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Is bariatric surgery necessary after intragastric balloon treatment?
Obes Surg. 2006 Sep; 16(9):1135-7.OS

Abstract

BACKGROUND

The use of the Bio-Enterics intra-gastric balloon (BIB) has been shown to be a safe and effective procedure for the temporary treatment of morbid obesity. We conducted a retrospective comparative analysis of the weight loss in patients that after BIB removal underwent bariatric surgery and those who did not wish surgery.

METHODS

From January 2000 to March 2004, 182 BIBs were positioned in 175 patients (104 F / 71 M; mean age 37.1+/-11.6 years, range 16-67; mean BMI 54.4 +/- 8.1 kg/m(2), range 39.8-79.5; mean %EW 160.8+/-32.9% range 89-264). Patients were excluded from this study who had emergency BIB removal for balloon rupture (n=2, 1.1%) and for psychological intolerance (n=7, 7.8%). All patients were scheduled for a bariatric operation, before BIB positioning. After BIB removal, a number of patients now declined surgery. Consequently, patients were allocated into 2 groups: Group A in whom BIB removal was followed by bariatric surgery (Lap-Band, laparoscopic gastric bypass, duodenal switch) (n=86); Group B patients who after BIB removal refused any surgical procedure (n=82). Both groups were followed for a minimum of 12 months. Results were reported as mean BMI and %EWL +/- SD. Statistical analysis was done by Student t-test or Fisher's exact test, with P<0.05 considered significant.

RESULTS

Mean BMI and mean %EWL in the 166 patients at time of removal were 47.3 +/- 8.1 kg/m(2) and 32.1+/-16.6%, respectively. At the same time, mean BMI was 47.6+/-6.9 and 48.1+/-6.5 kg/m(2) in group A and B (P=NS). At 12 months follow-up (100%), mean BMI was 35.1 kg/m(2) in Group A (BIB + surgery) and 51.7 kg/m(2) in Group B (BIB alone) (P<0.001).

CONCLUSIONS

After BIB removal, half (49.4%) of the patients scheduled for surgery refused a bariatric operation. These patients returned to their mean initial weight at 12 months follow-up. Therefore, bariatric surgery after BIB removal is highly recommended.

Authors+Show Affiliations

Federico II University of Naples, S. Giovanni Bosco Hospital, Unit of Endoscopic Surgery, Naples, Italy. luigiangrisani@chirurgiaobesita.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16989695

Citation

Angrisani, Luigi, et al. "Is Bariatric Surgery Necessary After Intragastric Balloon Treatment?" Obesity Surgery, vol. 16, no. 9, 2006, pp. 1135-7.
Angrisani L, Lorenzo M, Borrelli V, et al. Is bariatric surgery necessary after intragastric balloon treatment? Obes Surg. 2006;16(9):1135-7.
Angrisani, L., Lorenzo, M., Borrelli, V., Giuffré, M., Fonderico, C., & Capece, G. (2006). Is bariatric surgery necessary after intragastric balloon treatment? Obesity Surgery, 16(9), 1135-7.
Angrisani L, et al. Is Bariatric Surgery Necessary After Intragastric Balloon Treatment. Obes Surg. 2006;16(9):1135-7. PubMed PMID: 16989695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is bariatric surgery necessary after intragastric balloon treatment? AU - Angrisani,Luigi, AU - Lorenzo,Michele, AU - Borrelli,Vincenzo, AU - Giuffré,Monica, AU - Fonderico,Carmine, AU - Capece,Giuseppe, PY - 2006/9/23/pubmed PY - 2007/4/4/medline PY - 2006/9/23/entrez SP - 1135 EP - 7 JF - Obesity surgery JO - Obes Surg VL - 16 IS - 9 N2 - BACKGROUND: The use of the Bio-Enterics intra-gastric balloon (BIB) has been shown to be a safe and effective procedure for the temporary treatment of morbid obesity. We conducted a retrospective comparative analysis of the weight loss in patients that after BIB removal underwent bariatric surgery and those who did not wish surgery. METHODS: From January 2000 to March 2004, 182 BIBs were positioned in 175 patients (104 F / 71 M; mean age 37.1+/-11.6 years, range 16-67; mean BMI 54.4 +/- 8.1 kg/m(2), range 39.8-79.5; mean %EW 160.8+/-32.9% range 89-264). Patients were excluded from this study who had emergency BIB removal for balloon rupture (n=2, 1.1%) and for psychological intolerance (n=7, 7.8%). All patients were scheduled for a bariatric operation, before BIB positioning. After BIB removal, a number of patients now declined surgery. Consequently, patients were allocated into 2 groups: Group A in whom BIB removal was followed by bariatric surgery (Lap-Band, laparoscopic gastric bypass, duodenal switch) (n=86); Group B patients who after BIB removal refused any surgical procedure (n=82). Both groups were followed for a minimum of 12 months. Results were reported as mean BMI and %EWL +/- SD. Statistical analysis was done by Student t-test or Fisher's exact test, with P<0.05 considered significant. RESULTS: Mean BMI and mean %EWL in the 166 patients at time of removal were 47.3 +/- 8.1 kg/m(2) and 32.1+/-16.6%, respectively. At the same time, mean BMI was 47.6+/-6.9 and 48.1+/-6.5 kg/m(2) in group A and B (P=NS). At 12 months follow-up (100%), mean BMI was 35.1 kg/m(2) in Group A (BIB + surgery) and 51.7 kg/m(2) in Group B (BIB alone) (P<0.001). CONCLUSIONS: After BIB removal, half (49.4%) of the patients scheduled for surgery refused a bariatric operation. These patients returned to their mean initial weight at 12 months follow-up. Therefore, bariatric surgery after BIB removal is highly recommended. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/16989695/Is_bariatric_surgery_necessary_after_intragastric_balloon_treatment L2 - https://dx.doi.org/10.1381/096089206778392365 DB - PRIME DP - Unbound Medicine ER -