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The Impact of Dietician Support and Behavioural Therapy in Addition to Concomitant Treatment with Intragastric Balloon in Obese Patients

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Abstract

Introduction and Aims

Patients treated with intragastric balloon (IGB) may benefit from treatment and follow-up by a multidisciplinary team, where the dietician is considered the only essential professional besides the endoscopist. The aim of this study is to evaluate the impact of dietician support and behavioral therapy in terms of weight loss in patients concomitantly treated with IGB while the device is in situ.

Methods

Patients with IGB in situ, in period 2005–2018, were invited to undergo a dietician check-up (DC) every 1.5 months, accompanied by cognitive behavioral therapy. Considering their attendance at the dietician check-ups (DCs), patients were categorized as non-compliant (0 DC), partially compliant (1–2 DCs), and highly compliant (≥ 3 DCs). A comparison was made among the three groups regarding % of total body weight loss (%TBWL) and ΔBMI at 180 ± 15 days when the IGB was in situ.

Results

One hundred eighty-three obese patients treated with fluid-filled IGB were included. Body weight data at 180 ± 15 days during the IGB in situ, as well as attendance at the DCs, were available for 170 out of 183 patients. There was no difference among compliant, partially compliant, and non-compliant patients to DCs regarding %TBWL at 180 ± 15 days (p = 0.17). However, non-compliant patients had a higher ΔBMI at 180 ± 15 days in comparison to those compliant or partially compliant to DCs (p = 0.03).

Conclusion

Despite its undisputed educational role, attendance at DCs does not seem to correlate with an additional weight loss while the IGB is in situ.

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Authors and Affiliations

  1. Mater Olbia Hospital-Qatar Foundation Endowment & Gemelli Foundation, Gastroenterology and GI Endoscopy Unit, Strada Statale 125 Orientale Sarda, 07026, Olbia, OT, Italy

    Salvatore Francesco Vadalà di Prampero & Milutin Bulajic

  2. University Hospital of Udine, Gastroenterology and GI Endoscopy Unit, Udine, Italy

    Salvatore Francesco Vadalà di Prampero, Sonia Solito, Alessandro Picci, Eleonora Pinese, Milutin Bulajic, Marco Marino, Piera Rossitti & Maurizio Zilli

  3. Division of Gastroenterology, Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, Bern, Switzerland

    Giacomo Faleschini

  4. Dr Dragisa Misovic-Dedinje, Center for Digestive Endoscopy, Belgrade, Serbia

    Nikola Panic

  5. School of Medicine, University of Belgrade, Belgrade, Serbia

    Nikola Panic

  6. Institute of Hygiene and Clinical Epidemiology, University Hospital of Udine, Udine, Italy

    Luigi Castriotta

  7. University Hospital of Udine, Nutritional Unit, Udine, Italy

    Rossana Piva

Authors
  1. Salvatore Francesco Vadalà di Prampero
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  2. Sonia Solito
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  3. Giacomo Faleschini
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  4. Nikola Panic
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  5. Luigi Castriotta
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  7. Eleonora Pinese
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  9. Milutin Bulajic
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  10. Marco Marino
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  11. Piera Rossitti
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  12. Maurizio Zilli
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Corresponding author

Correspondence to Salvatore Francesco Vadalà di Prampero.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Vadalà di Prampero, S.F., Solito, S., Faleschini, G. et al. The Impact of Dietician Support and Behavioural Therapy in Addition to Concomitant Treatment with Intragastric Balloon in Obese Patients. OBES SURG 30, 612–617 (2020). https://doi.org/10.1007/s11695-019-04228-1

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