Obesity Surgery

, Volume 27, Issue 10, pp 2546–2551 | Cite as

Efficacy of Intragastric Balloon Treatment for Adolescent Obesity

  • Ricardo José Fittipaldi-FernandezEmail author
  • Marcella Rodrigues Guedes
  • Manoel P. Galvao Neto
  • Márcia Regina Simas Torres Klein
  • Cristina Fajardo Diestel
Original Contributions



Several studies conducted in adults suggest that intragastric balloon (IGB) is an effective and safe method for weight loss. Although the prevalence of obesity in adolescents has increased in recent years, the outcomes of IGB treatment in this age group are not known. The aim of this study was to evaluate the safety and efficacy of IGB treatment for weight loss in adolescents followed up for 6 months.


This is a retrospective longitudinal study including 27 adolescents (14–19 years; 23 female). All participants were referred to IGB treatment by their attending physician, presented body mass index (BMI) ≥ 29 kg/m2 (>p97 BMI/age index) and failed to lose weight in clinical treatments. A liquid-filled nonadjustable IGB with a volume of 600 to 700 ml was used for 6 months. All patients were included in a multidisciplinary program, and adherence to this program was evaluated as the number of attended appointments.


There were no serious complications or deaths. The BMI decreased from 37.04 to 31.18 kg/m2 (p < 0.0001), body weight decreased from 102.21 to 86.23 kg (p < 0.0001), and excess weight diminished from 35.18 to 19.12 kg (p < 0.0001). The % excess weight loss (%EWL) was 56.19 and % total weight loss (%TWL) 16.35. Adherence to the multidisciplinary program correlated directly with %EWL (r = 0.55; p = 0.0033) and %TWL (r = 0.53; p = 0.0052).


Endoscopic treatment of obesity with an IGB is safe, effective, and may be an emerging therapeutic option for adolescents.


Intragastric balloon Obesity Overweight Adolescents Weight loss 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Author 3 declares that he has received personal fees from FRACTYL LABS, GI WINDOWS, APOLLO ENDO SURGERY, GI DYNAMICS, ETHICON ENDO SURGERY, not related to the present study.

Ethical Considerations

The study was reviewed and approved by Clinical Institutional Review Board and was conducted in accordance with the ethical standards laid out in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Ricardo José Fittipaldi-Fernandez
    • 1
    Email author
  • Marcella Rodrigues Guedes
    • 1
  • Manoel P. Galvao Neto
    • 2
    • 3
  • Márcia Regina Simas Torres Klein
    • 4
  • Cristina Fajardo Diestel
    • 1
    • 4
  1. 1.EndogastroRio ClinicRio de Janeiro/RJBrazil
  2. 2.Gastro Obeso CenterSao PauloBrazil
  3. 3.Florida International UniversityMiamiUSA
  4. 4.Department of Applied Nutrition, Nutition InstituteRio de Janeiro State UniversityRio de Janeiro/RJBrazil

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