Bariatric intragastric balloon therapy

Last revised by Craig Hacking on 20 Nov 2023

Citation, DOI, disclosures and article data

Citation:

Ourfalian R, Hacking C, Alhusseiny K, et al. Bariatric intragastric balloon therapy. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-47632

DOI:

https://doi.org/10.53347/rID-47632

Permalink:

https://radiopaedia.org/articles/47632

rID:

47632

Article created:

25 Aug 2016, Raffi Ourfalian ◉

Disclosures:

At the time the article was created Raffi Ourfalian had no recorded disclosures.

View Raffi Ourfalian's current disclosures

Last revised:

20 Nov 2023, Craig Hacking ◉ ◈

Disclosures:

At the time the article was last revised Craig Hacking had the following disclosures:

Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)

These were assessed during peer review and were determined to not be relevant to the changes that were made.

View Craig Hacking's current disclosures

Revisions:

19 times, by 15 contributors - see full revision history and disclosures

Systems:

Gastrointestinal

Tags:

general surgery

Synonyms:

gastric balloon

Bariatric intragastric balloon therapy is a known therapy for weight loss, which involves a balloon being endoscopically-placed or swallowed and inflated inside the lumen of the stomach. The balloon resides in the stomach and the mechanism of action is presumably due to stretching the stomach, inducing postprandial fullness and early satiety, although it has also been proposed that the mechanism of action may be delayed gastric emptying ³.

There are a number of different types of balloons, all of which assist in weight loss ¹, albeit possibly not more so than conventional management ². Fluid-filled gastric balloons have been available for longer than their air-filled counterparts. It has been claimed that air-filled gastric balloons cause fewer side effects such as nausea and vomiting due to their comparative lightness ⁴.

Complications

Adverse outcomes include:

difficulty with removal
gastric ulcers
migration: spontaneous deflation can occur with migration of the balloon through the alimentary tract causing gastric outlet obstruction or small bowel obstruction
gastric perforation

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