• bariatric surgery
  • Objectives: Intra-gastric balloons are devices used in many foreign countries as a bridge to bariatric surgery. (sages.org)
  • Adjustable gastric band surgery is an example of bariatric surgery designed for obese patients with a body mass index (BMI) of 40 or greater-or between 35 and 40 in cases of patients with certain comorbidities that are known to improve with weight loss, such as sleep apnea, diabetes, osteoarthritis, GERD, hypertension (high blood pressure), or metabolic syndrome, among others. (wikipedia.org)
  • peptic ulcer d
  • In most people with peptic ulcer disease, the oedema will usually settle with conservative management with nasogastric suction, replacement of fluids and electrolytes and proton pump inhibitors. (wikipedia.org)
  • short gastr
  • Gastric varices may also be found in patients with thrombosis of the splenic vein, into which the short gastric veins which drain the fundus of the stomach flow. (wikipedia.org)
  • As the short gastric veins of the fundus of the stomach drain into the splenic vein, thrombosis of the splenic vein will result in increased pressure and engorgement of the short veins, leading to varices in the fundus of the stomach. (wikipedia.org)
  • Signs of portal hypertension on ultrasound include dilatation of the portal vein of over 13 mm in diameter, a portal flow mean velocity of less than 12 cm/s on Doppler ultrasound, porto-systemic collateral veins (patent paraumbilical vein, spleno-renal collaterals and dilated left and short gastric veins), splenomegaly and signs of cirrhosis (including nodularity of the liver surface). (wikipedia.org)
  • vascular
  • It is of special value when used in the gastric lumen because splanchnic circulation is one of the vascular beds that is subject to early blood flow redistribution in shock states. (wikipedia.org)
  • intra
  • The (intra)gastric balloon for weight loss differs from the Sengstaken-Blakemore balloon used to stop esophageal and gastric bleeding. (wikipedia.org)
  • said intra-gastric balloon being characterized in that the connection means (3) include a chamber (16) designed to be transpierced by said connection member (11) with a view to injecting the inflation fluid into said bag (2), said chamber (16) containing a sealing fluid that is sufficiently viscous and/or thick to guarantee that the connection means (3) are leaktight once the connection member (11) has been removed. (patentsencyclopedia.com)
  • 2. An intra-gastric balloon according to claim 1, characterized in that the sealing fluid is of viscosity and/or of thickness sufficient to trap inflation fluid particles, e.g. bubbles or drops, that might form in the chamber (16) once the connection member (11) has been removed. (patentsencyclopedia.com)
  • 4. An intra-gastric balloon according to claim 1, characterized in that the sealing fluid is formed by a gel, e.g. a silicone gel. (patentsencyclopedia.com)
  • 5. An intra-gastric balloon according to claim 1, characterized in that the connection means (3) include at least one self-healing partition (17) disposed in axial alignment with the chamber (16) in a manner such as to be transpierced by the connection member (11), said self-healing partition (17) being sufficiently flexible and elastic to self-close, once the connection member (11) has been removed. (patentsencyclopedia.com)
  • 6. An intra-gastric balloon according to claim 5, characterized in that the connection means (3) include at least two self-healing partitions (17) disposed at either end of the chamber (16) and in axial alignment therewith. (patentsencyclopedia.com)
  • 7. An intra-gastric balloon according to claim 5, characterized in that the chamber (16) includes puncture walls (19), and in that the puncture walls (19) are formed by self-healing partitions (17). (patentsencyclopedia.com)
  • 8. An intra-gastric balloon according to claim 5, characterized in that the connection means (3) include a compression member (50), of the ring type, disposed in a manner such as to surround at least one of the self-healing partitions (17) in a manner such as to compress it laterally. (patentsencyclopedia.com)
  • 9. An intra-gastric balloon according to claim 8, characterized in that the connection means (3) include a pull member (36) suitable for being manipulated for axially pulling the connection means (3) and for enabling the compression member (50) to be mounted around at least one of the self-healing partitions (17). (patentsencyclopedia.com)
  • Presented is an option for endoscopic retrieval of such an intra-gastric balloon. (sages.org)
  • Although intra gastric balloon is not a new device in the world, it was introduced to the United States for weight loss purpose relatively in a recent time. (neoscriber.org)
  • 5 ). Since intra gastric balloon became available to bariatric surgeons in the United States, over 5000 patients have been done and the number of surgery is increasing. (neoscriber.org)
  • The weight loss result of intra gastric balloon placement is very variable. (neoscriber.org)
  • The elastically expandable bladders provide fluid pressure on the balloon portion of the gastric band in order to maintain the intra-luminal pressure within a desired range over a prescribed fill volume. (patentsencyclopedia.com)
  • mucosal
  • The gastric mucosal pH is measured according to an equation that assumes that arterial bicarbonate is equal to intramucosal bicarbonate, an argument that is not always valid. (wikipedia.org)
  • Given that the gastric mucosal carbon dioxide is the directly measured value, whereas the gastric mucosal pH is the derived and possibly inaccurate value, studies that used gastric pH to monitor perfusion may be inherently flawed. (wikipedia.org)
  • lumen
  • A saline-filled balloon made of CO2 permeable silicone attached to a sampling tube is introduced into the gastric lumen as a nasogastric tube would be. (wikipedia.org)
  • 3. The apparatus according to Claim 1 wherein said pressure transmitting chamber is in fluid continuous communication with said lumen. (google.com.au)
  • With the instrument having its double-barreled design, one of the pipes, called a lumen, is responsible for pumping up a thin balloon at the tip for easy exploration into the intestines at the duodenum. (wikipedia.org)
  • wherein
  • 4. The removable suture tab extender according to claim 3 , wherein the engagement surface tapers to widen as it extends toward the first end of the body member in a manner creating a surface over which the second latching member may slide during latching for interim attachment of the gastric band extender to the second latching member. (google.com)
  • 7. The removable suture tab extender according to claim 1 , wherein the shaped and dimensioned first end of the elongated body member is a recess which mates with the first end of the gastric band. (google.com)
  • 11. The removable suture tab extender according to claim 10 , wherein the tether strap includes a bump shaped and dimensioned to engage the first end of the elongated body member for spacing the tether strap from the gastric band. (google.com)
  • 12. The removable suture tab extender according to claim 10 , wherein the first end of the elongated body member is provided with a bump for spacing the tether strap from the gastric band. (google.com)
  • 3. A method as in claim 2 , wherein determining comprises visually examining the gastric cavity of the stomach through a gastroscope, externally scanning with X-rays, or externally scanning with ultrasound. (google.com.au)
  • 5. A method as in claim 4 , wherein the balloon size is selected to leave an unobstructed stomach volume surrounding the sides of the device in the range from 10 cm3 to 100 cm3 after the balloon is inflated. (google.com.au)
  • 6. A method as in claim 4 , wherein the space-filling compartments are filled with a mixture of compressible and incompressible fluid to control the buoyancy of the gastric balloon in the stomach. (google.com.au)
  • 7. A method as in claim 6 , wherein the mixture of compressible and incompressible fluids is selected to provide a generally neutral buoyancy in the stomach. (google.com.au)
  • 8. A method as in claim 1 , wherein introducing comprises passing the gastric balloon in a deflated configuration into the stomach through a gastroscope or using an orogastric or nasogastric tube. (google.com.au)
  • 9. A method as in claim 1 , wherein the space-filling compartments and/or the scaffold is/are configured so that the gastric balloon structure will inflate with a curved geometry conforming to the curve of the gastric cavity. (google.com.au)
  • 10. A method as in claim 1 , wherein the at least two space-filling compartments are inflated through an inflation tube removably attached to the balloon. (google.com.au)
  • 17. A method as in claim 16 , wherein fill volume adjusting comprises reattaching an inflation tube to one or more space-filling compartments, and filling or removing inflation fluid through the reattached inflation tube. (google.com.au)
  • 7. The device of claim 1, wherein the gastric balloon is configured to maintain a volume of 200 milliliters or more to prevent the gastric balloon from migrating into a pylorus region of the patient. (patentsencyclopedia.com)
  • 8. The device of claim 1, wherein the gastric balloon has an uneven surface feature that provides stimulation to the stomach walls. (patentsencyclopedia.com)
  • 2. An apparatus according to Claim 1 wherein said walled pressure transmitting chamber is defined by a balloon member generally surrounding a portion of said catheter tube and sealingly interconnected therewith. (google.com.au)
  • varices
  • Gastric varices are dilated submucosal veins in the stomach, which can be a life-threatening cause of bleeding in the upper gastrointestinal tract. (wikipedia.org)
  • The latter may be a complication of acute pancreatitis, pancreatic cancer, or other abdominal tumours, as well as hepatitis C. Gastric varices and associated bleeding are a potential complication of schistosomiasis resulting from portal hypertension. (wikipedia.org)
  • Patients with bleeding gastric varices can present with bloody vomiting (hematemesis), dark, tarry stools (melena), or rectal bleeding. (wikipedia.org)
  • Treatment of gastric varices can include injection of the varices with cyanoacrylate glue, or a radiological procedure to decrease the pressure in the portal vein, termed transjugular intrahepatic portosystemic shunt or TIPS. (wikipedia.org)
  • Gastric varices can present in two major ways. (wikipedia.org)
  • When gastric varices are symptomatic, however, they usually present acutely and dramatically with upper gastrointestinal bleeding. (wikipedia.org)
  • Many people with bleeding gastric varices present in shock due to the profound loss of blood. (wikipedia.org)
  • both of these may worsen the bleeding from gastric varices. (wikipedia.org)
  • In very rare cases, gastric varices are caused by splenic vein occlusion as a result of the mass effect of slow-growing pancreatic neuroendocrine tumors. (wikipedia.org)
  • The Sarin classification of gastric varices identifies four different anatomical types of gastric varices, which differ in terms of treatment modalities. (wikipedia.org)
  • The esophagus may be affected by gastric reflux, cancer, prominent dilated blood vessels called varices that can bleed heavily, tears, constrictions, and disorders of motility. (wikipedia.org)
  • It is used to treat portal hypertension (which is often due to liver cirrhosis) which frequently leads to intestinal bleeding, life-threatening esophageal bleeding (esophageal varices) and the buildup of fluid within the abdomen (ascites). (wikipedia.org)
  • See esophageal, gastric, rectal varices). (wikipedia.org)
  • If other measures are not effective, an esophageal balloon may be attempted in those with presumed esophageal varices. (wikipedia.org)
  • procedure
  • The procedure, which takes 20-30 minutes, can also help get your weight down to a level so you can become a candidate for other long term weight loss procedures such as a gastric band. (spirehealthcare.com)
  • If you can start these changes before the procedure it will help you become accustomed to them more quickly once the balloon is fitted. (spirehealthcare.com)
  • Once you have decided to go ahead with your Orange County or Los Angeles gastric balloon weight loss program, your doctor will schedule a date for your procedure. (westmedical.com)
  • During the procedure, the balloon is pierced to remove the liquid. (german-medicalgroup.com)
  • ligation
  • The results from the only two randomized trials comparing band ligation vs cyanoacrylate suggests that endoscopic injection of cyanoacrylate, known as gastric variceal obliteration or GVO is superior to band ligation in preventing rebleeding rates. (wikipedia.org)
  • keyhole
  • citation needed] However, gastric banding is the least invasive surgery of its kind and is completely reversible, with another "keyhole" operation. (wikipedia.org)
  • patient's
  • Of note is the fact that the recommended volume for these devices is 300 - 700cc, yet our patient's balloon contained 2.5 liters of air/fluid. (sages.org)
  • Gastric bands are made entirely of biocompatible materials, so they are able to stay in the patient's body without causing harm. (wikipedia.org)
  • Since the gallbladder is similar to a small balloon that stores and releases bile, it can usually be removed from the abdomen by suctioning out the bile and then removing the deflated gallbladder through the 1 cm incision at the patient's navel. (wikipedia.org)
  • nasogastric
  • Because the introduction of a nasogastric tube is almost routine in critically ill patients, the measurement of gastric carbon dioxide can be an easy method to monitor tissue perfusion. (wikipedia.org)
  • interventions
  • by Gutierrez and colleagues, has shown that therapeutic interventions guided by gastric tonometry improved survival in critically ill patients. (wikipedia.org)
  • duodenum
  • Deep gastric ulcer Endoscopic still of duodenum of patient with celiac disease showing scalloping of folds. (wikipedia.org)
  • Still largely unchanged in 2011, once this instrument weaves down the esophagus and into the stomach, the tube is capable of a handful of jobs at this point, from suctioning gastric juices for testing and irrigation to ballooning open the entryway to the small intestine, called the duodenum, for clearer radiology testing and easier removal of many intestinal blockages. (wikipedia.org)
  • esophagus
  • As a result, the gastric balloon loses its firmness and can easily be pulled back through the esophagus. (german-medicalgroup.com)
  • The upper parts of the esophagus and the upper esophageal sphincter receive blood from the inferior thyroid artery, the parts of the esophagus in the thorax from the bronchial arteries and branches directly from the thoracic aorta, and the lower parts of the esophagus and the lower esophageal sphincter receive blood from the left gastric artery and the left inferior phrenic artery. (wikipedia.org)
  • The upper and middle parts of the esophagus drain into the azygos and hemiazygos veins, and blood from the lower part drains into the left gastric vein. (wikipedia.org)
  • Lymphatically, the upper third of the esophagus drains into the deep cervical lymph nodes, the middle into the superior and posterior mediastinal lymph nodes, and the lower esophagus into the gastric and celiac lymph nodes. (wikipedia.org)
  • placement
  • All five patients died within 1 month or less of balloon placement. (neoscriber.org)
  • To insert the balloon, the doctor pulls the endoscope back and pushes the placement catheter containing the balloon into the stomach. (german-medicalgroup.com)
  • Then the endoscopist pulls the tube out and checks the correct placement of the balloon again using endoscope. (german-medicalgroup.com)
  • it can involve antibiotic treatment when Helicobacter pylori is related to an ulcer, endoscopic therapies (such as dilation of the obstruction with balloons or the placement of self expandable metallic stents), other medical therapies, or surgery to resolve the obstruction. (wikipedia.org)
  • band
  • A removable suture tab extender for a gastric band is shaped and dimensioned for selective attachment to a first end of the gastric band, the gastric band including a latching mechanism composed of a first latching member positioned at the first end of the gastric band and a second latching member positioned. (google.com)
  • The gastric band extender includes an elongated body member having a first end and a second end. (google.com)
  • The second end of the elongated body member includes a gripping section shaped and dimensioned to facilitate gripping thereof as the gastric band extender is passed through the second latching member. (google.com)
  • It can help boost your self-confidence and achieve some health benefits while losing enough weight to become a candidate for longer term weight loss procedures such as a gastric band. (spirehealthcare.com)
  • By injecting or removing fluid through the port, the balloon can be inflated or deflated to adjust the size of the band. (mayoclinic.org)
  • Leakage from the gastric band or from the connecting tube between the balloon and the port may occur. (adelaidebariatriccentre.com.au)
  • Hence it is important that only an experienced person such as your surgeon or bariatric practitioner be allowed to manipulate the amount of fluid in your band. (adelaidebariatriccentre.com.au)
  • In the event of leakage, the gastric band can normally be replaced with a new one, but this will require re-operation. (adelaidebariatriccentre.com.au)
  • A bladder assembly is provided in order to maintain the pressure in the balloon portion of a gastric band in a range corresponding to a so-called Green Zone. (patentsencyclopedia.com)
  • Multiple bladders are connected by flexible tubing which is connected at a distal end to the balloon portion of a gastric band. (patentsencyclopedia.com)
  • implanting the bladder in the patient by connecting the bladder in between the already implanted gastric band and refill port by flexible tubing so that fluid can pass to or from the refill port, through the bladder, and, to or from the balloon on the gastric band. (patentsencyclopedia.com)
  • As the patient loses weight, the gastric band is adjusted to accommodate for changes in weight. (patentsencyclopedia.com)
  • The surgeon creates a small, circular tunnel behind the stomach, inserts the gastric band through the tunnel, and locks the band around the stomach. (wikipedia.org)
  • portal hypertension
  • citation needed] Signs and symptoms of portal hypertension include: Ascites (free fluid in the peritoneal cavity),Abdominal pain or tenderness (when bacteria infect the ascites, as in Spontaneous bacterial peritonitis). (wikipedia.org)
  • thus
  • Manufacturers of these balloons provide information to patients on countries and providers thus promoting medical tourism. (sages.org)
  • Thus, only gastric luminal PCO2 is directly measured. (wikipedia.org)
  • bowel
  • It should not be applied to patients with certain intestinal problems such as inflammatory bowel disease or delayed gastric emptying, who are pregnant, or who are taking daily aspirin medication. (wikipedia.org)
  • Migration of a balloon could lead to bowel obstruction and potentially perforation ( 8 ). (neoscriber.org)
  • Gastric tonometry describes the measurement of the carbon dioxide level inside the stomach in order to assess the degree of blood flow to the stomach and bowel. (wikipedia.org)
  • fills
  • The Wellesley, MA-based startup makes an ingestible "pill" containing a gastric balloon that a doctor fills with fluid through an attached tube to help a patient feel full. (xconomy.com)
  • veins
  • All these veins drain into the superior vena cava, with the exception of the left gastric vein, which is a branch of the portal vein. (wikipedia.org)
  • inflation fluid
  • 11. A method as in claim 10 , further comprising selectively inflating each of the compartments by manipulating a valve structure which directs inflation fluid to a selected compartment. (google.com.au)
  • patient
  • The double balloon system is supposed to provide a level of safety: when one balloon leaks or ruptures, blue dye in the urine will alert the patient that there is a problem. (wikipedia.org)
  • In this case a hospital stay of one to two days is required to intravenously supply the patient with fluids. (german-medicalgroup.com)
  • bladders
  • A gastric balloon includes a scaffold structure, one or more internal inflatable compartments within the scaffold structure, and one or more inflatable bladders formed over the space-filling compartment. (google.com.au)
  • 12. A method as in claim 1 , further comprising filling one or more external bladders attached to or over the outer surfaces of the space-filling compartments at least partially with a compressible and/or incompressible fluid. (google.com.au)