4
Bariatric Devices and
Nonsurgical Procedures
Sensor-Monitored Alimentary Restriction Therapy Device
➤ Designed to slow the eating rate by reducing the volume of the
oral cavity.
➤ Supports mindful eating.
➤ Individually fitted and worn in the upper palate while eating.
➤ The device contains an embedded heat sensor chip that provides
downloadable adherence and time data.
➤ Safety:
• Possible complications include gastric outlet obstruction with
early satiety, gastric reflux, esophagitis, vomiting, gastric wall
erosion or perforation, abdominal pain, pancreatitis, and early
device removal.
• The most common adverse effects were nausea and vomiting
(23%), abdominal pain (20%), gastric reflux (14%), diarrhea/
constipation (10%), and gastric stasis (8.3%).
• Mortality is low, 0.05%
➤ Contraindications:
• Prior gastric surgeries, coagulopathy, severe liver disease,
upper gastrointestinal bleeding lesions, large hiatal hernia,
reflux esophagitis, gastric erosions or ulcers, pregnancy, intent
to conceive, substance use disorder, or any contraindication to
esophagogastroduodenoscopy (EGD).
➤ Other considerations:
• Additional measures may be necessary for a patient to
maintain or augment weight loss after intragastric balloon
therapy, such as pharmacological therapy, bariatric surgery, or
repeat balloon therapy.
