BookManoel Galvao Neto, Lyz Bezerra Silva, Eduardo N. Usuy Jr., Josemberg M. Campos, editors.
Summary: Intragastric balloons are steadily gaining popularity among the medical treatments available for obesity. Their efficacy and safety are reinforced by growing body of evidence obtained around the globe. Intragastric balloons are now considered one of the safest and most effective medical procedures for weight reduction. Additionally, the reduced potential for side effects and low invasiveness (compared to bariatric surgeries) are important considerations. This book is edited by renowned surgeons and endoscopists from Brazil, a country known for its reputation on the field of bariatric endoscopy and surgery. Such reputation is especially valid where the use of intragastric balloons is concerned. These devices, approved by the FDA only in 2015, have been used in Brazil since the 1990s, attesting to Brazilian expertise in the field. This book describes the various types of intragastric balloons used for the treatment of obesity, an alternative to bariatric surgery and other more invasive methods. It addresses their indications, procedures and outcomes, providing readers an overview of the therapeutic options available worldwide. It is divided into seven main sections: I - Introductory Issues; II - Devices; III - Technical Procedures and Related Issues; IV - Acute Complications and Treatment; V - Chronic Complications and Treatment; VI - Special Populations; and VII - Miscellaneous. This structure helps to promote a better knowledge construction and a reasonable flow of ideas throughout the book, guiding the reader from introductory topics to surgical procedures and complications. The book ultimately intends to offer an essential reference guide for all physicians and surgeons interested in the treatment of obese patients. It is intended for both experienced professionals looking for in-depth information and for trainees and residents seeking to broaden their perspectives concerning the treatment of obesity.
Contents:
Part I
Introductory Issues
Intragastric Balloon history
Overview of intragastric balloons on an evidence-based perspective
Indications and Uses of The Intragastric Balloon
The Brazilian Experience on the use of intragastric balloons
How the Intragastric Balloon Fits in a Service of Bariatric Endoscopy
Brazilian Perspective
Bariatric surgeon perspective on bariatric endoscopy and intragastric balloons
(European perspective)
Use of intragastric balloons in the Middle-East: a bariatric surgeon survey
Liquid Filled Balloon
Part II
Devices
Adjustable liquid-filled balloon
Overview
Double liquid filled balloon
Mexican experience in the treatment of obesity with liquid filled balloon
A Swallowable Gas Filled Balloon, The Obalon Balloon, first human studies
Obalon Intragastric Balloon System Overview
Part III
Technical Procedures and Related Issues
Material
What is the Minimum, the Desirable and the Optimal
^Liquid Filled Intragastric Balloon
Implant and Removal Technique
Adjustable Intragastric Balloon
Implantation and Removal
Air-filled intragastric balloon implant
Part IV
Acute Complications and Treatment
Intolerance to the device
Abdominal pain, nausea, and others
Impaction of intragastric balloon in the antrum
Intestinal migration of an air-filled balloon: laparoscopic removal
Migration of the liquid-filled balloon: intestinal sub-occlusion
Gastric perforation by intragastric balloon
Hyperinflated intragastric balloon
Problems in the implantation of the intragastric balloon
Part V
Chronic Complications and Treatment
Helicobacter Pylori and Intragastric Balloons
Fungal colonization
Part VI
Special Populations
Intragastric balloons in pediatric patients and special populations
Chapter 28: Intragastric balloons as a bridge to bariatric and non-bariatric surgery in super-obese patients
Part VII
Miscellaneous
^Drug regimen and intragastric balloon: pre, post, during, combined
Dietetic Follow-Up During Intragastric Balloon Treatment
Psychotherapy in intragastric balloon treatment
Physical Activities.