[Results and critical analysis of the treatment of obesity with the intragastric balloon].
In 54 patients with excessive obesity a silicone balloon was implanted endoscopically into the stomach. The overweight amounted to 76% (median) by Broca's formula. The therapeutical plan included balloon-implantation, dietary treatment, psychotherapeutical guidance, kineto-therapy and balloon-extraction. According to their therapeutical compliance there were three different groups of patients: G1 - maintenance of therapy; G2 - discontinuation of therapy; G3 - no additional therapy at all after balloon implantation. Up to the sixth week a weight reduction of 9.5-20.5 kg could be demonstrated in all groups. Only in the first group a further weight reduction by a mean of 20 kg after 20 weeks was noted. Patients in group 2 and 3 - in some the balloon was still implanted - had a renewed weight increase sometimes surmounting the original weight.


RESULTS
3 gastric respectively duodenal ulcers, one subileus. The long-term success can only be obtained by a multi-component therapy plan.
Abri
O
O
I. Chirurgische Abteilung, Krankenhaus Moabit, Berlin.
Schwenger-Holst
I
I
Hermanns
L M
LM
Kraas
E
E
Schairer
W
W
D000328:Adult; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D005260:Female; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D009767:Obesity, Morbid / Q000628:therapy*; D010349:Patient Compliance; D019736:Prostheses and Implants
Ergebnisse und kritische Analyse der Adipositasbehandlung mit dem intragastralen Ballon.