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

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Abstract

Background

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.

Methods

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.

Results

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).

Conclusions

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.

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Abbreviations

BIB:

BioEnterics Intragastric Balloon

BMI:

Body mass index

WC:

Waist circumference

AST:

Aspartate aminotransferase

ALT:

Alanine aminotransferase

HDL:

High-density lipoprotein

LDL:

low-density lipoprotein

LA:

classification Los Angeles classification

EWL:

Excess weight loss

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Acknowledgments

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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Authors and Affiliations

  1. Bariatric and Metabolic International Surgery Center, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan

    Chi-Ming Tai, Hung-Yen Lin, Yung-Chieh Yen, Chih-Kun Huang, Wan-Ling Hsu & Ya-Wei Huang

  2. Department of Internal Medicine, E-Da Hospital, I-Shou University, 1, E-Da Rd., Jiau-Shu Village, Yan-Chau District, Kaohsiung 824, Taiwan

    Chi-Ming Tai, Chi-Yang Chang & Lein-Ray Mo

  3. Department of Psychiatry, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan

    Hung-Yen Lin & Yung-Chieh Yen

  4. Department of Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan

    Chih-Kun Huang

  5. Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan

    Hsiu-Po Wang

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  1. Chi-Ming Tai
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  2. Hung-Yen Lin
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  9. Lein-Ray Mo
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Corresponding author

Correspondence to Lein-Ray Mo.

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Tai, CM., Lin, HY., Yen, YC. et al. Effectiveness of Intragastric Balloon Treatment for Obese Patients: One-Year Follow-up After Balloon Removal. OBES SURG 23, 2068–2074 (2013). https://doi.org/10.1007/s11695-013-1027-7

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  • DOI: https://doi.org/10.1007/s11695-013-1027-7

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