Evidence map›Paper›PMID 42484826›Full record

Trial reportObesity surgery2026

Early Termination of a First-in-Human Trial of a Swallowable Self-Expanding Intragastric Balloon (IGBalloon©) Due to Small Bowel Obstruction.

Daniel Moritz Felsenreich, Natalie Vock, Julia Jedamzik, Christoph Bichler, Magdalena Mairinger, Lisa Gensthaler, Larissa Nixdorf, Paula Richwien, Felix Benedikt Langer, Gerhard Prager

Abstract readClinical Trial
In one paragraph

Trial report in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Daniel Moritz FelsenreichDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria. moritz.felsenreich@meduniwien.ac.at.
Natalie VockDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Julia JedamzikDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Christoph BichlerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Magdalena MairingerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Lisa GensthalerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Larissa NixdorfDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Paula RichwienDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Felix Benedikt LangerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Gerhard PragerDivision of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria. gerhard.prager@meduniwien.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSwallowable intragastric balloons represent an evolving minimally invasive treatment option for obesity. The current first-in-human study evaluated the safety and efficiency of a novel swallowable self-expanding intragastric balloon (IGBalloon©) with a kidney-shaped design, intended to reduce the risk of migration.

settingSingle-center, prospective first-in-human study at a tertiary metabolic/bariatric center.

methodsThis prospective open-label, non-randomized trial was designed to include 20 patients with obesity. Patients with a body mass index (BMI) >35 kg/m² or >30 kg/m² with at least one obesity-related complication were eligible. The primary endpoints were safety and efficacy, including weight loss and remission of obesity-related complications. Patients were allowed to ingest up to five balloons during follow-up.

resultsDue to two severe adverse events (SAE), the trial was terminated prematurely after the inclusion of five patients. Two patients developed small bowel obstruction caused by balloon migration through the pylorus, requiring emergency laparoscopic enterotomy and balloon removal.

conclusionThis first-in-human study demonstrated a substantial risk of balloon migration and small bowel obstruction associated with the current kidney-shaped IGBalloon© design. The device in its present form is not qualified for clinical use.

Indexed as

Foreign-Body MigrationGastric BalloonIntestinal ObstructionIntestine, SmallObesity, MorbidAdultBody Mass IndexEquipment DesignFemaleHumansLaparoscopyMaleMiddle AgedProspective StudiesTreatment OutcomeWeight LossGastric balloonIGBalloon©Small bowel obstructionWeight loss

Identifiers

PMID42484826
PMCPMC13562332

What OpenQuestion holds

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Registered trials

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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.