Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Feb;29(2):713-720.
doi: 10.1007/s11695-018-3574-4.

Efficacy and Safety of Intra-gastric Balloon Placement in Dialyzed Patients Awaiting Kidney Transplantation

Séverine Beaudreuil  1   2 , Franck Iglicki  3 , Séverine Ledoux  4 , Michelle Elias  5 , Erika NNang Obada  5 , Hadia Hebibi  5 , Emmanuel Durand  6 , Bernard Charpentier  5   7 , Benoit Coffin  3 , Antoine Durrbach  5   7
Affiliations

Efficacy and Safety of Intra-gastric Balloon Placement in Dialyzed Patients Awaiting Kidney Transplantation

Séverine Beaudreuil et al. Obes Surg. 2019 Feb.

Abstract

Background: The number of obese patients who are candidates for renal transplantation has considerably increased, but obesity can be a barrier to kidney transplantation. Weight loss is often difficult through diet alone. We studied the efficacy and tolerance of the intra-gastric balloon (IGB) procedure in obese patients who were undergoing dialysis and were candidates for a renal transplantation.

Patients and methods: Obese patients (BMI > 30 kg/m2) who were candidates for renal transplantation were prospectively included in the study between 2010 and 2012. The balloon was inserted and removed during a gastric endoscopy under general anesthesia. The treatment lasted 6 months. The end point was a decrease in BMI after 6 months. Body impedance spectrometry (BIS) and nutritional statute were evaluated initially and then after IGB removal.

Results: Seventeen patients (nine females and eight males) with a mean age of 53.4 years [19.4-69.4] were included. The decrease in body mass index (BMI) during the 6-month placement was 3 kg/m2 (from 37.7 to 34.4 kg/m2). The mean weight loss was 7 kg. The mean percentage of excess weight loss after 6 months was 20.2 (± 11.4). The tolerance was good without any complications. Eleven patients underwent kidney transplantation.

Conclusion: IGB in obese dialyzed patients who are candidates for renal transplantation is safe and effective. However, the amount of weight loss can vary.

Keywords: Awaiting kidney transplantation; Efficacy; Hemodialysis; Intra-gastric balloon; Obesity; Safety.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Transplant Proc. 2012 Nov;44(9):2787-91 - PubMed
    1. Semin Dial. 2005 Nov-Dec;18(6):487-94 - PubMed
    1. Transplantation. 2002 Sep 15;74(5):675-81 - PubMed
    1. Kidney Int. 2007 Mar;71(5):442-7 - PubMed
    1. N Engl J Med. 1999 Dec 2;341(23):1725-30 - PubMed

LinkOut - more resources