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Displacement of the Intragastric Balloon from the Fundus to the Antrum Results in Enhanced Weight Loss.

TitleDisplacement of the Intragastric Balloon from the Fundus to the Antrum Results in Enhanced Weight Loss.
Publication TypeJournal Article
Year of Publication2018
AuthorsPapavramidis, T. S., Stavrou G., Papakostas P., Grosomanidis V., Kokkota S., Michalopoulos A., Kolios G., & Kotzampassi K.
JournalObes Surg
Date Published2018 Aug

BACKGROUND: The BioEnterics Intragastric Balloon [BIB] is a reliable, non-invasive technique to manage obesity for subjects who refuse or are unsuitable for bariatric surgery. In a prior study, BIB placed in the antrum [A] was found to have significantly better results on weight loss in relation to that in fundus [F], but many balloons initially placed in the F were eventually found in the A. The aim of the present analysis was to evaluate whether the balloon position [firmly in F, firmly in A, or transient from F to A [FA]] influences the 3- and 6-month weight loss.MATERIAL: Six hundred sixty-eight patients that underwent successful BIB treatment were assigned into three groups: group F [n = 354], group A [n = 159], and group AF [n = 155]. Weight loss parameters were recorded and analyzed at 3 and 6 months.RESULTS: In all three groups, there was a significant, progressive reduction of BMI at 3 and 6 months. At 6 months, BMI reduction between groups F and A, and F and FA [p = 0.001] and groups A and FA [p = 0.018] was prominent.CONCLUSION: The position of the BIB affects its effectiveness: better results when antrum is involved. This observation seems to give a great perspective to newly established gastric space-occupying devices, which aim to have a compartment constantly present in the antrum. However, further studies have to be performed in order to validate the results and more importantly to clarify the mechanisms implied.

Alternate JournalObes Surg
PubMed ID29504052


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