Aim of this study is to compare the efficacy of BioEnterics Intragastric Balloon (BIB®) followed by diet with BIB followed by another BIB. A prospective study was designed: a homogeneous group of 100 obese patients (age range 25–35, BMI range 40.0–44.9, M/F ratio 1/4) was allocated into two groups according to procedure: BIB (6 months) followed by diet therapy (7 months; group A = 50 pts), BIB positioning followed by another BIB after 1 month (group B = 50 pts). Baseline demographics were similar in both groups (Group A 10M/40F; mean age 31.4 ± 2.6; range 25–35; mean weight 106.3 ± 12.5 Kg; range 88–150; mean BMI 42.6±2.7 Kg/m2; range 40.2–43.8; Group B 10M/40F; mean age 32.1 ± 2.1; range 25–35; mean weight 107.1 ± 11.9 Kg; range 90–150; mean BMI 42.9 ± 2.3; range 40.2–43.9). In both groups, weight loss parameters (Kg, BMI, and % EBL) were considered. Statistics were by Fisher’s exact test (p < 0.05 was considered significant). At the time of 1st BIB removal, weight loss parameters in both groups were not significantly different: Group A: mean weight was 83.7±19.1 (range 52–151); mean BMI 34.2 ± 3.9 (range 32.4–43.8); and mean %EBL 43.5 ± 21.1 (range 0–68). Group B: mean weight was 84.9 ± 18.3 (range 50–148); mean BMI 34.8 ± 3.3 (range 32.4–43.8); and mean % EBL 45.2 ± 22.5% (range 0–68). At the study end, weight loss parameters were significantly lower in patients who underwent consecutive BIB (p < 0.05): mean BMI was 30.9 ± 7.2 Kg/m2 (range 24–40), and 35.9 ± 9.7 Kg/m2 (range 34–42); mean % EBL was 51.9 ± 24.6% (range 0–100) and 25.1 ± 26.2% (range 0–100) in group B and A, respectively. As compared with diet, a second intragastric balloon can be positioned without difficulties, achieving good results with continuous weight loss.
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Authors declare that they have no conflict of interest.
Author information Authors and AffiliationsLaparoscopic Surgical Department, Medical School, “Sapienza” University, Rome, Italy
Alfredo Genco, Massimiliano Cipriano, Vincenzo Bacci, Roberta Maselli, Emanuela Paone & Nicola Basso
UOML ASL NA5, Torre Annunziata, Naples, Italy
Michele Lorenzo
Correspondence to Alfredo Genco.
About this article Cite this articleGenco, A., Cipriano, M., Bacci, V. et al. Intragastric Balloon Followed by Diet vs Intragastric Balloon Followed by Another Balloon: A Prospective Study on 100 Patients. OBES SURG 20, 1496–1500 (2010). https://doi.org/10.1007/s11695-010-0231-y
Published: 27 July 2010
Issue Date: November 2010
DOI: https://doi.org/10.1007/s11695-010-0231-y
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