The procedure to install an intragastric balloon is introduced into the stomach that silicone balloon and is filled with water. It turns out that most of the stomach is smooth ball 500 ml - intragastric balloon. As a result, a person can not eat the food as much as he was eating before. Caloric intake is reduced, the person loses weight. Installation of the gastric balloon - it's not an operation, a procedure that is not technically difficult to gavage administration, but is under the control of gastroskopicheskim.
The container is placed in the stomach for a period of 6 months, then it should be removed. This is due to the fact that hydrochloric acid, which is produced by the stomach, can destroy the wall of the cylinder. To reduce the acidity of the whole period of balloon in the stomach of the patient take medication omeprazole (omez) 1 capsule per day. As far as losing weight people with an intragastric balloon? As a rule, the average weight loss of 5-25 kg.
Record weight loss, which was achieved by means of this technique is 72 kg (although this patient's initial weight was 200 kg). It is interesting that recently the number of patients who put balloon in the stomach, increased significantly and continues to grow. This can be explained by the fact that it is - simple, yet realistic working method.
Balloon - BIB. This abbreviation stands for Bioenterics Intragastric Balloon (intragastric balloon Corporation Bioenterics). In principle, BIB meets all requirements of an ideal cylinder. It is a smooth ball, made of high quality silicone rubber. The ball is filled with water. Capacity it can vary from 400 to 700 ml. Balloon has radiopaque valve through which he filled.
BIB balloon is made of high quality soft and clear medical silicone rubber. It is a thin-walled elastic ball which is inflated with water to a volume of 500 ml. With this volume of the cylinder diameter is 13 cm cylinder is absolutely smooth.
In the cylinder wall has a valve through which the balloon is filled with fluid. The container is delivered to the consumer in a package inside which there are additional accessories to install and bloating. In the package are: Sam balloon in deflated form. In this bottle tightly folded, and the top covered with a cover. The tube diameter of 6.5 mm, which is produced by inflating balloon. The tube is inserted into the cylinder valve. Inside the tube a guide wire for increased rigidity and ease of administration. System for inflation. The mechanism of action of the cylinder
The presence of the cylinder in the stomach leads to the fact that it fills a significant portion of its volume. Consequently, the amount of food people eat can be reduced. In addition, inflated balloon stretches the stomach wall, which leads to irritation of the receptor saturation. This irritation leads to early feelings of fullness.
Balloon in the stomach can put a maximum of 6 months. After that, it must be removed. This is explained by the fact that present in the gastric juice hydrochloric acid gradually destroys the tank, and he stands just six months. If the patient wants to continue treatment in a way to remove old, and in its place put a new bulb.
Indications for container installation in the stomach
In order to understand who can be put into the stomach balloon for weight loss, you have an idea of the so-called BMI, that is Body Mass Index. So, the first group of patients who can put balloon in the stomach, are patients with a BMI of 30 to 40.
Typically, these are people who have repeatedly tried to lose weight in many ways, but could not get sufficient effect. Many of them ask them to do surgery for the imposition of the ring on the stomach, but with such a BMI is an operation prematurely (it should be done when the BMI is 35-40 and above). In such cases, when an operation is still too early, and reduce the weight of a must, and applied plant container.
Another group of candidates for the installation of the cylinder are patients with a BMI of 40 or more, if the health of their poor. Of course, they need to have surgery for weight loss, but the risk of surgery in which large. Installing the cylinder and the weight reduction leads to the fact that health is improving, and therefore the risk of surgery is reduced. That is, in this case we are talking about preoperative preparation.
Sometimes the bottle is put obese patients, which are scheduled surgery on the joints (joint prosthesis on osteoarthritis), surgery for hernias and other operations. Even modest weight loss they have is to reduce the risk of any operation. Another group of patients are men with a BMI of 40 and above who have very severe diseases of the circulatory system. Because of severe cardio-pulmonary disease, these patients will never be operated on. If they need to get a rapid and substantial weight loss, they can be installed balloon in the stomach.
Contraindications to install the cylinder in the stomach
Put bottle only for cosmetic reasons, it is impossible. Install the cylinder is contraindicated in patients with a body mass index less than 30 (except in cases where patients have comorbidities, which may improve over amid falling body weight).
Statement of the balloon is contraindicated in the presence of inflammatory diseases of the gastrointestinal tract, including esophagitis, gastric ulcers and 12 duodenal ulcer, Crohn's disease, gastric malignancy. Statement of the balloon is contraindicated in the presence of potential sources of bleeding in the gastrointestinal tract, such as varicose veins of the esophagus and stomach, congenital and acquired telangiectasia, other congenital abnormalities of the gastrointestinal tract, such as atresia and stenosis.
Statement of the balloon is contraindicated in the presence of large hiatal hernia. Statement of the balloon is contraindicated in the presence of strictures and diverticula of the pharynx and esophagus. Statement of the balloon is contraindicated in the presence of other medical problems that may impede the implementation of gastroscopy.
It is also a contraindication to the formulation of the cylinder is the presence of mental disorders. Statement of the balloon is contraindicated in the presence of alcohol and drug abuse. Statement of the balloon is contraindicated in people with low discipline, which may not comply with prescribed diet diet, and can not come to medical control, 2 times a month.
Contraindication is permanent aspirin, other anti-inflammatory drugs, steroids, drugs that irritate the stomach, as well as anticoagulants (drugs that lower blood clotting). Contraindication to the formulation of the cylinder is a pregnancy or breast-feeding. Methods of installation
The container set under the control of gastroscopy. This is not surgery, and endoscopic procedure. Whether it is running under full anesthesia. The patient can lie on your back or on the left side, depending on the preference of the doctor. All contents of the package, which comes in the system BIB, laid on the table, and cover with a special gel is smeared on the outside. In the bowl of water that is used to inflate the balloon, introduced a medical dye - methylene blue (it is needed for early detection of leaks from the cylinder).
Initially performed gastroscopy - examination of the esophagus and stomach for the presence of diseases that may be a contraindication to set BIB. Then the balloon is introduced through the mouth. By connecting the catheter syringe, and under the control of the cylinder begins to swell. In this case, in which the balloon bursts, and the balloon is released. When the balloon is filled to the desired volume (500 ml), the catheter is pulled out of the cylinder valve when it closes. The container becomes a free ball in the lumen of the stomach. Catheter and gastroscope extracted from the patient. In this procedure ends.
Currently (summer 2006) there is a new model of intragastric balloon domestic, which is not inferior BIB balloon, but exceeds it by a number of indicators. An important advantage of intragastric balloon Russia is considerably lower price.
Of course, intragastric balloon - not a panacea for obesity. On the other hand, this treatment is a good achievement of modern medicine. The effectiveness of the treatment of obesity by introducing balloon occupies an intermediate position between conservative treatment and surgical treatment. That is, it is superior to conservative methods (drugs, diet, etc.), but inferior in strength and duration of surgical methods (superposition of the ring on the stomach, bypass surgery).
Interestingly, the treatment plant intragastric balloon can be useful to another point of view. As you know, if the patient perform the operation for the imposition of the ring on the stomach, it is not always possible to obtain adequate weight loss. There may be patients with low discipline, which begin to eat high-calorie liquid diet, such as chocolate, ice cream, milkshakes. In such cases, even imposed a ring does not give the desired effect.
So, it was found that these patients lose weight during a intragastric balloon fairly accurately corresponds to the patient losing weight would be if he left a ring on the stomach. Of course, the effect of the imposition of the ring will be more (after the introduction of balloon patients lose an average of 40% of excess body weight, and after the imposition of the ring, on average 50%), but overall, it becomes clear how a patient will maintain weight after surgery as possible. In other words, the introduction of balloon in the stomach can be used to predict future weight loss by imposing a ring on the stomach.
