Evidence map›Paper›PMID 28285471›Full record

SynthesisObesity surgery2017

The Influence of the Orbera Intragastric Balloon Filling Volumes on Weight Loss, Tolerability, and Adverse Events: a Systematic Review and Meta-Analysis.

Nitin Kumar, Fateh Bazerbachi, Tarun Rustagi, Thomas R McCarty, Christopher C Thompson, Manoel P Galvao Neto, Natan Zundel, Erik B Wilson, Christopher J Gostout, Barham K Abu Dayyeh

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06673550 (Fluid-filled Intragastric Balloon's Filling Volume At 500, 600, or 700 Ml for Treatment of Overweight and Obesity), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06673550 narecruitingnot on this mapstarted 2022, after this paper: background citation

Fluid-filled Intragastric Balloon's Filling Volume At 500, 600, or 700 Ml for Treatment of Overweight and Obesity: Which is the Magic Number? a Single Centre Randomized Study

TypeinterventionalSponsorMater Olbia HospitalRan2022 to 2025Enrolled156ConditionsObese PatientsArmsIntragastric balloon
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Intragastric Balloon Placement Induces Significant Metabolic and Histologic Improvement in Patients With Nonalcoholic Steatohepatitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Trial
  6. Endoscopy for Metabolic Diseases.Journal of clinical medicine · 2026
    Review
  7. Endoscopic bariatrics: Current status and emerging technologies.World journal of gastrointestinal endoscopy · 2025
    Review
  8. Review
  9. Review
  10. 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
  11. Article
  12. Article
  13. Weight regain after intragastric balloon for pre-surgical weight loss.World journal of gastrointestinal surgery · 2024
    Article
  14. Metabolic and Bariatric Endoscopy: A Mini-Review.Life (Basel, Switzerland) · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

10 authors.

Nitin KumarDepartment of Gastroenterology, Brigham and Women's Hospital, Boston, MA, USA.
Fateh BazerbachiDepartment of Gastroenterology, Mayo Clinic, Rochester, MN, USA.
Tarun RustagiDepartment of Gastroenterology, Mayo Clinic, Rochester, MN, USA.
Thomas R McCartyDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Christopher C ThompsonDepartment of Gastroenterology, Brigham and Women's Hospital, Boston, MA, USA.
Manoel P Galvao NetoGastro Obese Center, São Paulo, Brazil.
Natan ZundelDepartment of Surgery, Florida International University, Miami, FL, USA.
Erik B WilsonDepartment of Surgery, University of Texas, Houston, TX, USA.
Christopher J GostoutDepartment of Gastroenterology, Mayo Clinic, Rochester, MN, USA.
Barham K Abu DayyehDepartment of Gastroenterology, Mayo Clinic, Rochester, MN, USA. AbuDayyeh.Barham@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Orbera intragastric balloon (IGB) has been approved by the US Food and Drug Administration for use in patients with a body mass index (BMI) between 30 and 40 kg/m

methodsA systematic review of studies investigating the use of the Orbera IGB system for obesity treatment was performed. Data was examined using random effects modelling and meta-regression analyses.

resultsForty-four studies (n = 5549 patients) reported BFV and % total body weight loss (TBWL) at 6 months. Pooled %TBWL at 6 months was 13.2% [95% CI 12.3-14.0]. A funnel plot demonstrated a low risk of publication bias. Meta-regression showed no statistically significant association between filling volume and %TBWL at 6 months (p = 0.268). Higher BFV was associated with lower rates of esophagitis (slope = -0.008, p < 0.001) and prosthesis migration (slope = -0.015, p < 0.001). There was no association between BFV and early removal (p = 0.1), gastroesophageal reflux symptom (p = 0.64), or ulcer rates (p = 0.09).

conclusionsNo association was observed between Orbera IGB filling volume and weight loss outcomes. Higher volumes appear to be associated with lower migration and esophagitis rates; thus, a balloon filling volume of 600-650 mL is recommended.

Indexed as

Bariatric SurgeryGastric BalloonPostoperative ComplicationsWeight LossBody Mass IndexFemaleHumansIntubation, GastrointestinalMaleObesity, MorbidProsthesis FailureEndoscopic bariatricObesityWeight management

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.