Six months of balloon treatment does not predict the success of gastric banding

• Published in: Obesity surgery Vol. 17; no. 1; pp. 88 - 94
• Main Authors: de Goederen-van der Meij, Suzan, Pierik, Robert G J M, Oudkerk Pool, Marco, Gouma, Dirk J, Mathus-Vliegen, Lisbeth M
• Format: Journal Article
• Language: English
• Published: United States Springer Nature B.V 01.01.2007; Springer-Verlag
• Subjects: Adult; Body Mass Index; Female; Follow-Up Studies; Gastric Balloon; Gastrointestinal surgery; Gastroplasty; Humans; Male; Middle Aged; Obesity; Obesity, Morbid - surgery; Patient Selection; Predictive Value of Tests; Prospective Studies; Surgical outcomes; Treatment Outcome; Weight Loss
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-007-9011-8

We studied whether weight loss by intragastric balloon would predict the outcome of subsequent gastric banding with regard to weight loss and BMI reduction. A prospective cohort of patients with a body mass index (BMI)>40 kg/m(2) received an intragastric balloon for 6 months followed by laparoscopic adjustable gastric banding (LAGB). Successful balloon-induced weight loss was defined as > or =10% weight loss after 6 months. Successful surgical weight loss was defined as an additional 15% weight loss in the following 12 months. Patients were divided in group A, losing > or =10% of their initial weight with 6 months' balloon treatment, and group B, losing <10% of their initial weight. In 40 patients (32 female, 8 male; age 36.6 yr, range 26-54), the mean BMI decreased from 46.5 to 40.5 kg/m(2) (P<0.001) after 6 months of balloon treatment and to 35.2 kg/m(2) (P<0.001) 12 months after LAGB. Group A (25 patients) and group B (15 patients) had a significant difference in BMI decrease, 12.4 vs 9.0 kg/m(2) (P<0.05), after the total study duration of 18 months. However, there was no difference in BMI reduction (4.7 kg/m(2) vs 5.8 kg/m(2)) in the 12 months after LAGB. 6 patients in group A lost > or =10% of their starting weight during 6 months balloon treatment as well as > or =15% 12 months following LAGB. 6 patients in group B lost <10% of their starting weight after 6 months of BIB, but also lost > or =15% 12 months following LAGB. Intragastric balloon did not predict the success of subsequent LAGB.