“The Allurion program offers an alternative for people whose body mass index (BMI) is below 39.9 kg/m2emphasizes Dr. Mathieu Miguet, Visceral and Digestive Surgeon at the Navarre Polyclinic in Pau. It is the only weight loss medical device that does not require surgery, endoscopy or anesthesia. »
This program, indicated for adults over 18 years of age with a BMI greater than 27 kg/m², is also an alternative to bariatric surgery for patients who do not want or cannot benefit from surgery (severe anesthetic difficulties, serious cardiac or respiratory diseases). failure, etc.).
People who are overweight (BMI from 25 to 29.9 kg/m2), moderate obesity (BMI between 30 and 34.9 kg/m2) or severe without comorbidities (BMI between 35 and 39.9 kg/m2) have only a few solutions to find their ideal weight (again). Their management is essentially based on lifestyle and nutritional measures (adapted physical activity, dietary changes, psychological and/or psychiatric care).
A program based on five pillars
The Allurion program includes a gastric balloon, ongoing medical support, digital monitoring (above an app), a scale and a connected watch. The ball, which lasts about four months, promotes satiety, facilitates weight loss and long-term lifestyle changes.
During his journey (at least six months), the patient benefits from comprehensive care. Preparation prior to balloon installation takes four to eight weeks, depending on the center. Dietary measures are taken to initiate weight loss. A sports coach develops a customized exercise program.
“If the BMI is > 35 kg/m², a lung specialist is consulted for a breath test and possibly a polysomnography. A biological examination is carried out to look for a deficiency or an endocrine disorder (hypothyroidism, hypercorticism, etc.) that can explain the excess weight and must be corrected first.asks Dr. Miguet fixed.
The application (Allurion App), which syncs with the connected scale and watch, can store and analyze weight data, step count, hours of sleep and physical activity. Digital surveillance makes it possible to identify people who are at risk and not lose sight of them.
Bring about lifelong behavioral changes
Monitoring of the patient before and after ball placement (diet, physical activity, psychological support) is a key element. “For six months to a year, the patient will benefit from a consultation every 15 days, then every month. In addition to reducing appetite and slowing down gastric emptying, the balloon increases the feeling of fullness. Prior to installation, preparation in the therapeutic education is essential, since the patients no longer perceive the physiological signals of hunger and satiety.says Lamia Zinaï, nutritionist at the Mirabeau medical center (Aix-en-Provence).
According to clinical studies, the induced weight loss four months after gastric balloon insertion is on average 10 to 15% of the total weight. This helps improve comorbidities such as high blood pressure and type 2 diabetes. Up to 95% of weight loss can be maintained a year after balloon removal. Contraindications are a history of major abdominal surgery, pregnancy and lactation, inflammatory bowel disease (IBD) or any non-stabilized inflammatory pathology.
The average cost for six months is between €3,500 and €4,000 (not covered by Medicare). To date, 10,000 overweight or obese patients in France (and 80,000 internationally) have been treated with the Allurion program.
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