The start of a new year often brings a re-energized focus on health, wellness and weight loss. We sat down with Nirav P. Chiniwalla, M.D. to talk more about obesity and the ReShape nonsurgical weight loss procedure now being offered at Northeast Digestive.
What is obesity?
Obesity is a disease that is associated with having an excess of body fat, determined by genetic and environmental factors that are difficult to control when dieting. Obesity is generally defined as having a Body Mass Index (BMI) of 30 or greater.
How many people in the United States are considered obese?
Since the early 1980s, the prevalence of obesity in the U.S. has more than doubled. More than one-third (34.9 percent or 78.6 million) of U.S. adults are obese.
What are the risks of obesity?
Obesity can lead to numerous, serious health complications, including many of which are the leading causes of preventable death, including heart disease, stroke, type 2 diabetes and certain types of cancer.
What are the current treatment options for obesity?
Little progress has been made in the past 20 years to find effective, non-invasive methods to help patients lose weight; a significant gap existed in the obesity treatment space between the current options of diet and exercise, weight loss drugs, and more invasive and irreversible interventions such as bariatric surgery. A diet and exercise program is often not enough and most of the approved weight loss drugs have not found widespread acceptance and may carry safety concerns. Bariatric surgery is usually reserved for patients with a BMI of 35 or higher, but many who are eligible do not want this type of permanent procedure. In fact, one study estimates that only one percent of those that qualify for surgery actually go forward with it. In 2015, new minimally invasive options started to emerge for people with a BMI between 30 and 40 who find themselves in this treatment gap.
What is the ReShape® Procedure?
Recently approved by the U.S. Food and Drug Administration (FDA), the ReShape Procedure is a first-of-its-kind, non-surgical weight loss procedure that uses advanced integrated dual balloon technology to help people with mild to moderate obesity lose weight.
Who is a candidate for ReShape?
ReShape provides a new option for adults with a BMI of 30-40 and a related health condition who haven’t succeeded at diet and exercise alone and do not want or do not qualify for bariatric surgery. Many people within the BMI range of 30-40 do not think of themselves as obese and therefore may not consider themselves candidates for a procedure like ReShape. In reality, these patients are technically classified as mild to moderately obese and may be in need of additional tools, beyond diet and exercise alone, to help them lose weight.
What are the benefits of the ReShape Dual Balloon technology?
ReShape is a next generation technology with features that are designed to enhance performance in three important areas. First, two connected balloons have a larger fill volume than a typical single balloon. Second, it is designed for greater comfort by mounting the two balloons on a flexible shaft that allows the device to conform to the natural shape of the stomach. Finally, the ReShape Integrated Dual Balloon is the only intragastric balloon that incorporates a feature that is designed to mitigate the potential for migration of a deflated balloon from the stomach into the intestines.
What is the ReShape Integrated Dual Balloon made of?
The balloon is made of acid-resistant silicone and is filled with saline once in the stomach.
How is it inserted?
The uninflated balloons are placed in the stomach during an outpatient procedure that typically takes 20 minutes using light anesthesia. While the patient is under sedation, an endoscope is inserted through the mouth into the stomach. The uninflated balloons are advanced over a guide wire and are placed precisely in the stomach. Each balloon is inflated with saline and independently sealed. The procedure is completely non-surgical; there are no incisions, sutures or scars.
How is it removed?
After six months, the patient returns and the balloon is removed during a second outpatient endoscopic procedure that typically takes 20 minutes. The balloon is completely drained in a controlled manner. A standard tool is used to securely capture the deflated dual balloon and the device is removed through the mouth.
What coaching services are provided with the ReShape Dual Balloon?
During the six months the dual balloon is in place and for the six months after, patients receive nutrition and exercise coaching from allied health professionals. Patients meet with their coaches once a month to track their weight loss and discuss their progress.
How much does the procedure cost?
ReShape, which includes the advanced dual balloon technology and 12 months of coaching and support, is available on a self-pay basis. Low-interest payment options are available.
How can I learn more?
NIH/NHLBI, NAASO. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, Md: NIH; 2000
Bariatric Surgery as a Highly Effective Intervention for Diabetes: News Flash or Preaching to the Choir? Comments on ‘Obesity, Type 2 Diabetes Mellitus, and Other Comorbidities’”, Jon C. Gould, MD, Arch Surg. 2012