Obesity Surgery

, Volume 23, Issue 12, pp 2068–2074 | Cite as

Effectiveness of Intragastric Balloon Treatment for Obese Patients: One-Year Follow-up After Balloon Removal

  • Chi-Ming Tai
  • Hung-Yen Lin
  • Yung-Chieh Yen
  • Chih-Kun Huang
  • Wan-Ling Hsu
  • Ya-Wei Huang
  • Chi-Yang Chang
  • Hsiu-Po Wang
  • Lein-Ray MoEmail author
Original Contributions



The Bioenterics Intragastric Balloon (BIB) is effective for weight loss. However, comparisons of its effectiveness between groups with different body mass index (BMI) are rare. This study compared the effectiveness of BIB treatment in patients with BMI <32 kg/m2 and those with BMI ≧32 kg/m2 at the time of BIB removal and at 1 year later.


Between April 2009 and June 2011, 28 obese patients who completed a full course of BIB treatment were enrolled. There are 16 patients with BMI <32 and 12 with BMI ≧32. Patients who lost more than 20 % of excess weight (% EWL) were categorized as responders.


The BMI significantly fell from 32.4 ± 3.7 to 28.5 ± 3.7 kg/m2 (P < 0.01) at the time of BIB removal. All biochemical measurements except for cholesterol level were significantly improved. The median value of %EWL of all patients at BIB removal was 40.1, and 20 patients (71.4 %) were responders. Adherence to dietitian counseling was significantly better in responders than in non-responders (85 vs. 25 %, respectively; P < 0.01). The percentage of responders at 1 year after BIB removal was significantly higher among patients with BMI <32 than those with ≧32 (62.5 vs. 16.7 %, respectively; P = 0.02).


BIB placement can achieve significant weight loss and improvement of co-morbidities in obese patients. Better adherence to dietitian counseling is associated with better response. Patients with BMI <32 maintain better weight loss at 1 year after BIB removal.


Weight loss Gastric balloon Body mass index Obesity 



BioEnterics Intragastric Balloon


Body mass index


Waist circumference


Aspartate aminotransferase


Alanine aminotransferase


High-density lipoprotein


low-density lipoprotein


classification Los Angeles classification


Excess weight loss



This study was supported by a Project of the E-Da Hospital, Grant Number EDAHP101017.

Conflict of Interest

All contributing authors declare that they have no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Chi-Ming Tai
    • 1
    • 2
  • Hung-Yen Lin
    • 1
    • 3
  • Yung-Chieh Yen
    • 1
    • 3
  • Chih-Kun Huang
    • 1
    • 4
  • Wan-Ling Hsu
    • 1
  • Ya-Wei Huang
    • 1
  • Chi-Yang Chang
    • 2
  • Hsiu-Po Wang
    • 5
  • Lein-Ray Mo
    • 2
    Email author
  1. 1.Bariatric and Metabolic International Surgery Center, E-Da HospitalI-Shou UniversityKaohsiungTaiwan
  2. 2.Department of Internal Medicine, E-Da HospitalI-Shou UniversityKaohsiung 824Taiwan
  3. 3.Department of Psychiatry, E-Da HospitalI-Shou UniversityKaohsiungTaiwan
  4. 4.Department of Surgery, E-Da HospitalI-Shou UniversityKaohsiungTaiwan
  5. 5.Department of Internal Medicine, National Taiwan University HospitalNational Taiwan UniversityTaipeiTaiwan

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