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Bio-enteric Intragastric Balloon in Obese Patients: A Retrospective Analysis of King Faisal Specialist Hospital Experience

Background Bio-enteric intragastric balloon (BIB) insertion is gaining popularity for weight reduction in obese patients. We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. Methods A total of 173 Saudi obese patients [mean±SD age 34.5 ± 11.6 years, 58 (33.5%) wer...

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Published in:Obesity surgery 2010-09, Vol.20 (9), p.1219-1226
Main Authors: Al Kahtani, Khalid, Khan, Mohammed Qaseem, Helmy, Ahmed, Al Ashgar, Hamad, Rezeig, Mohammed, Al Quaiz, Mohammed, Kagevi, Ingvar, Al Sofayan, Mohamed, Al Fadda, Mohammed
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container_end_page 1226
container_issue 9
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container_title Obesity surgery
container_volume 20
creator Al Kahtani, Khalid
Khan, Mohammed Qaseem
Helmy, Ahmed
Al Ashgar, Hamad
Rezeig, Mohammed
Al Quaiz, Mohammed
Kagevi, Ingvar
Al Sofayan, Mohamed
Al Fadda, Mohammed
description Background Bio-enteric intragastric balloon (BIB) insertion is gaining popularity for weight reduction in obese patients. We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. Methods A total of 173 Saudi obese patients [mean±SD age 34.5 ± 11.6 years, 58 (33.5%) were men] who underwent BIB (InaMed Corporation, California, USA) insertion were followed up clinically, biochemically, and endoscopically for 6–12 months. The mean±SD baseline body weight, excess weight, and body mass index (BMI) were 123.5 ± 39.6 and 68.9 ± 40.0 kg and 46.7 ± 14.1 kg/m 2 , respectively. Associated dietary control, exercise, and medical treatment were used in 67 (38.7%), 60 (34.7%), and 3 (1.7%), respectively. Results BIBs were safely and successfully inserted in 15.1 ± 6.2 min, filled with 626.2 ± 41.7 ml methylene blue solution, removed after a period of 189.7 ± 68.3 days, within 14.1 ± 6.3 min. BIB was not tolerated for 6 months in 33 (19.8%) patients. Body weight and BMI at 6 and 12 months postinsertion were significantly reduced to 112.5 ± 35.7 kg and 43.1 ± 13.1 kg/m 2 , and 110.7 ± 34.5 kg and 42.3 ± 12.6 kg/m 2 , respectively ( p  
doi_str_mv 10.1007/s11695-008-9654-0
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We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. Methods A total of 173 Saudi obese patients [mean±SD age 34.5 ± 11.6 years, 58 (33.5%) were men] who underwent BIB (InaMed Corporation, California, USA) insertion were followed up clinically, biochemically, and endoscopically for 6–12 months. The mean±SD baseline body weight, excess weight, and body mass index (BMI) were 123.5 ± 39.6 and 68.9 ± 40.0 kg and 46.7 ± 14.1 kg/m 2 , respectively. Associated dietary control, exercise, and medical treatment were used in 67 (38.7%), 60 (34.7%), and 3 (1.7%), respectively. Results BIBs were safely and successfully inserted in 15.1 ± 6.2 min, filled with 626.2 ± 41.7 ml methylene blue solution, removed after a period of 189.7 ± 68.3 days, within 14.1 ± 6.3 min. BIB was not tolerated for 6 months in 33 (19.8%) patients. Body weight and BMI at 6 and 12 months postinsertion were significantly reduced to 112.5 ± 35.7 kg and 43.1 ± 13.1 kg/m 2 , and 110.7 ± 34.5 kg and 42.3 ± 12.6 kg/m 2 , respectively ( p  &lt; 0.01 versus baseline by one-way ANOVA). Furthermore, the mean absolute weight loss and mean percentage excess weight reduction (EWR) at 6 and 12 months post-BIB insertion were 13.5 ± 13.5 kg and 19.5 ± 21.8, and 14 ± 18.5 kg and 18.0 ± 25.8, respectively. No mortality or major complications has occurred. EWR of ≥25% occurred in 24.1% and 30.1% of patients at 6 and 12 months postinsertion, respectively. Conclusion BIB is a safe, simple, and potentially efficient procedure that is well-tolerated by the majority of patients.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-008-9654-0</identifier><identifier>PMID: 18752030</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Body Mass Index ; Clinical outcomes ; Device Removal - adverse effects ; Female ; Gastric Balloon - adverse effects ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Obesity ; Obesity, Morbid - therapy ; Research Article ; Surgery ; Surgical techniques ; Transplants &amp; implants ; Weight Loss</subject><ispartof>Obesity surgery, 2010-09, Vol.20 (9), p.1219-1226</ispartof><rights>Springer Science + Business Media, LLC 2008</rights><rights>Springer Science + Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-60ba63e65d27786c6525a0c3947ebef0d70be2a33a57c2f5eba4d81d2dd731173</citedby><cites>FETCH-LOGICAL-c403t-60ba63e65d27786c6525a0c3947ebef0d70be2a33a57c2f5eba4d81d2dd731173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18752030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al Kahtani, Khalid</creatorcontrib><creatorcontrib>Khan, Mohammed Qaseem</creatorcontrib><creatorcontrib>Helmy, Ahmed</creatorcontrib><creatorcontrib>Al Ashgar, Hamad</creatorcontrib><creatorcontrib>Rezeig, Mohammed</creatorcontrib><creatorcontrib>Al Quaiz, Mohammed</creatorcontrib><creatorcontrib>Kagevi, Ingvar</creatorcontrib><creatorcontrib>Al Sofayan, Mohamed</creatorcontrib><creatorcontrib>Al Fadda, Mohammed</creatorcontrib><title>Bio-enteric Intragastric Balloon in Obese Patients: A Retrospective Analysis of King Faisal Specialist Hospital Experience</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background Bio-enteric intragastric balloon (BIB) insertion is gaining popularity for weight reduction in obese patients. We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. Methods A total of 173 Saudi obese patients [mean±SD age 34.5 ± 11.6 years, 58 (33.5%) were men] who underwent BIB (InaMed Corporation, California, USA) insertion were followed up clinically, biochemically, and endoscopically for 6–12 months. The mean±SD baseline body weight, excess weight, and body mass index (BMI) were 123.5 ± 39.6 and 68.9 ± 40.0 kg and 46.7 ± 14.1 kg/m 2 , respectively. Associated dietary control, exercise, and medical treatment were used in 67 (38.7%), 60 (34.7%), and 3 (1.7%), respectively. Results BIBs were safely and successfully inserted in 15.1 ± 6.2 min, filled with 626.2 ± 41.7 ml methylene blue solution, removed after a period of 189.7 ± 68.3 days, within 14.1 ± 6.3 min. BIB was not tolerated for 6 months in 33 (19.8%) patients. Body weight and BMI at 6 and 12 months postinsertion were significantly reduced to 112.5 ± 35.7 kg and 43.1 ± 13.1 kg/m 2 , and 110.7 ± 34.5 kg and 42.3 ± 12.6 kg/m 2 , respectively ( p  &lt; 0.01 versus baseline by one-way ANOVA). Furthermore, the mean absolute weight loss and mean percentage excess weight reduction (EWR) at 6 and 12 months post-BIB insertion were 13.5 ± 13.5 kg and 19.5 ± 21.8, and 14 ± 18.5 kg and 18.0 ± 25.8, respectively. No mortality or major complications has occurred. EWR of ≥25% occurred in 24.1% and 30.1% of patients at 6 and 12 months postinsertion, respectively. 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We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. Methods A total of 173 Saudi obese patients [mean±SD age 34.5 ± 11.6 years, 58 (33.5%) were men] who underwent BIB (InaMed Corporation, California, USA) insertion were followed up clinically, biochemically, and endoscopically for 6–12 months. The mean±SD baseline body weight, excess weight, and body mass index (BMI) were 123.5 ± 39.6 and 68.9 ± 40.0 kg and 46.7 ± 14.1 kg/m 2 , respectively. Associated dietary control, exercise, and medical treatment were used in 67 (38.7%), 60 (34.7%), and 3 (1.7%), respectively. Results BIBs were safely and successfully inserted in 15.1 ± 6.2 min, filled with 626.2 ± 41.7 ml methylene blue solution, removed after a period of 189.7 ± 68.3 days, within 14.1 ± 6.3 min. BIB was not tolerated for 6 months in 33 (19.8%) patients. Body weight and BMI at 6 and 12 months postinsertion were significantly reduced to 112.5 ± 35.7 kg and 43.1 ± 13.1 kg/m 2 , and 110.7 ± 34.5 kg and 42.3 ± 12.6 kg/m 2 , respectively ( p  &lt; 0.01 versus baseline by one-way ANOVA). Furthermore, the mean absolute weight loss and mean percentage excess weight reduction (EWR) at 6 and 12 months post-BIB insertion were 13.5 ± 13.5 kg and 19.5 ± 21.8, and 14 ± 18.5 kg and 18.0 ± 25.8, respectively. No mortality or major complications has occurred. EWR of ≥25% occurred in 24.1% and 30.1% of patients at 6 and 12 months postinsertion, respectively. Conclusion BIB is a safe, simple, and potentially efficient procedure that is well-tolerated by the majority of patients.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18752030</pmid><doi>10.1007/s11695-008-9654-0</doi><tpages>8</tpages></addata></record>
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subjects Adult
Body Mass Index
Clinical outcomes
Device Removal - adverse effects
Female
Gastric Balloon - adverse effects
Gastrointestinal surgery
Humans
Male
Medicine
Medicine & Public Health
Obesity
Obesity, Morbid - therapy
Research Article
Surgery
Surgical techniques
Transplants & implants
Weight Loss
title Bio-enteric Intragastric Balloon in Obese Patients: A Retrospective Analysis of King Faisal Specialist Hospital Experience
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