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Intragastric balloon or diet alone? A retrospective evaluation.
Obes Surg. 2008 Aug; 18(8):989-92.OS

Abstract

BACKGROUND

Very few studies have reported results of the BioEnterics Intragastric Balloon (BIB) at > or =12 months follow-up. The aim of this study is the retrospective evaluation of the results of BIB placement compared to diet regimen alone.

METHODS

From January 2005 to June 2006, 130 outpatients underwent a structured diet plan with simple behavioral modification at our institutions. Controls (n = 130) were selected from the charts of patients who, during the same period, underwent BIB treatment. Patients in the outpatient group were given a structured balanced diet with a caloric intake between 1,000 and 1,200. The approximate macronutrient distribution, according the "Mediterranean diet," was 25% protein (at least 60 g/day), 20-25% lipids, and 50-55% carbohydrates. In the BIB group, patients received generic counseling for eating behavior. In both groups, we considered weight loss parameters (kilograms, percentage of excess weight loss [%EWL], body mass index [BMI], percentage of excess BMI loss [%EBL]) at 6 and 24 months from baseline and comorbidities at baseline and after 24 months. Results are expressed as mean+/-standard deviation. Statistical analysis was done by Student's t-test and chi (2)-test or Fisher's exact test. p < .05 was considered significant.

RESULTS

At the time of BIB removal (6 months), significantly better results in terms of weight loss in kilograms (16.7 +/- 4.7 vs. 6.6 +/- 2.6; p < 0.01), BMI (35.4 +/- 11.2 vs. 38.9 +/- 12.1; p < 0.01), %EBL (38.5 +/- 16.1 Vs 18.6 +/- 14.3; p < 0.01), and %EWL (33.9 +/- 18 vs. 24.3 +/- 17.0; p < 0.01) were observed in patients treated by intragastric balloon as compared to diet-treated patients. At 24 months from baseline, patient dropout was 1/130 (0.7%) and 25/130 (19.2%) in the BIB and diet groups, respectively (p < 0.001). At this time, patients treated with intragastric balloon have tended to regain weight, whereas diet-treated patients have already regained most of lost weight.

CONCLUSIONS

Although the strength of this study may be limited by its retrospective design, the results indicate that, in the short-to-medium term, BIB is significantly superior to diet in terms of weight loss.

Authors+Show Affiliations

Department of Surgery Paride Sefanini, University La Sapienza, Rome, Italy. alfredogenco@uniroma1.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18483834

Citation

Genco, Alfredo, et al. "Intragastric Balloon or Diet Alone? a Retrospective Evaluation." Obesity Surgery, vol. 18, no. 8, 2008, pp. 989-92.
Genco A, Balducci S, Bacci V, et al. Intragastric balloon or diet alone? A retrospective evaluation. Obes Surg. 2008;18(8):989-92.
Genco, A., Balducci, S., Bacci, V., Materia, A., Cipriano, M., Baglio, G., Ribaudo, M. C., Maselli, R., Lorenzo, M., & Basso, N. (2008). Intragastric balloon or diet alone? A retrospective evaluation. Obesity Surgery, 18(8), 989-92. https://doi.org/10.1007/s11695-007-9383-9
Genco A, et al. Intragastric Balloon or Diet Alone? a Retrospective Evaluation. Obes Surg. 2008;18(8):989-92. PubMed PMID: 18483834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intragastric balloon or diet alone? A retrospective evaluation. AU - Genco,Alfredo, AU - Balducci,Stefano, AU - Bacci,Vincenzo, AU - Materia,Alberto, AU - Cipriano,Massimiliano, AU - Baglio,Giovanni, AU - Ribaudo,Maria Cristina, AU - Maselli,Roberta, AU - Lorenzo,Michele, AU - Basso,Nicola, Y1 - 2008/05/16/ PY - 2007/09/28/received PY - 2007/11/23/accepted PY - 2008/5/17/pubmed PY - 2009/1/28/medline PY - 2008/5/17/entrez SP - 989 EP - 92 JF - Obesity surgery JO - Obes Surg VL - 18 IS - 8 N2 - BACKGROUND: Very few studies have reported results of the BioEnterics Intragastric Balloon (BIB) at > or =12 months follow-up. The aim of this study is the retrospective evaluation of the results of BIB placement compared to diet regimen alone. METHODS: From January 2005 to June 2006, 130 outpatients underwent a structured diet plan with simple behavioral modification at our institutions. Controls (n = 130) were selected from the charts of patients who, during the same period, underwent BIB treatment. Patients in the outpatient group were given a structured balanced diet with a caloric intake between 1,000 and 1,200. The approximate macronutrient distribution, according the "Mediterranean diet," was 25% protein (at least 60 g/day), 20-25% lipids, and 50-55% carbohydrates. In the BIB group, patients received generic counseling for eating behavior. In both groups, we considered weight loss parameters (kilograms, percentage of excess weight loss [%EWL], body mass index [BMI], percentage of excess BMI loss [%EBL]) at 6 and 24 months from baseline and comorbidities at baseline and after 24 months. Results are expressed as mean+/-standard deviation. Statistical analysis was done by Student's t-test and chi (2)-test or Fisher's exact test. p < .05 was considered significant. RESULTS: At the time of BIB removal (6 months), significantly better results in terms of weight loss in kilograms (16.7 +/- 4.7 vs. 6.6 +/- 2.6; p < 0.01), BMI (35.4 +/- 11.2 vs. 38.9 +/- 12.1; p < 0.01), %EBL (38.5 +/- 16.1 Vs 18.6 +/- 14.3; p < 0.01), and %EWL (33.9 +/- 18 vs. 24.3 +/- 17.0; p < 0.01) were observed in patients treated by intragastric balloon as compared to diet-treated patients. At 24 months from baseline, patient dropout was 1/130 (0.7%) and 25/130 (19.2%) in the BIB and diet groups, respectively (p < 0.001). At this time, patients treated with intragastric balloon have tended to regain weight, whereas diet-treated patients have already regained most of lost weight. CONCLUSIONS: Although the strength of this study may be limited by its retrospective design, the results indicate that, in the short-to-medium term, BIB is significantly superior to diet in terms of weight loss. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/18483834/Intragastric_balloon_or_diet_alone_A_retrospective_evaluation_ L2 - https://dx.doi.org/10.1007/s11695-007-9383-9 DB - PRIME DP - Unbound Medicine ER -