Successful Weight Loss in Adolescents with Overweight or Obesity Using a Swallowable Intragastric Balloon and Nutritional Oversight.

Adolescent Bariatric endoscopy Body mass index Intragastric balloon Obesity

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
28 Aug 2024
Historique:
received: 19 01 2024
accepted: 06 08 2024
revised: 02 08 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 28 8 2024
Statut: aheadofprint

Résumé

Medical devices benefit patients living with overweight or obesity, but studies in the adolescent population are lacking. The goal of this study was to collect information on the performance and safety of a swallowable intragastric balloon program (SGBP) in adolescent patients. Data were collected retrospectively on patients aged 15 to 17 years with body mass index (BMI) ≥ 27 kg/m A total of 91 patients, 69 (75.8%) female and 22 (24.2%) male, underwent SGBP and completed follow-up through SGB passage at 4 months. Baseline mean ± SD age, weight, and BMI were 16.4 ± 0.77, 99.70 ± 21.33 kg, and 35.60 ± 5.59 kg/m The SGBP provides safe and effective short-term weight loss in adolescents living with overweight and obesity.

Identifiants

pubmed: 39198380
doi: 10.1007/s11695-024-07458-0
pii: 10.1007/s11695-024-07458-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

Références

Gossman H, Butsch WS, Jastreboff AM. Treating the chronic disease of obesity. Med Clin N Am. 2021;105(6):983–1016. https://doi.org/10.1016/j.mcna.2021.06.005 .
doi: 10.1016/j.mcna.2021.06.005
Kawai T, Autieri MV, Scalia R. Adipose tissue inflammation and metabolic dysfunction in obesity. Am J Physiol Cell Physiol. 2021;320(3):C375–91. https://doi.org/10.1152/ajpcell.00379.2020 .
doi: 10.1152/ajpcell.00379.2020 pubmed: 33356944
Abarca-Gómez L, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627–42.
doi: 10.1016/S0140-6736(17)32129-3
Hassapidou M, et al. EASO and EFAD position statement on medical nutrition therapy for the management of overweight and obesity in children and adolescents. Obes Facts. 2023;16(1):29–52.
doi: 10.1159/000527540 pubmed: 36349767
Bradwisch SA, et al. Obesity in children and adolescents: an overview. Nursing. 2020;50(11):60–6.
doi: 10.1097/01.NURSE.0000718908.20119.01 pubmed: 33105431
Singh AS, et al. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9(5):474–88.
doi: 10.1111/j.1467-789X.2008.00475.x pubmed: 18331423
Kelly AS, et al. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches. Circulation. 2013;128(15):1689–712.
doi: 10.1161/CIR.0b013e3182a5cfb3 pubmed: 24016455
Beamish AJ, et al. Long-term outcomes following adolescent metabolic and bariatric surgery. J Clin Endocrinol Metab. 2023;108(9):2184–92.
doi: 10.1210/clinem/dgad155 pubmed: 36947630 pmcid: 10438888
Kitahara CM, et al. Association between class III obesity (BMI of 40–59 kg/m2) and mortality: a pooled analysis of 20 prospective studies. PLoS Med. 2014;11(7):e1001673.
doi: 10.1371/journal.pmed.1001673 pubmed: 25003901 pmcid: 4087039
World Health Organization. Facts and figures on obesity and overweight. Available at https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight . Accessed 13 Apr 2023.
Di Cesare M, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med. 2019;17(1):212.
doi: 10.1186/s12916-019-1449-8 pubmed: 31760948 pmcid: 6876113
Torbahn G, Brauchmann J, Axon E, Clare K, Metzendorf MI, Wiegand S, et al. Surgery for the treatment of obesity in children and adolescents. Cochrane Database Syst Rev 2022;9(9):CD011740. https://doi.org/10.1002/14651858.CD011740.pub2
Alman KL, Lister NB, Garnett SP, Gow ML, Aldwell K, Jebeile H. Dietetic management of obesity and severe obesity in children and adolescents: A scoping review of guidelines. Obes Rev 2021;22(1):e13132. https://doi.org/10.1111/obr.13132
Häkkänen P, Ketola E, Laatikainen T. Screening and treatment of obesity in school health care - the gap between clinical guidelines and reality. Scand J Caring Sci. 2018;32(4):1332–41.
doi: 10.1111/scs.12578 pubmed: 29732602
Hampl SE, Hassink SG, Skinner AC, Armstrong SC, Barlow SE, Bolling CF, et al. Executive summary: Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics 2023;151(2):e2022060641. https://doi.org/10.1542/peds.2022-060641
Kebbe M, et al. Health care providers’ weight management practices for adolescent obesity and alignment with clinical practice guidelines: a multi-centre, qualitative study. BMC Health Serv Res. 2020;20(1):850.
doi: 10.1186/s12913-020-05702-8 pubmed: 32912259 pmcid: 7488259
Styne D. Pediatric obesity-assessment, treatment, and prevention: an endocrine society clinical practice guideline. Horm Res Paediatr. 2018;90:5.
Tobberup R, Klindt T. Danish dietetic guideline for treatment of obesity and overweight in children. Acta Paediatr Int J Paediatr. 2017;106:36.
Yi DY, et al. Clinical practice guideline for the diagnosis and treatment of pediatric obesity: recommendations from the committee on pediatric obesity of the korean society of pediatric gastroenterology hepatology and nutrition. Korean J Pediatr. 2019;62(1):3–21.
doi: 10.3345/kjp.2018.07360 pubmed: 30589999
Eisenberg D, Shikora SA, Aarts E, et al. 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery. Obes Surg. 2023;33(1):3–14. https://doi.org/10.1007/s11695-022-06332-1 .
doi: 10.1007/s11695-022-06332-1 pubmed: 36336720
Chalklin CG, Ryan Harper EG, Beamish AJ. Metabolic and bariatric surgery in adolescents. Curr Obes Rep. 2021;10(2):61–9. https://doi.org/10.1007/s13679-021-00423-3 .
doi: 10.1007/s13679-021-00423-3 pubmed: 33725324 pmcid: 8159783
Williams K, Nadler EP. The role of devices in the management of pediatric obesity. Curr Obes Rep. 2022;11(3):55–60.
doi: 10.1007/s13679-022-00476-y pubmed: 35737260
Thenappan A, Nadler E. Bariatric surgery in children: Indications, types, and outcomes. Curr Gastroenterol Rep 2019;21(6):24. https://doi.org/10.1007/s11894-019-0691-8
Knop C, et al. Extremely obese children respond better than extremely obese adolescents to lifestyle interventions. Pediatr Obes. 2015;10(1):7–14.
doi: 10.1111/j.2047-6310.2013.00212.x pubmed: 24347523
Kotinda APST, et al. Efficacy of intragastric balloons for weight loss in overweight and obese adults: a systematic review and meta-analysis of randomized controlled trials. Obes Surg. 2020;30(7):2743–53.
doi: 10.1007/s11695-020-04558-5 pubmed: 32300945
Galvao Neto M, et al. Intragastric balloons in pediatric patients and special populations. In: Neto G, et al., editors. intragastric balloon for weight management: a practical guide, M. Cham: Springer International Publishing; 2020. p. 199–207.
doi: 10.1007/978-3-030-27897-7_28
Reece LJ, et al. “The balloon was just the kick start, I had to do the rest myself”: adolescents living with severe obesity experiences of an intra-gastric balloon alongside a lifestyle support programme. BMC Pediatr. 2021;21(1):1–9.
doi: 10.1186/s12887-021-02902-x
Machytka E, Gaur S, Chuttani R, et al. Elipse, the first procedureless gastric balloon for weight loss: a prospective, observational, open-label, multicenter study. Endoscopy. 2017;49(2):154–60. https://doi.org/10.1055/s-0042-119296 .
doi: 10.1055/s-0042-119296 pubmed: 27951610
Salmi A, Greco F, Belleri E. Ultrasound-guided insertion of the Elipse((R)) gastric balloon: technical details, learning curve, and perioperative outcome in 36 cases. J Ultrasound. 2020;23(4):593–7.
doi: 10.1007/s40477-020-00499-y pubmed: 32621121 pmcid: 7588567
National Institutes of Health. Nutrient recommendations and databases. Available at https://ods.od.nih.gov/HealthInformation/nutrientrecommendations.aspx . Last accessed April 10, 2024.
Campbell EG, Alasmar A, Lawrence R, et al. Barriers to metabolic bariatric surgery in adolescents: results of a qualitative study. Surg Obes Relat Dis. 2022;18(6):794–802. https://doi.org/10.1016/j.soard.2022.03.010 .
doi: 10.1016/j.soard.2022.03.010 pubmed: 35474008
Ward ZJ, et al. Simulation of growth trajectories of childhood obesity into adulthood. N Engl J Med. 2017;377(22):2145–53.
doi: 10.1056/NEJMoa1703860 pubmed: 29171811 pmcid: 9036858
Bhandari M, Neto MG, Kosta S, et al. Emerging outcomes for treatment of obesity with type 2 diabetes mellitus: novel swallowable balloon process. J Obes Weight Loss Ther. 2022;12:535. https://doi.org/10.4172/2165-7904.1000535 .
doi: 10.4172/2165-7904.1000535
Ienca R, et al. Emerging role of the new swallowable gastric balloon in type 2 diabetes and prediabetes treatment. Obesity. 2021;29(SUPPL 2):92–3.
Ienca R, et al. The procedureless elipse gastric balloon program: multicenter experience in 1770 consecutive patients. Obes Surg. 2020;30(9):3354–62.
doi: 10.1007/s11695-020-04539-8 pubmed: 32279182 pmcid: 7458897
Machytka E, et al. Elipse™, a procedureless gastric balloon for weight loss: a proof-of-concept pilot study. Obes Surg. 2016;26(3):512–6.
doi: 10.1007/s11695-015-1783-7 pubmed: 26253980
Ramai D, et al. Influence of the elipse intragastric balloon on obesity and metabolic profile: a systematic review and meta-analysis. J Clin Gastroenterol. 2021;55(10):836–41.
doi: 10.1097/MCG.0000000000001484 pubmed: 33394629
Tahrani AA, Morton J. Benefits of weight loss of 10% or more in patients with overweight or obesity: a review. Obesity (Silver Spring). 2022;30(4):802–40. https://doi.org/10.1002/oby.23371 .
doi: 10.1002/oby.23371 pubmed: 35333446
Goyal D, Watson RR. Endoscopic bariatric therapies. Curr Gastroenterol Rep. 2016;18(6):26.
doi: 10.1007/s11894-016-0501-5 pubmed: 27098813
De Peppo F, et al. The Obalon swallowable intragastric balloon in pediatric and adolescent morbid obesity. Endosc Int Open. 2017;5(01):E59–63.
doi: 10.1055/s-0042-120413 pubmed: 28180149 pmcid: 5283171
Fittipaldi-Fernandez RJ, et al. Efficacy of intragastric balloon treatment for adolescent obesity. Obes Surg. 2017;27:2546–51.
doi: 10.1007/s11695-017-2699-1 pubmed: 28451930
Sachdev P, et al. Intragastric balloon as an adjunct to lifestyle programme in severely obese adolescents: impact on biomedical outcomes and skeletal health. Int J Obes (Lond). 2018;42(1):115–8.
doi: 10.1038/ijo.2017.215 pubmed: 28871150
Nobili V, et al. Obalon intragastric balloon in the treatment of paediatric obesity: a pilot study. Pediatr Obes. 2015;10(5):e1-4.
doi: 10.1111/ijpo.268 pubmed: 25394728
Galvao Neto M, et al. Intragastric balloons in pediatric patients and special populations. Intragastric Balloon for Weight Management: A Practical Guide; 2020. p. 199–207.
Alqahtani AR, et al. Ten-year outcomes of children and adolescents who underwent sleeve gastrectomy: weight loss, comorbidity resolution, adverse events, and growth velocity. J Am Coll Surg. 2021;233(6):657–64.
doi: 10.1016/j.jamcollsurg.2021.08.678 pubmed: 34563670
Kang HS, et al. Novel and emerging devices and operations in the treatment of obesity in children and adolescents. In: Seminars in Pediatric Surgery. Elsevier; 2020.
Skinner AC, et al. Appraisal of clinical care practices for child obesity treatment Part I: Interventions. Pediatrics. 2023;151(2):e2022060642.
doi: 10.1542/peds.2022-060642 pubmed: 36622110

Auteurs

Christopher Oyola (C)

Aesthetic Medical Center, Clinica Bruselas, 28028, Madrid, Spain.

Marcos Berry (M)

Bariatric and Metabolic Surgery Unit, Clinica Las Condes, 7591046, Santiago, Chile.

María Alejandra Paez Salazar (MAP)

Aesthetic Medical Center, Clinica Estética Dra Alejandra Paez, 7850298, Santiago, Chile.

Diolanda De Abreu (D)

Aesthetic Medical Center, Centro Europeo Medico y Estético (CEME), 28001, Madrid, Spain.

Andrea Formiga (A)

Bariatric and Digestive Surgery Center, CIBO Clinic, 20149, Milan, Italy.

Alex Escalona (A)

Bariatric and Metabolic Surgery Unit, Clinica UANDES, 7550000, Santiago, Chile.

Marcos Rodriguez (M)

Obesity and Bariatric Center, Hospital Clinico Del Sur, 4080915, Concepción, Chile.

Roberta Ienca (R)

Obesity Department, Weight Management Center, Nuova Villa Claudia Clinic, Via Flaminia Nuova 280, 00191, Rome, Italy. roberta.ienca@gmail.com.

Classifications MeSH