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Published in: Obesity Surgery 8/2010

01-08-2010 | Research Article

Assessment of the Application of the Intragastric Balloon Together with Sibutramine: A Prospective Clinical Study

Authors: Halil Coskun, Ozgur Bostanci

Published in: Obesity Surgery | Issue 8/2010

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Abstract

Background

The aim of this study is the prospective evaluation of the results of Bioenterics intragastric balloon (BIB) with sibutramine and BIB placement alone in the treatment of obesity.

Methods

The patients evaluated between March 2006 and January 2007 and enrolled in this study were assessed in two groups as group A (BIB + sibutramine) and group B (BIB). After the follow-up of the patients for 6 months, body mass index (BMI), weight loss, excess weight loss (EWL%), and excess body mass index loss (EBMIL%) values of the patients in both groups were compared.

Results

According to the comparison of the weights of the patients in groups A and B at 6 months with the beginning weights of the patients in both groups, there was statistically significant weight loss (p < 0.01). The total weight loss at 6 months in group A was statistically significantly higher than that in group B (p < 0.05). The patients in group A had a mean BMI 34.53 ± 6.63 kg/m2, EWL% 38.77 ± 11.88%, EBMIL% 49.93 ±  21.52% after 6 months; the patients in group B had a mean BMI 35.29 ± 6.36 kg/m2, EWL% 29.06 ±  17.82%, EBMIL% 36.51 ± 23.69% after 6 months. There was no statistically significant difference between group A and group B according to the BMI, EWL%, and EBMIL% values (p > 0.05).

Conclusion

In the management of obesity, using BIB together with sibutramine before the treatment in the patient group who are planned to have surgery, compared with using only BIB, provides more effective weight loss.
Literature
1.
go back to reference Stumbo P, Hemingway D, Haynes W. Dietary and medical therapy of obesity. In: Livingston E, editor. Surg Clin North Am 2005;85:703–23. Stumbo P, Hemingway D, Haynes W. Dietary and medical therapy of obesity. In: Livingston E, editor. Surg Clin North Am 2005;85:703–23.
2.
3.
go back to reference Genco A, Cipriano M, Bacci V et al. BioEnterics Intragastric Balloon (BIB): a short-term, double-blind, randomized, controlled, crossover study on weight reduction in morbidly obese patients. Int J Obes 2006;30:129–33.CrossRef Genco A, Cipriano M, Bacci V et al. BioEnterics Intragastric Balloon (BIB): a short-term, double-blind, randomized, controlled, crossover study on weight reduction in morbidly obese patients. Int J Obes 2006;30:129–33.CrossRef
4.
go back to reference Genco A, Bruni T, Doldi B et al. BioEnterics Intragastric Balloon: the Italian experience with 2515 patients. Obes Surg 2005;15:1161–4.CrossRefPubMed Genco A, Bruni T, Doldi B et al. BioEnterics Intragastric Balloon: the Italian experience with 2515 patients. Obes Surg 2005;15:1161–4.CrossRefPubMed
5.
go back to reference Coskun H, Aksakal C. Experience with sedation for intragastric balloon and removal. Obes Surg 2007;17:995–6.CrossRefPubMed Coskun H, Aksakal C. Experience with sedation for intragastric balloon and removal. Obes Surg 2007;17:995–6.CrossRefPubMed
6.
go back to reference Imaz I, Martinez-Cervell C, Garcia-Alvarez EE et al. Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis. Obes Surg 2008; May 6 (Epub ahead of print). Imaz I, Martinez-Cervell C, Garcia-Alvarez EE et al. Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis. Obes Surg 2008; May 6 (Epub ahead of print).
7.
go back to reference Weiner A, Gutberlet H, Bockborn H. Preparation of extremely obese patients for laparoscopic gastric banding by gastric balloon therapy. Obes Surg 1999;9:261–4.CrossRefPubMed Weiner A, Gutberlet H, Bockborn H. Preparation of extremely obese patients for laparoscopic gastric banding by gastric balloon therapy. Obes Surg 1999;9:261–4.CrossRefPubMed
8.
go back to reference De Waele B, Reynaert H, Urbain D et al. İntragastric balloons for preoperative weight reduction. Obes Surg 2000;10:58–60.CrossRefPubMed De Waele B, Reynaert H, Urbain D et al. İntragastric balloons for preoperative weight reduction. Obes Surg 2000;10:58–60.CrossRefPubMed
9.
go back to reference Loffredo A, Capuccio M, De Luca M et al. Three years experience with the new intragastric balon, and a preoperative test for success with restrictive surgery. Obes Surg 2001;11:330–3.CrossRefPubMed Loffredo A, Capuccio M, De Luca M et al. Three years experience with the new intragastric balon, and a preoperative test for success with restrictive surgery. Obes Surg 2001;11:330–3.CrossRefPubMed
10.
go back to reference Doldi SB, Micheletto G, Perini MN et al. Treatment of morbid obesity with intragastric balloon in association with diet. Obes Surg 2002;12:583–7.CrossRefPubMed Doldi SB, Micheletto G, Perini MN et al. Treatment of morbid obesity with intragastric balloon in association with diet. Obes Surg 2002;12:583–7.CrossRefPubMed
11.
go back to reference Bray GA, Ryan DH. Drug treatment and of the overweight patient. Gastroenterology 2007;132:2239–52.CrossRefPubMed Bray GA, Ryan DH. Drug treatment and of the overweight patient. Gastroenterology 2007;132:2239–52.CrossRefPubMed
12.
go back to reference Bray GA, Blackburn GL, Ferguson JM et al. Sıbutramine produces dose-related weight loss. Obes Res 1999;7:189–98.PubMed Bray GA, Blackburn GL, Ferguson JM et al. Sıbutramine produces dose-related weight loss. Obes Res 1999;7:189–98.PubMed
13.
go back to reference Li Z, Maglione M, Tu W et al. Meta-analysis: pharmacologic treatment of obesity. Ann Intern Med 2005;142:532–46.PubMed Li Z, Maglione M, Tu W et al. Meta-analysis: pharmacologic treatment of obesity. Ann Intern Med 2005;142:532–46.PubMed
14.
go back to reference Wadden TA, Berkowitz RI, Womble LG et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Eng J Med 2005;353:2111–20.CrossRef Wadden TA, Berkowitz RI, Womble LG et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Eng J Med 2005;353:2111–20.CrossRef
Metadata
Title
Assessment of the Application of the Intragastric Balloon Together with Sibutramine: A Prospective Clinical Study
Authors
Halil Coskun
Ozgur Bostanci
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 8/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9662-0

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