Spatz 3 justerbar maveballon

Spatz3 Justerbar ballonsystemet er godkendt til 1 års implantation og tillader flere ændringer i ballonvolumen i løbet af implantationen.

Andre intragastriske balloner er godkendt i 6 måneder og ballonvolumen kan ikke justeres efter implantering.

Nedenfor er publiceret information om Spatz3 ballon (engelsk artikel).

One Year Adjustable Intragastric Balloon: Safety and Efficacy of the Spatz3 Adjustable Balloons

Evzen Machytka1, Jeffrey Brooks2, Marek Buzga1, John Mason3

Author affiliations

1 Faculty of Medicine, University of Ostrava, Ostrava, 708 52, Czech Republic

2 Spatz FGIA, Great Neck, USA

3 Traffold General Hospital, National Obesity Surgery Center, Manchester, M41 5SL, UK

Grant information: The author(s) declared that no grants were involved in supporting this work. ABSTRACT>

Background:

The Spatz3 Adjustable balloon system is approved for 1 year implantation and allows multiple changes in the balloon volume during the course of implantation.

Other intragastric balloons are currently approved for 6 months and their balloon volumes cannot be adjusted after implantation.

Aim

To determine the efficacy and safety of the Spatz3 adjustable balloon system.

Methods

Seventy seven consecutive patients (66 females and 11 males) in two medical centers were implanted with the Spatz3 adjustable balloon device and were followed prospectively. The patients’ mean BMI was 37.2; the mean weight was 108.7 kg; the mean age was 41 (16-68); the mean balloon volume was 469 ml (450-500 ml). Adjustments were made for intolerance or weight loss plateau.

Results

The mean weight loss at 1 year was 17.2 kg with 15.9 % weight loss and 42.9 % Excess Weight Loss

(%EWL). Eighteen patients underwent balloon volume adjustments: three downward adjustments of 100 -150 cc which alleviated early intolerance; 15 upward adjustments (mean 320 ml; range 200-500) at a mean 4.1 months (range 2-5 months) yielded additional mean wt loss of 8.2 kg (range 0-25 kg) after the adjustment. Three balloons were removed before the 1 year completion date due to intolerance and three others were removed for other reasons (pregnancy, gall bladder surgery, and alcoholism). There was one episode of gastric ulceration which required endoscopic therapy and balloon removal. There were no deflations or perforations.

Conclusions

The Spatz3 adjustable balloon is a safe and effective treatment for weight loss. The adjustability function can yield greater weight loss for those who show weight loss plateau and can mitigate intolerance.

Justerbar maveballon

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