Notes

Intragastric Balloon
The intragastric balloon is a medical device that can be placed in the stomach to help patients lose weight. The procedure is usually performed after diet and exercise have been ineffective. However, this procedure is not recommended for patients who do not want surgery. Patients who do not want to undergo surgery should consider using a different medical device to lose weight.
Orbera(tm)

The ORBERA(tm) intragastric balloon is a new, noninvasive treatment for obesity that is used to help patients lose weight. The device is placed in the stomach and remains in place for approximately six months. If not removed within this time, the balloon can cause problems with the patient's bowel movement. These problems may be potentially fatal.

There are currently six different commercially available balloons. Only three are FDA-approved. Some of these balloons are clones of each other. The first one, the Bioenterics IGB, was introduced to the market in 1991 and is now marketed as Orbera. The Orbera balloon has several advantages and disadvantages.
Elipse

The Elipse intragastric balloon is a small, flexible plastic balloon that is implanted into the stomach. Its innovative design avoids the need for anesthesia or endoscopy. A thin catheter is used to insert the balloon into the stomach. After the balloon is filled, the catheter is removed. The degradable filament inside the balloon breaks down after 16 weeks, and it is excreted naturally.

The Elipse balloon is a product of a thorough research process at Harvard Medical School. It received a CE mark in 2015 and is now available in Europe and the Middle East. It has been validated for weight loss in overweight and obese patients. The Elipse does not require endoscopic procedures or anesthesia, which reduces the downtime and costs of the procedure. Patients may experience vomiting and abdominal cramping after the procedure, but these are short-lived and treatable with standard medications.
Polyurethane

A polyurethane intragastric balloon is a doughnut-shaped, inflatable cylinder. It reduces stomach volume and is used for weight loss in patients with morbid obesity. However, prolonged use can cause complications, including hyperplasia of the G cells and pressure ulcers of the mucosa. Nucleus Healthcare, a private gastroenterology center in Newport, New Hampshire, offers this procedure.

Polyurethane is a non-toxic material and can be injected into the stomach. This substance is a soft material that is easily dissolved by the body and passes out naturally in four months. The procedure does not require any surgery and is performed in a physician's office. This can save the patient a lot of money, as it does not require anesthesia or a hospital stay.
Polyurethane balloon

A polyurethane intragastric balloon is a medical device that is inserted into the stomach. The use of this device could help patients lose weight. It is easy to administer and is very safe. However, complications are possible. One of the most common complications is spontaneous collapse of the balloon.

Studies have shown that the balloon may delay gastric emptying and increase satiety. Satiety is a complex process that is controlled by the gut-brain axis. The use of an intragastric balloon can delay gastric emptying, which can lead to an increased sense of fullness and satiation, which in turn can cause body weight loss.
Pancreatitis

An acute case of pancreatitis associated with intragastric balloon compression was described in a patient presenting with abdominal pain. Laboratory data confirmed the diagnosis of acute pancreatitis. The patient was admitted with blood pressure of 100/70 mmHg, a pulse rate of 120 beats per minute, respiratory rate of 22 breaths per minute, and a body temperature of 38degC. Upon further investigation, a contrast CT scan of the abdomen was performed. The image showed an IGB filled the stomach and a diffuse enlargement of the pancreatic ducts. Additionally, the imaging revealed peripancreatic inflammation and fat stranding. Furthermore, the inflated balloon caused mechanical pressure on the pancreatic parenchyma.

The patient recovered from the procedure in just over 24 hours. After the procedure, he underwent an endoscopy. The balloon was partially drained and removed. The patient was discharged from the hospital in a day. A magnetic resonance cholangiopancreatography confirmed the diagnosis of pancreatitis, but the symptoms were mild and resolved within 24 hours.
Hyperinflation

Hyperinflation of an intragastric balloon (IGB) has been associated with a wide range of adverse events. It can result in gastric outlet obstruction, necrosis, or pancreatitis. Symptoms can be severe and may lead to permanent damage. As a result, prompt identification and removal of the balloon are essential.

The cause of hyperinflation is still not fully understood, but there are several possible causes. These include permeability and anaerobic bacteria. Both of these factors can contribute to the balloon's over-inflation, which can result in serious symptoms and even lead to removal. If the balloon has been inflated beyond its maximum capacity, endoscopic balloon removal may be an option.
Weight loss

An intragastric balloon for weight loss is a small balloon placed in the stomach to help people lose weight. These devices are typically used in conjunction with a proper diet and exercise program. They require a skilled and experienced endoscopist to insert. Patients should also work with a multidisciplinary team including a gastroenterologist, psychologist, and nutritionist.

The procedure is most commonly used for women with grade 2 or 3 obesity. It is most effective when combined with other treatments, such as phentermine or topiramate.
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