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In this opportunity, we are going to talk about how to use the ultrasound machine to be able to perform controls for

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gastric balloon insertion. Gastric balloons, like any device, have an anatomy and

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have a shield, just like the breast implant, gluteal implants, and facial implants.

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This then generates an ultrasound pattern in its SHIELD or in its shields. Why is it important

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to perform an ultrasound control after a gastric balloon implant? Because we will be able to

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measure the volume of this implant, and we can see it exactly as it happens in the pleura.

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We can see the movement of the sinus inside the stomach. This makes us

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immediately see and diagnose that it is an implant that has adequate movement inside the

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stomach and what the final volume is. Next, we will see how we perform it.

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Important: I use this ultrasound machine for abdominal wall and abdomen patients, the

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HD three, which gives us the possibility to go from low frequency to high frequency.

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We are going to divide our abdominal wall into supraumbilical and infraumbilical, and we are going to

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use abdomen. In this way, we are going to look for the region at the

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subxiphoid level. We are going to look for our gastric image at the subxiphoid level.

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Always try to examine your patients standing up. Look then at how we see our

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spherical image, our wall, and the sphere. We are going to divide our screen and

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we are going to rotate our transducer clockwise to be able to see our

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implant volume in the stomach.

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What do we observe here? We obviously observe the walls of the implant. We are going to take

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the two measurements. The sagittal

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cut, and we are going to take the measurement in the axial

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cut. In this way, we are going to be able to have the result of what

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the volume of the gastric balloon implant is inside the stomach.

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Next, we are going to analyze our preperitoneal fat. There,

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I am going to change my setting and put it on abdominal wall to use the highest frequency

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of our HD three paddle. And at the midline level, at the linea alba level, what we are

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going to find in deep planes is the preperitoneal fat; this fat at the subxiphoid

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level we are going to measure in the postoperative period or the

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immediate insertion of the balloon. This is going to give us a prediction of cardiometabolic

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disease, and we can see how this measurement or thickness decreases as she

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loses weight. Remember that this preperitoneal fat with a metabolic

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concept is important to do a quantitative and qualitative follow-up. In this

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same way and with the linear and very high-frequency transducer, I return to the subxiphoid area and

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we are going to look for the implant wall here. Next, we can see

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what our implant and our shield look like. We see how there is movement during

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breathing and movement of the implant wall. This lets us clearly

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see and gives us peace of mind that the implant does not have a contracture and has an

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adequate displacement in the gastric fundus. This is the quick

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and reliable use of the ultrasound machine for any gastric balloon insertion procedure in

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metabolic patients.