P: O que o levou a inventar este novo balão intragástrico, sabendo que os balões existem há mais de vinte anos?
A:I’m the sort of person that fixes things, improves them. I identify the shortcomings and I fix them.
P: O que torna o Spatz3 diferente? Como ele resolve essas deficiências que você mencionou?
A: We saw that balloons were in the stomach for a maximum of six months, which is not enough time to change eating habits, which is our main goal at Spatz. Secondly, between 10% to 20% of patients are intolerant to balloons. Third and most important, we could clearly see in studies that balloons lose their effect after 3 to 4 months.
P: So how is the Spatz 3 different? How does it address these shortcomings you mentioned?
R: Eu queria desenvolver um balão mais robusto, de maior qualidade e que pudesse permanecer no estômago do paciente por um longo período.
Second, I wanted to make an adjustable balloon whose size and volume can be optimized to the patients needs. So for those 10% to 20% of unfortunate patients that need to have the balloon removed because of intolerance, I wanted to be able to save them from early extractions by making the balloon smaller if needed. For those that needed more weight loss, we designed the balloon so that it could also be increased in size.
Q: How is Spatz capable of changing people’s attitude towards food?
A: I have had the privilege of managing over a thousand patients with balloons and trained hundreds of doctors from all over the world.This led us to the understanding that losing weight is just not enough, Thinking like a person with a healthy lifestyle is a good start for attitude change. We need to think positively and to takes steps away from our previous habits. The balloon gives not only the time.
but the tools to help ignite those positive thoughts towards change of eating habits. Our approach is, “Eat, but register it”. We call that approach “Owning it”.
P: E como o balão ajuda as pessoas a “assumir o controle dos alimentos que consomem”?
A: The balloon will remind people about their eating habits. The goal is to register the signals in the brain, and count it! if you count it, you own it.
A ideia é estar ciente do seu estado nutricional, assim como faz com sua situação financeira.
P: O que poderia causar o fracasso de um tratamento com balão?
R: A atitude do paciente é fundamental. Ele precisa entender o que os balões fazem.
O balão não impede as pessoas de comer. Ele ocupa espaço e faz a comida ficar por mais tempo no estômago, e continua lembrando como você comeu na semana anterior - algo que geralmente queremos ignorar.
The objective is to connect the brain with the stomach. That creates awareness, that perhaps wasn’t there before.
Q: What’s the typical profile of patient that would demand for a balloon treatment?
A: patients that repeatedly fail diet and exercise plans. Patients with BMI over 27 are eligible for an intragastric balloons treatment. Some countries like US require candidates over 30 BMI.
There are patients that are better candidates for bariatric surgery,. Their BMI is typically over 40. In my personal experience it is too difficult for those individuals to change their eating habits.
Obrigado pelo seu tempo Dr. Brooks.