House Calls

SPR 2018

House Calls Magazine is a quarterly publication that focuses on health and wellness. It includes a wide assortment of articles with topics on the latest health and wellness information, nutrition, safety, lifestyles, and more.

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h o u s e c a l l s { spring 2018 } 47 new horizons HC: What does the Obalon intragastric balloon do? KM : The balloon system takes up space within the stomach, which makes a person feel fuller than usual after eating small meals. The appeal of this type of weight-loss treatment is that it's temporary and does not permanently alter the patient's anatomy or require surgery. HC: How does the treatment work? KM : The Obalon system consists of three small balloons (200 cubic centimeters each) placed in the stomach over the course of six to eight weeks. The balloons are swallowed like a pill and inflated with gas in the stomach using X-ray guidance, which requires no sedation. HC: How long do the balloons stay in the stomach and what happens once they're removed? KM : Six months after the first balloon is ingested, all three balloons are deflated and taken out via endoscopy. However, the comprehensive Obalon program lasts a total of 12 months. Starting at the time the first balloon is inflated and continuing six months after the balloons are removed, patients meet with a multi-disciplinary team of behavioral health experts, dietitians, and surgeons, who provide coaching and informational materials throughout the process, helping the patient achieve long-term success. HC: Are there any risks associated with the procedure? KM : There is a period of adaptation that the body has to go through once the balloons are placed, where patients may experience some mild nausea and occasional vomiting. This time period ranges from a few days to a week for most people, and we use medication during that time to treat the symptoms. HC: Who is eligible for Obalon and what kind of results have you seen thus far? KM: People between the ages of 18 to 80 who have a BMI between 30 and 40 are eligible. Unfortunately, anyone who has had previous surgery on his or her stomach or has suffered from a large hiatal hernia or Crohn's disease is not a candidate. Expected weight loss for most patients is approximately 25 to 40 pounds for the 12-month program. Rising Above Obesity A new intragastric balloon offers hope to bariatric patients looking to shed serious pounds – B Y H A I L E Y M I D D L E B R O O K A ffecting more than one in three adults in America, obesity—defined as a person having a body mass index (BMI) of 30 or higher—is one of the most prevalent diseases in the country, says the Centers for Disease Control and Prevention. It's also one of the hardest conditions to kick. While many factors contribute to the rising rate of obesity in our country, including genetics, medications used to treat other diseases, stress, and disruption in normal sleep patterns, lifestyle choices and eating patterns can play a major role. Reversing this cycle can be extremely difficult, and for many, diet and exercise alone are not successful. In these cases, additional weight loss solutions may be considered. One of the newest bariatric offerings is the Obalon system, an intragastric balloon program now available at Roper St. Francis Healthcare—the first healthcare system in South Carolina to provide it. Here, Roper St. Francis affiliated bariatric surgeon Dr. Kenneth Mitchell explains how this new technology will help locals shed serious pounds. Dr. Kenneth Mitchell P H O T O G R A P H ( D R . M I T C H E L L ) B Y L I N D S A Y W E B E R ; R E N D E R I N G S C O U R T E S Y O F O B A L O N

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