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Updated: Jul 14, 2026
05:15
Intermittent Binge-Intake Model in Mice
Published on: January 10, 2025
Intragastric balloon and binge eating
Francesco Puglisi1, Nicola Antonucci, Palma Capuano
1D.E.T.O., Sezione di Chirurgia Generale e Trapianto di Fegato, Università di Bari, Italy. g.bros@tiscali.it
Obesity Surgery
|July 5, 2007
Summary
Binge eating in morbidly obese patients increases Bioenterics intragastric balloon (BIB) complications but does not prevent BMI reduction. Psychiatric treatment may improve outcomes for binge eaters undergoing BIB therapy.
Area of Science:
- Bariatric surgery and obesity management
- Psychiatric comorbidities in obesity
- Gastrointestinal interventions
Background:
- Binge eating is a significant concern in obesity treatment.
- The Bioenterics intragastric balloon (BIB) is used for pre-surgical obesity management.
- Understanding binge eating's impact on BIB outcomes is crucial.
Purpose of the Study:
- To evaluate the efficacy of BIB treatment in morbidly obese patients with binge eating tendencies.
- To compare outcomes between patients with and without binge eating behaviors.
Main Methods:
- 89 morbidly obese patients (BMI 39-55) were assessed for binge eating using psychiatric evaluations and psychodiagnostic tests (SCID, ED-SCID, BSQ).
- Patients were categorized into Binge Eaters (BE) and Non-Binge Eaters (NBE) groups.
- Complication rates, failure rates, and BMI changes were analyzed pre- and post-BIB treatment.
Main Results:
- 27 out of 75 eligible patients were identified as BE.
- BE patients experienced significantly higher complication and failure rates with BIB treatment (P<0.01).
- Both groups achieved significant BMI reduction, but NBE patients had a greater weight loss (P=0.03).
Conclusions:
- Binge eating affects BIB treatment outcomes in morbidly obese patients, increasing complications.
- Binge eating is not an absolute contraindication for BIB use prior to bariatric surgery.
- Further research is needed to explore combined psychiatric and BIB treatment for binge eaters.
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