Review
Surgery
Lyz Bezerra Silva, Manoel Galvao Neto
Summary: The intragastric balloon is a temporary and minimally invasive therapy for weight loss, mainly for mild obesity. By reducing stomach capacity and inducing decreased hunger and food intake, it effectively promotes weight loss. The development of new devices, such as procedureless and adjustable balloons, offers more options for patients.
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
(2022)
Article
Health Care Sciences & Services
Mohammed A. Bawahab, Khaled S. Abbas, Walid M. Abd El Maksoud, Reem S. Abdelgadir, Khaled Altumairi, Awadh R. Alqahtani, Hassan A. Alzahrani, Muneer Jan Bhat
Summary: This retrospective study aimed to determine the factors affecting weight reduction after intragastric balloon (IGB) insertion. The study found that IGB therapy is a safe and effective option for obesity management, with factors such as age, initial weight and body mass index, duration of IGB insertion, and parity significantly affecting weight loss outcomes. Further larger prospective studies are needed to confirm these results.
Article
Gastroenterology & Hepatology
Federico Salomone, Walter Currenti, Giovanni Magri, Ivo Boskoski, Shira Zelber-Sagi, Fabio Galvano
Summary: This study evaluated the impact of intragastric balloon (IGB) placement in NAFLD patients with advanced fibrosis, showing that IGB can lead to weight loss and reduction in liver stiffness and FIB-4 levels within 6 months. Gastroesophageal reflux symptoms were common, but no severe adverse events were observed.
LIVER INTERNATIONAL
(2021)
Article
Gastroenterology & Hepatology
Fateh Bazerbachi, Eric J. Vargas, Monika Rizk, Daniel B. Maselli, Taofic Mounajjed, Sudhakar K. Venkatesh, Kymberly D. Watt, John D. Port, Rita Basu, Andres Acosta, Ibrahim Hanouneh, Naveen Gara, Meera Shah, Manpreet Mundi, Matthew Clark, Karen Grothe, Andrew C. Storm, Michael J. Levy, Barham K. Abu Dayyeh
Summary: In a prospective study, the intragastric balloon (IGB) facilitated significant metabolic and histologic improvements in patients with NASH. The treatment appears to be safe and effective for NASH management when combined with a prescribed diet and exercise program.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Surgery
Ricardo Jose Fittipaldi-Fernandez, Idiberto Jose Zotarelli-Filho, Cristina Fajardo Diestel, Marcia Regina Simas Torres Klein, Marcelo Falcao de Santana, Joao Henrique Felicio de Lima, Fernando Santos Silva Bastos, Newton Teixeira dos Santos
Summary: In the analysis of weight loss and complications related to the Spatz3 (R) adjustable intragastric balloon in Brazil, the study showed the treatment to be effective and safe, with no mortality but higher morbidity compared to traditional methods. Further confirmation is needed for the efficacy of the upward adjustment.
Article
Multidisciplinary Sciences
Shweta Mital, Hai V. Nguyen
Summary: The study found that using procedure-less intragastric balloon (PIGB) as a bridge to bariatric surgery is more cost-effective than undergoing bariatric surgery alone, as it helps achieve a lower post-operative BMI. Additionally, compared to no treatment, using PIGB alone also presents a certain level of cost-effectiveness.
Article
Surgery
Luigi Schiavo, Giovanni De Stefano, Francesco Persico, Stefano Gargiulo, Federica Di Spirito, Giulia Griguolo, Niccolo Petrucciani, Eric Fontas, Antonio Iannelli, Vincenzo Pilone
Summary: After EIGB placement, patients were randomized into two groups, one receiving LCKD and the other receiving a standard LCD. Results showed that patients on LCKD had lower decreases in FFM and RMR, with a more significant reduction in FM, and adherence to prescribed diets did not negatively impact renal function.
Article
Gastroenterology & Hepatology
Olufemi Aoko, Tobias Maharaj, Fiona Boland, Danny Cheriyan, John Ryan
Summary: Through a comprehensive analysis of 19 studies, it is found that intragastric balloons have a certain impact on NAFLD parameters, including NAFLD activity score (NAS), ALT, liver volume, and liver steatosis. In addition, non-liver-related outcomes such as body weight, BMI, glycated hemoglobin, and HOMA-IR are also significantly improved.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Medicine, General & Internal
Ghulam Mujtaba, Rida Zehra, Fizra Balkhi, Numra Shaikh
Summary: Non-surgical interventions for weight loss, including the use of Intragastric Balloons (IGBs), are becoming increasingly common. However, complications with IGB insertion are rare. We report a rare case of antral impaction of the IGB, which was successfully removed. Regular follow-ups are essential to prevent serious complications.
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
(2022)
Article
Surgery
Veroniki Stelmach, Eleni Semertzidou, Alexandros Efstathiou, Georgios Tzikos, Pyrros Papakostas, Stavros Panidis, Sofia Gkarmiri, Barbara Fyntanidou, Anne Shrewsbury, Vasilis Grosomanidis, George Stavrou, Katerina Kotzampassi
Summary: Bibliometric analysis is an effective method for measuring scientific contributions. This study focused on obesity treatment using intragastric balloons and identified the bariatric centers involved, collaborations, types of balloons used, number of patients, and author productivity and favored journals. The results showed that Italy had the highest number of publications, while the fluid-filled Orbera balloon was the most commonly used. Brazil reported the largest number of patients, and the most cited article was by Genco et al. [2007].
Article
Medicine, General & Internal
Babusai Rapaka, Daniel B. Maselli, Gontrand Lopez-Nava, Inmaculada Bautista-Castano, Reem Matar, Veeravich Jaruvongvanich, Eric J. Vargas, Andrew C. Storm, Andres Acosta, Barham K. Abu Dayyeh
Summary: This study explores the effects of different endoscopic bariatric therapies on gastric emptying and accommodation function, and their relationship with weight loss. The results show that both therapies can lead to weight loss, but through different gastric motor functions, and gastric emptying can predict future weight loss in patients with intragastric balloons.
CHINESE MEDICAL JOURNAL
(2022)
Article
Surgery
David Lew, Chelsea Thampy, Abdelkader Hawasli
Summary: The study found that weight loss achieved from Dual Intragastric Balloon (DIGB) therapy was not maintained after balloon removal on average. Most patients were dissatisfied and would not choose DIGB for weight loss again.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Mariano Palermo, C. Federico Davrieux
Summary: This study analyzed the first experience of implementing a swallowable balloon for the treatment of obesity in Argentina. The results showed that the treatment was effective, safe, and well tolerated, with no severe adverse effects.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2023)
Article
Surgery
Umut Firat Turan, Mehmet Kagan Katar, Pamir Eren Ersoy
Summary: The efficacy and safety of intragastric balloon (IGB) application were evaluated, and factors affecting its success were determined. The results showed that IGB application is a relatively effective and safe weight loss treatment, and high BMI and lack of assistance from a dietician are risk factors for failure of IGB.
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2023)
Article
Medicine, General & Internal
Hussain A. Al Ghadeer, Bashayer F. AlFuraikh, Ahmed M. AlMusalmi, Lamis F. AlJamaan, Ezzeddin Kurdi
Summary: Intragastric balloon is a common minimally invasive procedure for weight reduction prior to bariatric surgery, but it can lead to severe complications such as acute pancreatitis. There is limited evidence in the literature regarding acute pancreatitis caused by intragastric balloons, highlighting the need for further research in this area.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Review
Surgery
Matheus Candido Hemerly, Diogo Turiani Hourneaux de Moura, Epifanio Silvino do Monte Junior, Igor Mendonca Proenca, Igor Braga Ribeiro, Erika Yuki Yvamoto, Pedro Henrique Boraschi Vieira Ribas, Sergio A. Sanchez-Luna, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: This study aimed to compare endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) and percutaneous gallbladder drainage (PT-GBD) as less invasive treatment strategies for patients with acute cholecystitis who are unfit for surgical cholecystectomy. The results showed that EUS-GBD using cautery-enhanced lumen-apposing metal stents (LAMS) is superior to PT-GBD in terms of safety profile, recurrent cholecystitis, and hospital readmission rates. However, when cautery-enhanced LAMS are not used, the outcomes of EUS-GBD and PT-GBD are similar. Thus, EUS-GBD with cautery-enhanced LAMS should be considered the preferable approach for gallbladder drainage for this challenging population.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Caroline Flaksbaum Moll, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Igor Mendoca Proenca, Epifanio Silvino do Monte Junior, Sergio A. Sanchez-Luna, Maria Fernanda Shinin Merchan, Josselyn Mariana Vera Intriago, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: Biliary drainage for PCCA can be done through endoscopic retrograde chol-angiopancreatography or Percutaneous Transhepatic Biliary Drainage (PTBD), but the preferred method remains unclear. This study compared Endoscopic Biliary Drainage (EBD) and PTBD in PCCA patients through a systematic review and meta-analysis. Results showed that PTBD had lower crossover rates, post-drainage complications, and post-drainage pancreatitis in resectable PCCA, while EBD had a shorter hospital stay. In palliative PCCA, PTBD had higher clinical success and fewer post-drainage cholangitis cases compared to EBD. There were no statistical differences regarding technical success, post-drainage bleeding, major complications, and seeding metastases.
Article
Gastroenterology & Hepatology
Diogo Turiani Hourneaux de Moura, Bruno Salomao Hirsch, Thomas R. McCarty, Marcos Eduardo dos Santos, Hugo Goncalo Guedes, Guilherme Francisco Gomes, Flaubert Sena de Medeiros, Eduardo Guimaraes Hourneaux de Moura
Summary: This study evaluated the efficacy and safety of a novel homemade endoscopic vacuum therapy for the treatment of transmural gastrointestinal defects. A total of 144 patients were included, with a technical success rate of 100% and a clinical success rate of 88.89%. The use of this homemade EVT was found to be feasible, safe, and effective for the management of TGID.
DIGESTIVE ENDOSCOPY
(2023)
Review
Surgery
Erika Yuki Yvamoto, Diogo Turiani Hourneaux de Moura, Igor Mendonca Proenca, Epifanio Silvino do Monte Junior, Igor Braga Ribeiro, Pedro Henrique Boraschi Vieira Ribas, Matheus Candido Hemerly, Victor Lira de Oliveira, Sergio A. Sanchez-Luna, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: This study evaluated the effectiveness and safety of duodenal-jejunal bypass liner (DJBL). The results showed that DJBL can effectively reduce excess weight and have a positive effect on blood glucose control. However, there is a certain occurrence rate of side effects, so cautious use is needed.
Editorial Material
Gastroenterology & Hepatology
Bruno Salomao Hirsch, Silvia R. Cardoso, Elisa R. Baba, Diogo T. H. de Moura, Manoel Ernesto P. Goncalves, Rodrigo S. de P. Rocha, Eduardo G. H. de Moura
CLINICAL ENDOSCOPY
(2023)
Editorial Material
Surgery
Alexandre Moraes Bestetti, Victor Lira de Oliveira, Saullo Queiros Silveira, Eduardo Guimaraes Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
Review
Gastroenterology & Hepatology
Victor Lira de Oliveira, Alexandre Moraes Bestetti, Roberto Paolo Trasolini, Eduardo Guimaraes Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
Summary: Post-surgical leaks and fistulas are common and difficult to treat complications of bariatric surgery. Endoscopic therapy plays an increasingly important role in managing these conditions, with early diagnosis and initiation of treatment being crucial for success. Different endoscopic techniques with various mechanisms of action are available, and treatment should be individualized based on patient and defect characteristics. Although standardized treatment algorithms are lacking, this narrative review aims to provide a summary of current scientific evidence and make recommendations for the best endoscopic approach.
WORLD JOURNAL OF GASTROENTEROLOGY
(2023)
Editorial Material
Medicine, General & Internal
Erika Yuki Yvamoto, Spencer Cheng, Guilherme Henrique Peixoto de Oliveira, Joao Guilherme Ribeiro Jordao Sasso, Mateus Bond Boghossian, Mauricio Kazuyoshi Minata, Igor Braga Ribeiro, Eduardo Guimaraes Hourneaux de Moura
Summary: Pneumatosis cystoid intestinalis (PCI) is a rare condition characterized by abnormal accumulation of gas within the submucosa, subserosa, or both layers of the intestine. It is classified into primary and secondary forms and can be associated with various underlying etiologies. Colonoscopy, surgery, and radiological findings are commonly used for diagnosis, but colorectal endoscopic ultrasound (EUS) can provide a reliable and non-radiation option. However, more studies are needed to define the best approach for PCI diagnosis due to its rarity.
Article
Gastroenterology & Hepatology
Vitor Ottoboni Brunaldi, Guilherme Henrique Peixoto de Oliveira, Anthony Kerbage, Pedro Henrique Ribas, Felipe Nunes, Galileu Faria, Diogo de Moura, Daniel Riccioppo, Marco Santo, Eduardo de Moura
Summary: After 3 years, patients who underwent transoral outlet reduction (TORe) with argon plasma coagulation (APC) or APC plus full-thickness suturing (APC-FTS) after Roux-en-Y gastric bypass (RYGB) regained all the weight lost at 12 months and experienced redilation of the gastrojejunostomy (GJ). Additionally, the improvements in quality of life (QOL) seen at 12 months were lost at 3 years, except for the energy/fatigue domain.
ENDOSCOPY INTERNATIONAL OPEN
(2023)
Article
Anesthesiology
Saullo Queiroz Silveira, Leopoldo Muniz da Silva, Arthur de Campos Vieira Abib, Diogo Turiani Hourneaux de Moura, Eduardo Guimaraes Hourneaux de Moura, Leonardo Barbosa Santos, Anthony M. -H. Ho, Rafael Souza Fava Nersessian, Filipe Lugon Moulin Lima, Marcela Viana Silva, Glenio B. Mizubuti
Summary: The study aimed to investigate whether perioperative use of semaglutide is associated with delayed gastric emptying and increased residual gastric content. The results showed that patients who used semaglutide had a higher incidence of increased residual gastric content compared to those who did not use semaglutide. Additionally, preoperative digestive symptoms were predictive of increased residual gastric content.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
Letter
Gastroenterology & Hepatology
Wanderley Marques Bernardo, Marcelo Averbach, Eduardo Guimaraes Hourneaux de Moura
ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY
(2023)
