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Published on: November 10, 2018
The intragastric balloon: a novel idea proved ineffective
The British Journal of Surgery
|February 1, 1987
Summary
Intragastric balloons for severe obesity provided minimal, temporary weight loss in a 12-24 month study. Most patients regained weight, showing limited long-term value for obesity treatment.
Area of Science:
- Bariatric Surgery and Interventions
- Gastroenterology
- Obesity Medicine
Background:
- Gross obesity presents significant health challenges requiring effective long-term management strategies.
- Intragastric balloons are a less invasive option for weight management compared to bariatric surgery.
Purpose of the Study:
- To evaluate the long-term efficacy and tolerability of a 600 ml spherical intragastric balloon for treating gross obesity.
Main Methods:
- Twelve severely obese patients (mean weight 121 +/- 22 kg) underwent per-oesophageal insertion of a 600 ml intragastric balloon.
- Patients were monitored for 12-24 months to assess weight changes and balloon tolerability.
Main Results:
- Nine patients initially lost up to 21 kg (mean 11 +/- 6.4 kg) within 3 months, followed by weight regain.
- By 1 year, only one patient maintained weight loss; three patients discontinued the balloon due to intolerance (gastric emptying inhibition).
Conclusions:
- The intragastric balloon demonstrated marginal and temporary weight loss in patients with gross obesity.
- This intervention appears to have no significant long-term value in the comprehensive treatment of severe obesity.
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