TY - JOUR
T1 - Initial Japanese experience with intragastric balloon placement
AU - Ohta, Masayuki
AU - Kitano, Seigo
AU - Kai, Seiichiro
AU - Shiromizu, Akio
AU - Eguchi, Hidetoshi
AU - Endo, Yuichi
AU - Masaki, Takayuki
AU - Kakuma, Tetsuya
AU - Yoshimatsu, Hironobu
PY - 2009/6/1
Y1 - 2009/6/1
N2 - Background: We introduced intragastric balloon placement in Japan and evaluated the initial data. Methods: Between December 2004 and March 2008, intragastric balloons [BioEnterics® Intragastric Balloon (BIB®) system] were placed in 21 Japanese patients with obesity [six women, 15 men; mean age 40∈±∈9 years; mean body mass index (BMI) 40∈±∈ 9 kg/m2]. The inclusion criteria were morbid obesity (BMI ≥ 35 kg/m2), the presence of obesity-related disorders, and failure with conventional treatments for at least 6 months. The balloon was routinely removed under endoscopy after 5 months. Results: No serious complications occurred, but in two of the 21 patients (9.5%), early removal (within 1 week) of the balloon was required due to continuous abdominal discomfort. Two other patients (9.5%) could not control their eating behavior and were considered unresponsive to the treatment, and their balloons were also removed before 5 months. Seventeen of the 21 patients (81%) finished the treatment, and the average weight loss and percent excess weight loss (%EWL) at the time the balloons were removed were 12∈±∈5 kg and 27∈±∈9%, respectively. Eight patients were followed for 1 year without intervention of consecutive bariatric surgery, and at that time, four of these patients had kept more than 20% of %EWL. The other patients regained their weight in the first year. Conclusions: Intragastric balloon placement is a safe and effective procedure in obese Japanese patients, and about half of the patients will maintain their weight loss after the balloon is removed.
AB - Background: We introduced intragastric balloon placement in Japan and evaluated the initial data. Methods: Between December 2004 and March 2008, intragastric balloons [BioEnterics® Intragastric Balloon (BIB®) system] were placed in 21 Japanese patients with obesity [six women, 15 men; mean age 40∈±∈9 years; mean body mass index (BMI) 40∈±∈ 9 kg/m2]. The inclusion criteria were morbid obesity (BMI ≥ 35 kg/m2), the presence of obesity-related disorders, and failure with conventional treatments for at least 6 months. The balloon was routinely removed under endoscopy after 5 months. Results: No serious complications occurred, but in two of the 21 patients (9.5%), early removal (within 1 week) of the balloon was required due to continuous abdominal discomfort. Two other patients (9.5%) could not control their eating behavior and were considered unresponsive to the treatment, and their balloons were also removed before 5 months. Seventeen of the 21 patients (81%) finished the treatment, and the average weight loss and percent excess weight loss (%EWL) at the time the balloons were removed were 12∈±∈5 kg and 27∈±∈9%, respectively. Eight patients were followed for 1 year without intervention of consecutive bariatric surgery, and at that time, four of these patients had kept more than 20% of %EWL. The other patients regained their weight in the first year. Conclusions: Intragastric balloon placement is a safe and effective procedure in obese Japanese patients, and about half of the patients will maintain their weight loss after the balloon is removed.
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U2 - 10.1007/s11695-008-9612-x
DO - 10.1007/s11695-008-9612-x
M3 - Article
C2 - 18592329
AN - SCOPUS:67349235918
SN - 0960-8923
VL - 19
SP - 791
EP - 795
JO - Obesity Surgery
JF - Obesity Surgery
IS - 6
ER -