A doctor at UC Irvine hopes he has found that next-generation solution: a double-balloon mechanism that is inserted down the patient's throat with a tube attached.
In gastric bypass, the stomach is sectioned off and the small intestines rerouted to a smaller stomach "pouch." The "lap band" accomplishes the same goal with a silicone band. Nguyen and others at UCI published research recently showing that outcomes for both kinds of procedures have improved since the Centers for Medicare and Medicaid Services issued a directive in 2006 stating that the federal government would no longer pay for such procedures unless they were performed at centers that had the experience, staff and equipment to handle a large number of cases.
That rate stood at around 2 percent as late as 2001, five years before the government's directive had the effect of pruning the number of providers from 60 to 45, including UCI.
Nguyen says he has treated patients with BMIs of 60 and up, putting them at more than 400 pounds.Gastric bypass and the lap band aren't considered appropriate for patients who are that heavy, because of the increased risk of complications and death. At the other end of the spectrum, bypass and the lap band are mainly prescribed for those squarely in the morbidly obese category, at or near 40 BMI. Ashby said about 100 of the ReShape balloons have been implanted in patients in Italy and Poland. ReShape is footing the bill for the study, paying for the procedures and the intensive follow-up education and treatment for patients during the initial trial phase. Participants in a study lost an average of 14.3 pounds with the balloon inserted in their stomach. SILVER SPRING, Md., July 29 (UPI) -- An inflatable balloon device has been approved by the Food and Drug Administration to help obese patients lose weight without surgery. Unlike LAP-band and gastric bypass, the new device, called the ReShape Dual Balloon, does not change the shape of the stomach. The balloon was tested in a clinical trial with 326 patients between the age of 22 and 60 who had at least 1 obesity-related health condition, such as high blood pressure, high cholesterol, and diabetes. New research seems to shed light on how the Zika virus infects, but doesn't kill, placenta cells.
SACRAMENTO, May 27 (UPI) -- California's state government moved with a quickness Friday that may save a life by approving a bill allowing HIV-positive people to donate organs. STANFORD, Calif., May 27 (UPI) -- Researchers at Stanford University found palliative and hospice care are not being utilized enough, after comparing veteran health services and Medicare.
A new study suggests inhaled steroids may not be needed on a daily basis for asthmatic kids whose wheezing occurs sporadically, such as when they catch a cold.
When you head to the grocery store to select your steaks for grilling this Memorial Day weekend, you might notice a new safety label on the package. WASHINGTON, May 27 (UPI) -- Low levels of radiation from cellphones was linked to brain tumors in rats, according to a recent study by researchers in the National Toxicology Program. BETHESDA, Md., May 27 (UPI) -- The FDA approved an implant for treatment of opioid dependency that may be more effective for patients because it is easier to use, according to the agency. WASHINGTON, May 26 (UPI) -- Drugs used to treat ADHD have been picked up as a useful part of the amateur sports and mainstream workout scenes, with their dangers mostly going ignored.

SILVER SPRING, Md., May 26 (UPI) -- A person in the United States was found to have a strain of E.
Heavy drinking may fuel the risk of suicide among men when the economy is sinking, new research suggests.
With a history of reliable reporting dating back to 1907, today's UPI is a credible source for the most important stories of the day, continually updatedA A - a one-stop site for U.S. This Obalon pill is a weight loss treatment unlike other gastric balloon treatments that I did not know existed. Patients swallow a capsule the size of a large vitamin pill which contains a deflated balloon. The capsule is attached to a micro-catheter and, once the capsule arrives in the stomach, the balloon is inflated to the size of an apple. The balloon sits on top of the stomach, giving patients the sensation of fullness with the hope they then eat less and lose weight. Patients receive a second balloon 30 days after the first procedure, with the option of a third balloon after around 60 days, based on their weight loss and feelings of fullness. At the end of the treatment plan, which can be over several months, the balloons are deflated and removed during an outpatient endoscopy. Clinical trials in the UK show that patients can lose about 17 lbs in twelve weeks by having balloons replace space for food in their stomachs. In case you were thinking the Obalon pill was the answer to all of your weight problems, remember that it is recommended for people with a BMI of 27 or higher and costs about $24,000 for two balloons.
While I’m sure that this is safe and everything, this sounds like a really scary procedure.
See, my first thought was one of those Carmen Miranda-esque hats, but that would have taken too many balloons. It’s intended to help people who are having trouble kick start a healthy diet and exercise regime.
I just question whether having a balloon in your stomach is wise… What if it bursts… which direction will the gas escape? There are people out there who voluntarily shove a feeding tube up their noses to lose weight. Complication rates from the operations are falling, and patients who have tried and failed with other weight-loss remedies are keeping more of their excess pounds off for longer periods. Gastric bypass is viewed as more effective at helping patients keeping off excess weight, but it's more invasive, with a longer recovery time. The startup's vice president of research and development, Mark Ashby, said the design is an improvement over its predecessors because of it has two balloons.
Instead, a balloon is inserted through the mouth, into the stomach, and inflated with a sterile solution.

Researchers gave half the group the balloon, and a control group underwent the endoscopic, out-patient procedure but did not have the balloon inserted.
Scoot over lap bands and other weight loss surgeries, there’s a new procedure in town and it seems equal parts terrifying and whimsical. I have a normal bmi, so I can’t really speculate how people who qualify for this procedure feel about it anyway.
Use of the web site constitues acceptance of the Defy Media Terms of Use and Privacy Policy. Resembling a water balloon that's twisted into two oval sections, it rests inside the stomach and gives the patient a feeling of being full. Nguyen, a gastrointestinal surgeon at UCI's bariatric surgery services program, said if the device proves safe and effective during this phase, the research will be expanded to 350 patients at 10 medical centers around the country. These remedies are meant as last resorts for those who have "co-morbidities," meaning other problems that stem from obesity, like diabetes, coronary disease or severe joint problems that often make exercise difficult. That same person is considered obese if he or she weighs 203-270 pounds (BMI 30-30.9), and morbidly obese 271 pounds and up (BMI 40 and up).
The balloon, which is temporary, could help the heaviest of patients drop enough weight so they could then undergo a regular bariatric procedure.
Although bypass has been performed on adolescents in the past, patients that young can be particularly vulnerable to complications, Nguyen said.
Nguyen said an early version of such a device, the Garren-Edwards gastric bubble introduced in 1984, sometimes would rupture.
By filling space in the stomach, triggering feelings of fullness, and possibly by other mechanisms researchers said they don't yet understand, the balloon can be left in for up to six months to help patients lose weight. UPI also provides insightful reports on key topics of geopolitical importance, including energy and security. It became known as UPI after a merger with the International News Service in 1958, which was founded in 1909 by William Randolph Hearst.
Weird as balloons in the body maybe, anything that prevents patients be sliced up is, um, something to celebrate. The device, marketed by an Orange County-based company, is scheduled to undergo its first U.S. If the balloon eventually is approved by the Food and Drug Administration, it would become the first weight-loss surgery option available on an outpatient basis, with patients able to go home the same day. With no backup membrane, the bubble would slip into the small intestine and cause a dangerous blockage.

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