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Does the intragastric balloon have a predictive role in subsequent LAP-BAND(®) surgery? Italian multicenter study results at 5-year follow-up.
Surg Obes Relat Dis. 2014 May-Jun; 10(3):474-8.SO

Abstract

BACKGROUND

The intragastric balloon has been reported to be a safe and effective tool for temporary weight loss. The aim of this study is the evaluation of the possible predictive role of intragastric balloon when used before laparoscopic adjustable gastric banding.

METHODS

A longitudinal multicenter study was conducted in patients with body mass index (BMI)>35 kg/m(2) who underwent gastric banding with the BioEnterics Intragastric Balloon (BIB). After balloon removal (6 mo), patients were allocated into 2 group according to their percentage of excess weight loss (%EWL): group>25 (%EWL>25%) and group<25 (%EWL<25%). Patients from both group underwent laparoscopic adjustable gastric banding (LAGB) 1-3 months after BIB removal. The LAP-BAND AP band was placed in all patients via pars flaccida. Weight loss parameters were considered in both groups.

RESULTS

From January 2005 to December 2009, 1357 patients were enrolled in this study. Mean BMI at time of BIB positioning was 44.9±8.4 (range 29-82.5). After 6 months, at time of removal, mean BMI was 39.4±7.3. According to the cutoff, patients were allocated into group A (n = 699) and group B (n = 658). At this time the mean BMI was 36.4±6.4 and 42.7±6.9 (P = .001) in groups A and B, respectively. At 1-year follow-up from LAGB, mean BMI was 35.8±6.5 and 40.0±7.4 (P<.001) in groups A and B, respectively. This significant difference was confirmed at 3- and 5-year follow-ups. A similar pattern was observed with the %EWL.

CONCLUSION

Satisfactory results with BIB are predictive of a positive outcome of LASB at 1, 3, and 5 years after the procedure, and poor results do not inevitably indicate a negative outcome for gastric banding.

Authors

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Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

24680759

Citation

Genco, Alfredo, et al. "Does the Intragastric Balloon Have a Predictive Role in Subsequent LAP-BAND(®) Surgery? Italian Multicenter Study Results at 5-year Follow-up." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 3, 2014, pp. 474-8.
Genco A, Lorenzo M, Baglio G, et al. Does the intragastric balloon have a predictive role in subsequent LAP-BAND(®) surgery? Italian multicenter study results at 5-year follow-up. Surg Obes Relat Dis. 2014;10(3):474-8.
Genco, A., Lorenzo, M., Baglio, G., Furbetta, F., Rossi, A., Lucchese, M., Zappa, M. A., Giardiello, C., Micheletto, G., Bottari, G., Puglisi, F., Montanari, L., Simona, C., & Forestieri, P. (2014). Does the intragastric balloon have a predictive role in subsequent LAP-BAND(®) surgery? Italian multicenter study results at 5-year follow-up. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(3), 474-8. https://doi.org/10.1016/j.soard.2013.10.021
Genco A, et al. Does the Intragastric Balloon Have a Predictive Role in Subsequent LAP-BAND(®) Surgery? Italian Multicenter Study Results at 5-year Follow-up. Surg Obes Relat Dis. 2014;10(3):474-8. PubMed PMID: 24680759.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does the intragastric balloon have a predictive role in subsequent LAP-BAND(®) surgery? Italian multicenter study results at 5-year follow-up. AU - Genco,Alfredo, AU - Lorenzo,Michele, AU - Baglio,Giovanni, AU - Furbetta,Francesco, AU - Rossi,Angelo, AU - Lucchese,Marcello, AU - Zappa,Marco A, AU - Giardiello,Cristiano, AU - Micheletto,Giancarlo, AU - Bottari,Giorgio, AU - Puglisi,Francesco, AU - Montanari,Luca, AU - Simona,Civitelli, AU - Forestieri,Pietro, AU - ,, Y1 - 2013/12/06/ PY - 2011/11/12/received PY - 2013/09/02/revised PY - 2013/10/03/accepted PY - 2014/4/1/entrez PY - 2014/4/1/pubmed PY - 2015/5/27/medline KW - %EWL KW - BMI KW - Gastric banding KW - Intragastric balloon KW - Morbid obesity KW - Weight loss SP - 474 EP - 8 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 3 N2 - BACKGROUND: The intragastric balloon has been reported to be a safe and effective tool for temporary weight loss. The aim of this study is the evaluation of the possible predictive role of intragastric balloon when used before laparoscopic adjustable gastric banding. METHODS: A longitudinal multicenter study was conducted in patients with body mass index (BMI)>35 kg/m(2) who underwent gastric banding with the BioEnterics Intragastric Balloon (BIB). After balloon removal (6 mo), patients were allocated into 2 group according to their percentage of excess weight loss (%EWL): group>25 (%EWL>25%) and group<25 (%EWL<25%). Patients from both group underwent laparoscopic adjustable gastric banding (LAGB) 1-3 months after BIB removal. The LAP-BAND AP band was placed in all patients via pars flaccida. Weight loss parameters were considered in both groups. RESULTS: From January 2005 to December 2009, 1357 patients were enrolled in this study. Mean BMI at time of BIB positioning was 44.9±8.4 (range 29-82.5). After 6 months, at time of removal, mean BMI was 39.4±7.3. According to the cutoff, patients were allocated into group A (n = 699) and group B (n = 658). At this time the mean BMI was 36.4±6.4 and 42.7±6.9 (P = .001) in groups A and B, respectively. At 1-year follow-up from LAGB, mean BMI was 35.8±6.5 and 40.0±7.4 (P<.001) in groups A and B, respectively. This significant difference was confirmed at 3- and 5-year follow-ups. A similar pattern was observed with the %EWL. CONCLUSION: Satisfactory results with BIB are predictive of a positive outcome of LASB at 1, 3, and 5 years after the procedure, and poor results do not inevitably indicate a negative outcome for gastric banding. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/24680759/Does_the_intragastric_balloon_have_a_predictive_role_in_subsequent_LAP_BAND_®__surgery_Italian_multicenter_study_results_at_5_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00391-2 DB - PRIME DP - Unbound Medicine ER -