Spatz3 Adjustable Balloon: Weight Loss and Response Rates in Brazil, and how to Correctly Use the Balloon Adjustment Technique | Chapter 8 | Perspective of Recent Advances in Medical Research Vol. 11

 Intragastric Balloons (IGBs) have a changing and unpredictable efficiency and duration of effect. The Spatz Adjustable Intragastric Balloon (AIGB) was devised to address these concerns by extending information that is designed to mislead or persuade to one period, reducing balloon capacity for intolerance, and climbing volume for diminished balloon effect. This chapter aims to decide the efficacy and answer rate of the Spatz3 AIGB.The outcomes of 379 successive subjects (pts) implanted accompanying the Spatz3 AIGB were reviewed retrospectively (3 unrecoverable follow up). The average BMI is 35.5, the average burden (wt) is 97.5 kg, the average excess pressure is 29.1 kg, and the average balloon volume is 600ml. There were two alternatives for balloon volume adaptations: down adaptations for intolerance and up adaptations for increased balloon effect.The average opinion time for 376 subjects was 10.6 months, with a mean pressure loss of 14.9 kg; 15.1% Total Body Wt Loss (%TBL) and 58% Excess Wt Loss (%EWL). Response rate (> 25%EWL) was completed in 79% (297/376) of pts. Down adjustments in 95 pts (mean 2.4 months; mean -152.4 ml) admitted 76/95 (80%) to continue IGB cure for at least 6 months (mean 9.1 months). Up adaptations in 205/376 (54.5%) pts (mean 5.8 months; mean + 179.2 ml) yielded supplementary mean wt loss of 6.5 kg.In this backward-looking review of 376 Spatz3 AIGB patients, up adaptations yielded a mean 6.5kg extra wt deficit for those with wt deficit plateau, and below adaptations alleviated early prejudice. These two adjustment functions concede possibility have played a function in 79% of pts achieving a favorable outcome (> 25% EWL). Today, in 2023, accompanying casuistry higher in amount 5,000 adjustable balloons. We noticed that the adjustment has a correct method, and the use of the adjustment of the balloon accompanying the correct orientation of the patient obtains much better results.

Author(s) Details:

S. A. Leonardo,
Hospital of the Instituto Mineiro de Obesidade, Belo Horizonte, Brazil.

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