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Abstract
Intragastric balloon positioning for temporary weight loss in morbidly obese patients is used worldwide. An intragastric balloon can be positioned before every kind of bariatric (and nonbariatric) surgical procedure to lower anesthesiological risk, and reduce intra- and postoperative complications. Different kinds of intragastric balloons are commercially available, and all have similar effects on weight loss. Mortality rate is low, and the main reason for early balloon removal is the psychological intolerance of the patient. As for bariatric surgery, patients undergoing intragastric balloon positioning must be accurately selected according to National Institutes of Health (NIH) criteria. After balloon removal a bariatric surgical procedure should be performed because the majority of patients regain their lost weight in a few months. Recent experience has underscored the positive results of positioning a second intragastric balloon after the first. In selected patients this strategy has been positioned as surgery-free therapy, and as a preventive measure for morbid obesity and its life-threatening complications.
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