon placement for a term of 6 months reduces surgical and anaesthetic risks, contributes to the improved function of the cardiovascular and respiratory systems as well as gives a boost to carbohydrate metabolism, and, therefore, can be suggested for the preparation of super obese patients with high risk of surgical and anaesthesia‑related complications for bariatric surgery.

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Efficacy and Mechanisms of Gastric Volume-Restriction Bariatric Devices

Frontiers in Physiology ◽

10.3389/fphys.2021.761481 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yanmin Wang ◽

Ghassan S. Kassab

Keyword(s):

Bariatric Surgery ◽

Morbid Obesity ◽

Medical Devices ◽

Severe Obesity ◽

Gastric Volume ◽

Surgical Indications ◽

Future Studies ◽

Underlying Mechanisms ◽

Clinically Severe Obesity ◽

Shed Light

Obesity is a chronic disease that affects over 795 million people worldwide. Bariatric surgery is an effective therapy to combat the epidemic of clinically severe obesity, but it is only performed in a very small proportion of patients because of the limited surgical indications, the irreversibility of the procedure, and the potential postoperative complications. As an alternative to bariatric surgery, numerous medical devices have been developed for the treatment of morbid obesity and obesity-related disorders. Most devices target restriction of the stomach, but the mechanism of action is likely more than just mechanical restriction. The objective of this review is to integrate the underlying mechanisms of gastric restrictive bariatric devices in obesity and comorbidities. We call attention to the need for future studies on potential mechanisms to shed light on how current gastric volume-restriction bariatric devices function and how future devices and treatments can be further improved to combat the epidemic of obesity.

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