Clinical Medicine: Case Reports
Synopsis: An open access, peer reviewed electronic journal that covers case reports in all areas of clinical medicine.
Indexing: 4 major databases. Pubmed indexing for NIH-funded research.
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Journal: 72889
Most read article: 2037
Editor in chief:
Karna Dev Bardhan
ISSN: 1178-6450
Monitoring Gastric Filling, Satiety and Gastric Emptying in a Patient with Gastric Balloon Using Functional Magnetic Resonance Imaging - A Feasibility Report
Authors: Markus S. Juchems, Deniz Uyak, Andrea S. Ernst and Hans-Juergen Brambs
Publication Date: 22 May 2008
Clinical Medicine: Case Reports 2008:1 41-44
Markus S. Juchems1, Deniz Uyak2, Andrea S. Ernst1 and Hans-Juergen Brambs1
1Center for Diagnostic and Interventional Radiology, University Hospitals Ulm, Ulm, Germany. 2St.-Willehad Hospital, Department for Internal Medicine, Wilhelmshaven, Germany.
Abstract
Backround: Intragastric balloons are used for short term weight loss therapy in obese. It is possible to monitor the ballon with sonography, however this method is sometimes insufficient in obese patients. Therefore MRI seems to be a potential therapy-monitoring option.
Purpose: In this feasibility report we want to demonstrate the potential use of functional MRI in monitoring gastric filling, patient satiation and gastric emptying in a obese patient who previously received intragastric balloon placement.
Material and methods: We selected one patient (male, 178 cm, 127 kg, BMI = 40,5 kg/m2) who recently received a gastric balloon and visualized gastric motility in presence of the gastric balloon before and after food intake. Fast cross-sectional images in one breathhold spin echo or gradient echo sequences were aquired. Real-time gastric motion was performed with cine mode.
Results: MRI offers perfect visualisation of gastric balloons in obese patients. Gastric filling and emptying can be monitored in correlation to patient satiety sensation. MRI can visualize the gastric balloon with degree of filling and possible leakages. Cine mode sequences demonstrate gastric motility and gastric wall peristalsis.
Conclusion: MR is a valuable imaging alternative for patients with intragastric balloons.
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