Evidence map›Paper›PMID 39138683›Full record

ArticleSurgical endoscopy2024

Weighing your options-intragastric balloon versus semaglutide.

Kevin Choy, Danielle Abbitt, Alexandra Kovar, Teresa S Jones, Molly McCallum, Elizabeth A Thomas, David R Saxon, Krzysztof J Wikiel, Edward L Jones

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

9 authors.

Kevin ChoyDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA. Kevin.Choy@CUAnschutz.Edu.
Danielle AbbittDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA.
Alexandra KovarDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA.
Teresa S JonesDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA.
Molly McCallumDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Elizabeth A ThomasRocky Mountain Regional Veteran Affairs Medical Center, Aurora, CO, USA.
David R SaxonRocky Mountain Regional Veteran Affairs Medical Center, Aurora, CO, USA.
Krzysztof J WikielDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA.
Edward L JonesDepartment of Surgery, University of Colorado School of Medicine, 12631 E 17Th Ave, C-305, Aurora, CO, 80045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOver half of Americans and up to 78% of US Veteran population meet criteria for obesity. Perioperatively placed intragastric balloon (IGB) can accelerate weight loss goals for safe surgical candidacy, however weight regain is common after removal. Glucagon-like peptide-1-receptor agonists (GLP1RA) may provide a more sustainable weight loss solution after surgery. We hypothesize that weight regain will be less at 1 year after initiation of GLP1RA than IGB placement in Veterans.

methodsRetrospective review of prospective databases of perioperatively placed intragastric balloon cohort from 1/2019-1/2023 compared to patients who received initiatory GLP1RA from 6/2021-8/2022 at a VA Medical Center(VAMC). All patients were enrolled in the VAMC MOVE! multidisciplinary weight management program for a minimum of 12 weeks. Outcomes measured were patients' weights at 0, 3, 6, and 12 months and weight change for these intervals. Exclusion criteria included history of bariatric surgery and incomplete weight loss data.

resultsTwo-hundred-twenty-three patients met inclusion criteria; 110 (49%) patients excluded. Mean age was 54 ± 11 years, the majority (78, 69%) were male, and the mean initial BMI was 37 ± 5.9 kg/m

conclusionWeight loss occurs more rapidly in the first 6 months after intragastric balloon placement compared to semaglutide (- 12.7 vs. - 9.4 kg, p = 0.03). Despite ongoing attendance in a comprehensive weight loss program, weight regain is common after IGB removal by an average of 3 kg (23.6%) at 1 year. In contrast, patients on GLP1RA (semaglutide) continue to lose weight during this period. Further studies are needed to determine if optimal long-term outcomes may result from combination therapy with intragastric balloon and semaglutide.

Indexed as

Gastric BalloonGlucagon-Like PeptidesWeight LossAdultFemaleGlucagon-Like Peptide-1 Receptor AgonistsHumansMaleMiddle AgedObesityRetrospective StudiesSemaglutideWeight GainGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesSemaglutideBariatricsGLP1RAIntragastric balloonSemaglutideWeight loss

Identifiers

What OpenQuestion holds

Texttitle and abstract
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.