Aspiration Therapy Leads to Weight Loss in Obese Subjects: A Pilot Study
Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of P...
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| Published in | Gastroenterology (New York, N.Y. 1943) Vol. 145; no. 6; pp. 1245 - 1252.e5 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.12.2013
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption.
We performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m2) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m2). Lifestyle intervention comprised a 15-session diet and behavioral education program.
Ten of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported.
In a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity. ClinicalTrials.gov, Number: NCT00773903. |
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| AbstractList | Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption.BACKGROUND & AIMSObese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption.We performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m(2)) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m(2)). Lifestyle intervention comprised a 15-session diet and behavioral education program.METHODSWe performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m(2)) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m(2)). Lifestyle intervention comprised a 15-session diet and behavioral education program.Ten of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported.RESULTSTen of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported.In a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity.CONCLUSIONSIn a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity. Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption. We performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m2) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m2). Lifestyle intervention comprised a 15-session diet and behavioral education program. Ten of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported. In a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity. ClinicalTrials.gov, Number: NCT00773903. Background & Aims Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption. Methods We performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m2 ) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m2 ). Lifestyle intervention comprised a 15-session diet and behavioral education program. Results Ten of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) ( P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported. Conclusions In a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity. ClinicalTrials.gov , Number: NCT00773903. Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity. Aspiration therapy involves endoscopic placement of a gastrostomy tube (A-Tube) and the AspireAssist siphon assembly (Aspire Bariatrics, King of Prussia, PA) to aspirate gastric contents 20 minutes after meal consumption. We performed a pilot study of 18 obese subjects who were randomly assigned (2:1) to groups that underwent aspiration therapy for 1 year plus lifestyle therapy (n = 11; mean body mass index, 42.6 ± 1.4 kg/m(2)) or lifestyle therapy only (n = 7; mean body mass index, 43.4 ± 2.0 kg/m(2)). Lifestyle intervention comprised a 15-session diet and behavioral education program. Ten of the 11 subjects who underwent aspiration therapy and 4 of the 7 subjects who underwent lifestyle therapy completed the first year of the study. After 1 year, subjects in the aspiration therapy group lost 18.6% ± 2.3% of their body weight (49.0% ± 7.7% of excess weight loss [EWL]) and those in the lifestyle therapy group lost 5.9% ± 5.0% (14.9% ± 12.2% of EWL) (P < .04). Seven of the 10 subjects in the aspiration therapy group completed an additional year of therapy and maintained a 20.1% ± 3.5% body weight loss (54.6% ± 12.0% of EWL). There were no adverse effects of aspiration therapy on eating behavior and no evidence of compensation for aspirated calories with increased food intake. No episodes of binge eating in the aspiration therapy group or serious adverse were reported. In a pilot study, aspiration therapy appears to be a safe and effective long-term weight loss therapy for obesity. |
| Author | Sullivan, Shelby Stein, Richard Jonnalagadda, Sreenivasa Mullady, Daniel Edmundowicz, Steven |
| AuthorAffiliation | 1 Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri 2 Divisions of Geriatrics and Nutritional Science, Washington University School of Medicine, St Louis, Missouri |
| AuthorAffiliation_xml | – name: 1 Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri – name: 2 Divisions of Geriatrics and Nutritional Science, Washington University School of Medicine, St Louis, Missouri |
| Author_xml | – sequence: 1 givenname: Shelby surname: Sullivan fullname: Sullivan, Shelby email: ssulliva@dom.wustl.edu organization: Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri – sequence: 2 givenname: Richard surname: Stein fullname: Stein, Richard organization: Division of Geriatrics and Nutritional Science, Washington University School of Medicine, St Louis, Missouri – sequence: 3 givenname: Sreenivasa surname: Jonnalagadda fullname: Jonnalagadda, Sreenivasa organization: Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri – sequence: 4 givenname: Daniel surname: Mullady fullname: Mullady, Daniel organization: Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri – sequence: 5 givenname: Steven surname: Edmundowicz fullname: Edmundowicz, Steven organization: Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24012983$$D View this record in MEDLINE/PubMed |
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| Snippet | Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy for obesity.... Background & Aims Obese patients rarely achieve long-term weight loss with only lifestyle interventions. We evaluated the use of endoscopic aspiration therapy... |
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| SubjectTerms | Adult Body Mass Index Endoscopic Bariatric Therapy Endoscopy, Gastrointestinal - adverse effects Endoscopy, Gastrointestinal - instrumentation Endoscopy, Gastrointestinal - methods Feeding Behavior - physiology Female Follow-Up Studies Gastroenterology and Hepatology Gastrostomy Humans Life Style Male Middle Aged Obesity Obesity - physiopathology Obesity - therapy Overweight Percutaneous Endoscopic Gastrostomy Pilot Projects Suction - adverse effects Suction - instrumentation Suction - methods Treatment Outcome Weight Loss - physiology |
| Title | Aspiration Therapy Leads to Weight Loss in Obese Subjects: A Pilot Study |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0016508513012766 https://www.clinicalkey.es/playcontent/1-s2.0-S0016508513012766 https://dx.doi.org/10.1053/j.gastro.2013.08.056 https://www.ncbi.nlm.nih.gov/pubmed/24012983 https://www.proquest.com/docview/1461882714 https://pubmed.ncbi.nlm.nih.gov/PMC4025911 |
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