Evidence map›Paper›PMID 26955259›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Intragastric Balloon for Overweight Patients.

Flavio Augusto Martins Fernandes, Gustavo L Carvalho, Diego L Lima, Prashanth Rao, Phillip P Shadduck, Isabelle D Montandon, Juscielle de Souza Barros, Ingrid Lais Vieira Rodrigues

Open access · hybridAbstract read
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Endoscopic tips for intragastric balloon use for obesity: what you need to know.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024
    Review
  2. Article
  3. The efficacy of liraglutide combined with intragastric balloon on weight loss.Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  4. INTRAGASTRIC BALLOON AND IMPACT ON WEIGHT LOSS: EXPERIENCE IN QUITO, EQUADOR.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
    Article
  5. Article
  6. Article
  7. Intra-gastric balloons - The past, present and future.Annals of medicine and surgery (2012) · 2021
    Review
  8. Article
  9. Medical Devices in Obesity Treatment.Current diabetes reports · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Intragastric Balloons for Obesity Management.Gastroenterology & hepatology · 2017
    Article
  14. Article
  15. Does combining liraglutide with intragastric balloon insertion improve sustained weight reduction?Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Flavio Augusto Martins FernandesFaculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Gustavo L CarvalhoFaculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Diego L LimaFaculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Prashanth RaoGlobal Hospitals and Mamata Hospital, Mumbai, India.
Phillip P ShadduckTOA Surgical Specialists, Durham, North Carolina, USA.
Isabelle D Montandon
Juscielle de Souza BarrosFaculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Ingrid Lais Vieira RodriguesFaculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Universidade de Pernambuco · BRDuke University · USNorth Carolina Institute of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesCurrent treatments for overweight adults include reduced-calorie diet, exercise, behavior modification, and selective use of medications. Many achieve suboptimal results with these measures and progress to obesity. Whether the intragastric balloon (IGB), a reversible device approved for treatment of obesity, is a safe and effective option in overweight adults is less well studied. We conducted a study to prospectively analyze the safety and effectiveness of IGB in overweight adults, to compare the results to a simultaneously studied cohort of obese patients, and to share procedural tips for safe IGB placement and removal.

methodsOne hundred thirty-nine patients were evaluated in this prospective, nonrandomized study. Twenty-six overweight [body mass index (BMI), 26-30)] and 113 obese (BMI > 30) patients underwent outpatient, endoscopic IGB placement under intravenous sedation. The IGB was filled with a 550-900 mL (average, 640 mL) solution of saline, radiological contrast, and methylene blue, with an approximate final proportion of 65:2:1. The patients were followed up at 1-2 weeks and then monthly for 6 months. At 6 months, they underwent IGB removal via an esophageal overtube to optimize safety, and then they were observed for 6 more months.

resultsIGB time was 190 ± 36 d in the overweight patients and 192 ± 43 d in the obese patients. Symptoms of IGB intolerance included nausea and pain, which were transiently present in 50-95% of patients for several days, and necessitated early IGB removal in 6% of patients. There were no procedure-related complications and no IGB-related esophagitis, erosion, perforation, or obstruction. The percentage of excess weight loss (EWL%) was 96 ± 54% in the overweight group and 41 ± 26% in the obese group (P < 0.001).

conclusionIn overweight adults failing standard treatments, IGB placement for 6 months had an acceptable safety profile and excellent weight loss.

Indexed as

Gastric BalloonWeight LossAdultAgedBariatric SurgeryBody Mass IndexEquipment DesignFemaleFollow-Up StudiesHumansMaleMiddle AgedObesity, MorbidProspective StudiesTreatment OutcomeEndoscopic deviceIntragastric balloonObesityOvertubeOverweight

Identifiers

PMID26955259
PMCPMC4777670
OpenAlexW2295487430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.