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Intragastric balloon: use of prophylactic nystatin for the prevention of fungal colonization


Advances in Obesity, Weight Management & Control
Bruno Q Sander,1 Santos Paiva D,1 Marcelo Sander,1 Jimi Scarparo,2 Felipe Matz,3 Flávio Ramos,3 Alberti Luiz Ronaldoa4

Abstract

 The intragastric balloon is the medical treatment indicated for patients with overweight  and  obesity,  it’s  safe  and  effective  with  great  results  all  over  the  world.  But  in some cases, fungal colonization was observed and can be promoted early removal. So, this  article  has  evaluated  the  effectiveness  of  the  use  of  antifungal  (Nystatin)  to  prevent  the  appearance  of  fungi  in  silicone.  Patients  (120)  were  divided  into  two  groups:  50  milliliters  of  nystatin  (100,000  IU/ML)  mixed  with  saline  solution  with  Methylene  Blue  in the IGB filling and IGB filled with saline solution and Methylene Blue. Results: The prevalence of fungal colonization was 9.25% and 19.15% for the group with and without antifungal respectively. There was no significant difference in outcomes between gender and age. Conclusion: Nystatin into the saline solution in the IGB filling reduced the fungal colonization.

Keywords

obesity, fungal, nystatin, intragastric balloon, fungal colonization

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