Abstract
The Brazilian experience shows that the intragastric balloon device leads to satisfactory weight loss with a low rate of adverse events. A consensus meeting was held, bringing together 39 Brazilian endoscopists with extensive experience from all regions of the country. Topics on patient selection, indications, contraindications, multidisciplinary follow-up, technique, and adverse events were discussed in the form of questions. Also, data regarding the group’s experience was gathered.
The experts discussed and reached consensus on several points, concerning technical recommendations, indications and contraindications, complications management, among others. The overall Brazilian expert data encompassed 41,186 IGBs, with a mean percentage total body weight (%TBW) loss of 18.4 ± 2.9%. The adverse event rate after the adaptation period was 2.5%, the most common being hyperinflation (0.9%) and spontaneous deflation (0.8%) of the device. The early removal rate due to intolerance was 2.2%.
This chapter demonstrates the main points of consensus among Brazilian experts, reflecting the country’s experience with the intragastric balloon device.
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References
Neto MG, Silva LB, Grecco E, de Quadros LG, Teixeira A, Souza T, et al. Brazilian Intragastric Balloon Consensus Statement (BIBC): practical guidelines based on experience of over 40,000 cases. Surg Obes Relat Dis. 2018;14(2):151–9.
Neto G, Campos J, Ferraz A, Dib R, Ferreira F, Moon R, et al. An alternative approach to intragastric balloon retrieval. Endoscopy. 2016;48(Suppl 1 UCTN):E73.
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Galvao Neto, M., Silva, L.B., Usuy, E.N., Campos, J.M. (2020). Brazilian Experience on the Use of Intragastric Balloons. In: Galvao Neto, M., Silva, L., Usuy Jr., E., Campos, J. (eds) Intragastric Balloon for Weight Management. Springer, Cham. https://doi.org/10.1007/978-3-030-27897-7_4
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DOI: https://doi.org/10.1007/978-3-030-27897-7_4
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