Intragastric Balloon (BIB) for the Management of Obesity, Report on the First Egyptian Experience

Abstract

Introduction: The bioenteric balloon (BIB) is widely applied in the management of obesity. Aim of the work: This is a report on the efficacy and safety of BIB®; device in the first 101 Egyptian cases. Methods: Patients referred for BIB between January 2011 till December 2012 were evaluated retrospectively. BIB was inserted for 6 months according to predetermined inclusion and exclusion criteria. Results: In 101 cases, 17 cases were males (16.8%) and 84 cases were females (83.2%), mean age 33.2 (±10.44) years, mean BMI 35.9 (±4.65) kg/m2. None of the patients exhibited balloon migration or perforation. The balloon was removed upon request in 3 patients due to exaggerated intolerance (2.9%). The mean weight loss was 15.5 kg (±4.67), mean EWL 64.12% (±23.48%). The mean BMI at extraction was 29.7 kg/m2 (±4.48) with a BMI loss of 6.2 kg/m2 (±2.0). 87 patients (88.7%) achieved target EWL (32.1% of excess weight), and 87 patients lost >12.2% of their basal weight (88.7%). 70 patients achieved BMI loss >5.7 kg/m2 (71.4%). Conclusion: BIB achieves acceptable success with minimal complications. In further long term, prospective studies are needed to evaluate obesity related comorbidities when using such modality and to compare it to other available devices.

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Ghoneim, H. and Hamza, I. (2014) Intragastric Balloon (BIB) for the Management of Obesity, Report on the First Egyptian Experience. Open Journal of Gastroenterology, 4, 295-304. doi: 10.4236/ojgas.2014.48043.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Ogden, L., Carroll, M.D., Curtin, L.R., McDowell, M.A., Tabak, C.J. and Flegal, K.M. (2006) Prevalence of Overweight and Obesity in the United States, 1999-2004. JAMA, 295, 1549-1555.
http://dx.doi.org/10.1001/jama.295.13.1549
[2] Moyer, V. (2012) Screening for and Management of Obesity in Adults: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine, 157, 373-378.
[3] Kraschnewski, J., Sciamanna, C., Tuckey, H., et al. (2013) A Silent Response to the Obesity Epidemic: Decline in US Physician Weight Counseling. Medical Care, 51, 186-192.
http://dx.doi.org/10.1097/MLR.0b013e3182726c33
[4] A-Qadeer, M. (2011) Endoscopic Management of Obesity. Gastroenterology & Hepatology, 7, 484-486.
[5] Barham, K., Dayyeh, A. and Thompson, C. (2011) Obesity and Bariatrics for the Endoscopist New Techniques. Therapeutic Advances in Gastroenterology, 4, 433-442.
http://dx.doi.org/10.1177/1756283X11398737
[6] Schapiro, M., Benjamin, S., Blackburn, G., et al. (1987) Obesity and the Gastric Balloon: A Comprehensive Workshop. Tarpon Springs, Florida, March 19-21, 1987. Gastrointestinal Endoscopy, 33, 323-327.
http://dx.doi.org/10.1016/S0016-5107(87)71611-3
[7] Espinet-Coll, E., Nebreda-Durán, J., Gómez-Valero, J., et al. (2013) Current Endoscopic Techniques in the Treatment of Obesity. Revista Espanola de Enfermedades Digestivas, 104, 72-87.
http://dx.doi.org/10.4321/S1130-01082012000200006
[8] Mion, F., Napoleon, B., Roman, S., et al. (2005) Effects of Intragastric Balloon on Gastric Emptying and Plasma Ghrelin Levels in Non-Morbid Obese Patients. Obesity Surgery, 15, 510-516. http://dx.doi.org/10.1381/0960892053723411
[9] Genco, A., Bruni, T., Doldi, S.B., et al. (2005) BioEnterics Intragastric Balloon: The Italian Experience with 2515 Patients. Obesity Surgery, 15, 1161-1164.
http://dx.doi.org/10.1381/0960892055002202
[10] Dumonceau, J.M. (2008) Evidence-Based Review of the Bioenterics Intragastric Balloon for Weight Loss. Obesity Surgery, 18, 1611-1617.
http://dx.doi.org/10.1007/s11695-008-9593-9
[11] Escudero-Sanchís, A., Catalán Serra, I., Gonzalvo Sorribes, J., Bixquert Jiménez, M., Navarro López, L., Herrera García, L., Durbán Serrano, L. and Monforte Albalat, A. (2008) Efectividad, seguridad y tolerancia del balón intragástrico asociado a una dieta hipocalórica para la reducción de peso en pacientes obesos. Revista Espanola de Enfermedades Digestivas, 100, 349-354.
http://dx.doi.org/10.4321/S1130-01082008000600007
[12] Imaz, I., Martínez-Cervell, C., García-álvarez, E., Sendra-Gutiérrez, J. and González-Enríquez, J. (2008) Safety and Effectiveness of the Intragastric Balloon for Obesity. A Meta-Analysis. Obesity Surgery, 18, 841-846.
http://dx.doi.org/10.1007/s11695-007-9331-8
[13] Dastis, S., Francois, E., Deviere, J., Hittelet, A., Mehdi, A., Barea, M. and Dumonceau, J. (2009) Intragastric Balloon for Weight Loss: Results in 100 Individuals Followed for at Least 2.5 Years. Endoscopy, 41, 575-580.
http://dx.doi.org/10.1055/s-0029-1214826
[14] Mathus-Vliegen, E.M. and Tytgat, G.N. (2005) Intragastric Balloon for Treatment-Resistant Obesity: Safety, Tolerance, and Efficacy of 1-Year Balloon Treatment Followed by a 1-Year Balloon-Free Follow-Up. Gastrointestinal Endoscopy, 61, 19-27.
http://dx.doi.org/10.1016/S0016-5107(04)02406-X
[15] Badran, M. and Laher, I. (2011) Obesity in Arabic-Speaking Countries. Journal of Obesity, 2011, Article ID: 686430, 9 p.
http://dx.doi.org/10.1155/2011/686430
[16] Salazar-Martinez, E., Allen, B., Fernandez-Ortega, C., Torres-Mejia, G., Galal, O. and Lazcano-Ponce, E. (2006) Overweight and Obesity Status among Adolescents from Mexico and Egypt. Archives of Medical Research, 37, 535-542.
http://dx.doi.org/10.1016/j.arcmed.2005.10.014
[17] ElGeidie, A. and ElHak, N.G. (2013) Laparoscopic Gastric Plication in Obese Egyptian Patients: Technique and Initial Short-Term Outcome. Surgery: Current Research, 3, 5.
[18] Samy, M., Khairy, S., Ibrahim, S., Matter, M. and Hassan, H. (2012) Management of Overweight and Obesity in Egyptian School Children-An Intervention Study. Journal of American Science, 8.
http://www.jofamericanscience.org/journals/amsci/am0811/089_12222am0811_595_603.pdf
[19] Dabrowiecki, S., Szczesny, W., Poplawski, C. and Sosnowski, D. (2011) Intragastric Balloon (BIB System) in the Treatment of Obesity and Preparation of Patients for Surgery—Own Experience and Literature Review. Polish Journal of Surgery, 83, 181-187.
http://dx.doi.org/10.2478/v10035-011-0028-2
[20] Nieben, O.G. and Harboe, H. (1982) Intragastric Balloon as an Artificial Bezoar for Treatment of Obesity. The Lancet, 319, 198-199.
http://dx.doi.org/10.1016/S0140-6736(82)90762-0
[21] Peker, Y., Durak, E. and Ozgürbüz, U. (2010) Intragastric Balloon Treatment for Obesity: Prospective Single-Center Study Findings. Obesity Facts, 3, 105-108.
http://dx.doi.org/10.1159/000295624
[22] Milone, M., Maietta, P., Bianco, P., Pisapia, A., Gaudioso, A., Goretti, G., Milone, F. and Musella, M. (2014) An Early Onset of Acute Renal Failure in a Young Woman with Obesity and Infertility Who Underwent Gastric Balloon Positioning. A Case Report. Il Giornale di Chirurgia, 35, 73-74.
[23] Al-fredo, G., Roberta, M., Massimiliano, C., Michele, L., Nicola, B. and Adriano, R. (2014) Long-Term Multiple Intra-gastric Balloon Treatment—A New Strategy to Treat Morbid Obese Patients Refusing Surgery: Prospective 6- Year Follow-Up Study. Surgery for Obesity and Related Diseases, 10, 307-311.
http://dx.doi.org/10.1016/j.soard.2013.10.013
[24] Folini, L., Veronelli, A., Benetti, A., Pozzato, C., Cappelletti, M., Masci, E., Micheletto, G. and Pontiroli, A.E. (2014) Liver Steatosis Evaluated through Chemical-Shift Magnetic Resonance Imaging Liver Enzymes in Morbid Obesity; Effect of Weight Loss Obtained with Intragastric Balloon Gastric Banding. Acta Diabetologica, 51, 361-368.
http://dx.doi.org/10.1007/s00592-013-0516-4

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