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Литература о воздушных шарах Allurion — рефераты и рукописи

Allurion Gastric Balloon has been developed for many years and is the world’s first and only swallowable gastric balloon that does not require anesthesia, surgery and endoscopy in its application. Continuing its development efforts to be innovative and the best, Allurion has reached over 120,000 applications in the world to date.

We have compiled for you all the studies and results in the medical literature that have been done so far in the world on the Allurion swallowable gastric balloon and the Allurion Program.

Studies that will contribute to development are still ongoing, including in our clinic. Published and completed clinical studies are included in this article.

By following these studies, we can find answers to many questions about the use of the innovative Allurion gastric balloon.

The studies were classified into various groups.

STUDIES ON ALLURION GASTRIC BALLOON

Содержание

Abbreviations:

WL: Weight Lost

TBWL: Total Body Weight Lost

AE: Adverse Effects

SAE: Severe Adverse Effects

BMI: Body Mass Index

ILI: Intensive Lifestyle Intervention Program

Sample size (N): Usually used for Number Of Patients

IGB: Intragastric Balloon

AGBS: Allurion Gastric Balloon System

WC: Waist Circumference

PIGB: Procedureless Intragastric Balloon

Multicenter Studies Demonstrating Safety & Efficacy

1.

CITATION

Ienca R, Oyola C, Jarallah M, et al.

The swallowable Gastric Balloon Program: Global experience in 3,716 patients.

SAMPLE SIZE (N)

3716

METHODS

Multicenter

3 continents

9 countries

26 centers

4 months follow-up

DEMOGRAPHICS

70.5% female

29.5% male Mean age: 41.2 years

Mean weight: 95 kg Mean BMI: 34.1 kg/m²

RESULTS

Mean WL: 13.5 kg

Mean TBWL: 14.1%

Significant improvement in all metabolic parameters

AE rate 2.74%

SAE rate 0.17%

CONCLUSIONS

The largest study of the Allurion Gastric Balloon Program confirms a TBWL of 14.1%, significantly improved metabolic parameters, and consistent safety in diverse, global populations. The unique Virtual Care Suite facilitates close follow-up to optimize safety and efficacy.

REFERENCE

Obesity week 2022 / Oral-015

2.

CITATION

Genco A, Giardiello C, Lucchese M, et al.

Effects of New Procedureless Intragastric Balloon (Allurion ®) on Metabolic Syndrome and Pre- Diabetes: Italian Group’s Experience on 324 Patients with Overweight and Obesity.

SAMPLE SIZE (N)

324

METHODS

Multicenter

DEMOGRAPHICS

59% female

41% male Mean age: 45 years

Mean weight: 104 kg Mean BMI: 36.8 kg/m²

RESULTS

Mean WL: 14.3 kg

Mean TBWL: 13.75%

Positive effect on glucose metabolism

No SAEs

CONCLUSIONS

Allurion is a safe and effective in inducing weight loss and results in a significant reduction in obesity- related metabolic diseases including metabolic syndrome and pre-diabetes

REFERENCE

SOARD, 2018, 14, S56-S66

3.

CITATION

Ienca R, Rosa M, Selvaggio C, et al.

Expanding the reach of Intragastric Balloons; First multicenter results of Allurion Balloon in non-core user group.

SAMPLE SIZE (N)

64

METHODS

Multicenter

DEMOGRAPHICS

61% female

39% male

Mean age : 45.1 ± 10.7 years

Mean BMI: 35 ± 4.6 kg/m²

Mean weight: 101.4 ± 19.6 kg

RESULTS

Mean TBWL : 16 ± 6%

Change in BMI : 5.7 ± 2.6 kg/m²

TG and LDL significantly decreased

1 balloon removal due to intolerance

No SAEs

CONCLUSIONS

These data demonstrate that the Allurion Balloon, as administered by “non-core” clinicians, is not only safe but can also produce above average efficacy results.The extension of the IGB management to other specialists opens access to a greater number of patients.

REFERENCE

SOARD, 2018, 14, S99-S196

Allurion Program vs Lifestyle Intervention alone

1.

CITATION

Raftopoulos Y, Tsechpenakis A, Davidson M E, Chapin K, Reardon C, McMillian U

The Swallowable Gastric Balloon Significantly Enhances an Intensive Lifestyle Intervention Program for Weight Loss: Final Short and Long Term Results up to 1 Year after Balloon Placement.

SAMPLE SIZE (N)

553

METHODS

ILI for both groups included a structured curriculum-based nutritional, exercise and behavior modification program.

WL results are recorded every month

1Y follow-up

DEMOGRAPHICS

Mean BMI (Allurion): 36.2 ±

5.2 kg/m²

Mean BMI (ILI): 36.8 ± 5 kg/m²

RESULTS

At 4 months, TBWL: Allurion group: 14.9%

ILI group: 6.3%

At 12 months, TBWL: Allurion group: 16.9%

ILI group: 7.9%

Percentage of Allurion patients achieving:

5% TBWL (98.1% vs. 29.7%),

10% TBWL (83.4% vs. 8.2%)

20% TBWL (18.3% vs. 0.05%) at

16 weeks were all significantly greater (p<.0001). 94.7%, 71% and 39.5% of Allurion patients maintained a 5%, 10% and 20% TBWL at 52 weeks.

CONCLUSIONS

Allurion IGB remains an independent and highly significant contributor of weight loss when added to a 1-year intensive lifestyle intervention. Furthermore, even after passage of the Allurion balloon, 93% of weight loss achieved was maintained at 1 year after placement.

REFERENCE

ASMBS 2021

Long Term Weight Maintenance

1.

CITATION

Ienca R, Giardiello C, Schiano Di Cola R, et al.

The Evolution of the Allurion Program for Long-Term Weight Loss: From Virtual Monitoring to a Virtual Care Suite

SAMPLE SIZE (N)

522

METHODS

Multicenter

9 international obesity centers Patients followed for 1 year after balloon passage

+VCS

DEMOGRAPHICS

64% female

36% male

Mean weight: 101.9 kg Mean BMI 35.9 kg/m²

RESULTS

At 4 months: Mean WL: 14.4 kg Mean TBWL: 13.9%

At 1 year after Balloon passage:

Mean WL: 14.2 kg

Mean TBWL: 13.4%

96% maintenance of %TBWL

AE 1.6%

SAE 0.2%

CONCLUSIONS

The Allurion Program demonstrated excellent short and long-term efficacy for weight loss with very few adverse events

REFERENCE

European Congress on Obesity, May 2022 — LBP4.16

2.

CITATION

Ernesti I, Formiga A, Giardiello C, Genco A, Sukkar S, Zappa M, Rovati M, Rosa M, Watanabe M

Effects of a New Procedureless Intragastric Balloon on Weight Loss and Metabolic Syndrome: Multicenter Registry Experience with 1 Year Follow- up.

SAMPLE SIZE (N)

324

METHODS

Multicenter

DEMOGRAPHICS

59% female

41% male Mean age: 45 years

Mean weight: 104 kg Mean BMI: 36.8 kg/m²

RESULTS

After 16 weeks: Mean WL: 14.3 kg TBWL: 13.75%

BMI reduction: 5 kg/m²

At 1-year follow-up: TBWL : 10.1%

BMI reduction : 3.7 kg/m²

The overall incidence of the metabolic syndrome at baseline, 4 months and 1 year after balloon excretion was 43.5%, 15.7% and 17.9% respectively.

73% sustained weight- loss

No SAE

CONCLUSIONS

Allurion, a procedureless intragastric balloon treatment, appears to be safe and effective in inducing TBWL of 13.75% at 4 months that was still maintained at 10.1% one year following balloon excretion (73% sustained weight- loss). In addition, there was a significant reduction in obesity- related metabolic syndrome that reduction persisted a year later.

REFERENCE

ASMBS 2021

3.

CITATION

Ienca R., Caballero A., Giardiello C., Pagan A., Rosa M., Badiuddin F., Junejia G., Formiga A., Murcia S.

Long-Term Efficacy of the Allurion Gastric Balloon System: An International Multicenter Study

SAMPLE SIZE (N)

509

METHODS

1 year follow-up

9 international obesity centers

DEMOGRAPHICS

63% female

37% male

Mean weight: 102.6 ± 21.3 kg

Mean BMI: 35.9 ± 5.8 kg/m²

RESULTS

At 4 Months:

Weight loss: 14.4 ± 7.7 kg

TBWL: 13.9 ± 6.4%

BMI loss : 5.1± 2.6 g/m² Metabolic parameters improved

significantly

At 1 year:

Weight loss: 14.1 ± 11.7 kg

TBWL: 13.3 ± 9.9%

BMI loss: 4.9 ± 4.0 kg/m²

AEs: Intolerance 1.2%, gastric dilation 0.2%, gastritis 0.2% and gastric perforation requiring laparoscopic repair 0.2%

CONCLUSIONS

AGBS demonstrated excellent short- and long-term weight loss results. Very few adverse events occurred during the treatment. “Virtual follow-up” enhanced weight loss during AGBS treatment.

Continued “Virtual follow- up” after balloon passage enabled a significant weight loss maintenance. This resulted in a 13.9% TBWL at 4 months and 13.3% TBWL 1-year after balloon passage, a 95% maintenance of %TBWL.

REFERENCE

TOS Obesity Week 2020 / Oral 068

Sequential Allurion Balloon Program

1.

CITATION

Ienca R., Caballero A., Kolmer S., Juneja G., Murcia S., Al Kuwari M., Quartararo G., Rosa M., Karlson R., Giardiello C.

Sequential Allurion Balloon Treatment 1- Year Weight Loss Results Approximate Bariatric Surgery Results.

SAMPLE SIZE (N)

42

METHODS

2 sequential balloons

1 year follow-up

9 international obesity centers

DEMOGRAPHICS

76% female

24% male

Mean age: 42.2 ± 11.2 years

At 1st balloon placement:

Mean weight: 102.4 ± 19.2 kg

Mean BMI: 36.8 ± 5.4 kg/m²

At 2nd balloon placement:

Mean weight: 89.1 ± 18.0 kg

Mean BMI: 31.9 ± 4.7 kg/m²

RESULTS

At 4 months (1st balloon): Mean weight loss : 14.7 ± 4.4 kg TBWL: 14.4 ± 3.6%

Change in BMI : 4.9 ± 2 kg/m²

Sequential balloon resulted in additional:

WL: 8.8 ± 5.7 kg

TBWL: 10.0 ± 6.5%

From baseline:

Total WL: 22.0 ± 9.0 kg

TBWL: 22.8 ± 8.8%

BMI decrease: 8.1 kg/m² After two sequential balloons,

%TBWL ≥10%, ≥20% and ≥30%

was achieved in 97.6%, 64.7% and 26.1% of patients.

0 SAE, and one patient had a planned endoscopic balloon removal due to history of appendicitis.

CONCLUSIONS

Sequential Allurion Balloon treatment is safe and effective if additional weight loss is indicated following the passage of the first Allurion Balloon. The mean TBWL of 22.8% at the end of one-year approaches results seen with weight loss surgery.

REFERENCE

TOS Obesity Week 2020 / Poster 384

Allurion Balloon effects on Diabetes, Adolescents, Severe Obesity

1.

CITATION

Ienca R, Rosa M, Pagan Pomar A, Hansoulle J, Caballero A.

Emerging Role of the New Swallowable Gastric Balloon in Type 2 Diabetes and Prediabetes Treatment

SAMPLE SIZE (N)

226

METHODS

Multicenter

DEMOGRAPHICS

60% female

40% male

78 with diabetes

148 with pre-diabetes

RESULTS

Weight loss 17.7 ± 7.1 kg
TBWL 16.2± 5.5%
BMIL 6.1 ± 2.4 kg/m²

HbA1c values in the diabetesgroup decreased from 7.0 ± 0.6% to 5.5 ± 1.1% (p<.0001)

HbA1c values in the prediabetes group decreased from 6.0 ± 0.2% to 4.9± 0.7% (p<.0001)

CONCLUSIONS

AGBS is safe and effective for patients withoverweight and obesity with both Type 2 Diabetes and Prediabetes. Highly significant reduction in HbA1c was achieved in just 4 months of treatment. Average HbA1c in patients withdiabetes and prediabetes reverted to normal values. Further studies will determine long-term results.

REFERENCE

TOS Obesity Week 2021 / Poster 114

2.

CITATION

Ienca R., Caballero A., Giardiello C., Schiano di Cola R., Schiavo L., Pagan A., Al Kuwari M., Al Samman Zouaghi S., Turro R., Urritia L., Kayassa A., Al Jarallah M.

Innovative Swallowable Gastric Balloon for Weight Loss Studied in Patients Younger Than Eighteen Years: A Multicenter Study.

SAMPLE SIZE (N)

42

METHODS

Multicenter

DEMOGRAPHICS

Age: 13.5-17.5 years

Mean weight: 98.8 kg
Mean BMI: 35.4 kg/m²

RESULTS

At 4 months:
TBWL: 13%
Mean WL: 12.9 kg
Mean BMI reduction: 4.6 kg/m²
No complications

CONCLUSIONS

Allurion is safe and effective for the treatment of obesity in patients aged less than 18 years. It may be considered a very useful therapeutic option for this difficult to manage category of patients.

REFERENCE

ASMBS 2021

3.

CITATION

Rajkukmar S and Raftopoulos Y.


Procedureless Gastric Balloon Experience: A Focused Comparative Analysis on BMI < vs. ≥ 40 Subgroups.

SAMPLE SIZE (N)

232

METHODS

Single center

DEMOGRAPHICS

Mean age: 42.6 years
64% Female
Mean BMI 37.6 kg/m2

RESULTS

BMI ≥ 40 kg/m2 versus BMI < 40 kg/m2
At 4 months:
%TBWL 17.1 ± 5.1 versus 15.4 ± 4.9
At 6 months:
%TBWL 20.5 ± 4.8 versus 17.7 ± 5.3

CONCLUSIONS

The Allurion Balloon is safe and effective in patients with a BMI ≥ 40 kg/m2, achieving over 20% TBWL at 6 months.
It could be considered as a bridge to achieve preoperative weight loss before bariatric surgery or as a stand-alone method.

REFERENCE

ASMBS 2023

Remote Follow-up using Telehealth

1.

CITATION

Raftopoulos Y, A Tsechpenakis

The Swallowable Gastric Balloon: A Telehealth Approach with Best- in- Class Weight-loss Results. An open randomized trial with remote follow-up through asynchronous or synchronous communication.

SAMPLE SIZE (N)

140

METHODS

Group A: asynchronous follow-up Group B: synchronous follow-up

Patients in both groups were not seen in person (except for placement)

DEMOGRAPHICS

Mean BMI: 36.7 kg/m²

RESULTS

TBWL at 16 weeks: 14.9%

%TBWL was significantly better in group B at:

16 weeks (15.6 vs. 13.5, p=.004),

20 weeks (18.5 vs 13.6, p=.0003,

n=19 vs 47)

24 weeks (18.7 vs 13.5, p=.0001,

n=23 vs 39)

No SAEs were observed.

CONCLUSIONS

Allurion’s unique non-invasive profile and its Bluetooth connected scale and smartphone app can achieve safe and effective weight- loss by remote follow-up alone without physical visits.

Synchronous patient communication achieved an excellent mean TBWL of 18.7% at 24 weeks

REFERENCE

ASMBS 2021

Combination Therapy with Allurion Program

1.

CITATION

Ienca, R, Ayuso, L, Shahin, M

Swallowable intragastric balloon program (Allurion program) and GLP1 agonist combined treatment for obesity: an international multicenter study.

SAMPLE SIZE (N)

181

METHODS

Data of patients treated with a combination of the Allurion balloon program and Saxenda® retrospectively analyzed from 3 international multidisciplinary obesity centers.

Treatment started with the Allurion balloon, and later Saxenda® was added.

All patients were followed for at least 6 months.

2331 total patients with a BMI ≥ 27kg/m2 received the swallowable IGB programme. Of these 181 (7.7%) received this combination therapy

DEMOGRAPHICS

145F / 36M

Mean baseline weight: 94.8 ±21kg

Mean baseline BMI: 33.7±6.2kg/m2

RESULTS

After 4 months of balloon treatment, WL, %TBWL, %EWL

and BMIL were 13.1 ± 7kg, 13.9

± 7.7%, 74.3 ± 57.1% and 4.5

±1.4kg/m2 respectively.

Saxenda® therapy added between week 4-16 after balloon placement. Average duration of

drug treatment 4.1±2.2

months. Total length of combined treatment was: 7.76 ± 2.1 months

Main reasons for adding Saxenda®: unsatisfactory weight loss 52.6%, reduction of balloon induced satiety 29%, to further boost weight loss in successful patients 16%.

At the end of the treatment with Saxenda® WL, %TBWL,

%EWL and BMIL were 18.1 ±

12.1 kg, 18.7 ± 12%, 99.4 ±

84.9% and 6.4 ± 5.9kg/m2 respectively.

CONCLUSIONS

The Allurion balloon program delivers excellent weight loss in patients with overweight and obesity.

In case of suboptimal adherence with the program and for patients that are aiming to further boost the results of treatment, the combination with the GLP1 agonist, Saxenda®, is safe and effective in improving results.

REFERENCE

ECO 2023

Meta-Analyses and Registry Studies

1.

CITATION

Ramai, D., Singh, J., Mohan, B. P., Madedor, O., Brooks, O. W., Barakat, M., Ofosu, A., Khan, S. R., Chandan, S., Dhindsa, B., Dhaliwal, A., Facciorusso, A., McDonough, S., & Adler, D. G. (2021).

Influence of the Elipse Intragastric Balloon on Obesity and Metabolic Profile: A Systematic Review and Meta-Analysis. Journal of clinical gastroenterology, 55(10), 836–841.

SAMPLE SIZE (N)

2152

METHODS

Meta-analysis 7 studies

Raftopoulos 2017

Alsabah 2018

Machytka 2017

Jamal 2019

Al-Subaie 2017

Genco 2018

Ienca 2020

DEMOGRAPHICS

Baseline BMI: 32.1 to 38.6 kg/m²

RESULTS

Mean TBWL 12%

Early deflation rate 1.8%

CONCLUSIONS

This meta-analysis demonstrates that the Allurion intragastric balloon is a safe, effective, and tolerable device for weight loss and obesity with a minimal side effect profile

REFERENCE

https://doi.org/10.1097/MCG.00000 00000001484

2.

CITATION

Vantanasiri, K., Matar, R., Beran, A., & Jaruvongvanich, V. (2020).

The Efficacy and Safety of a Procedureless Gastric Balloon for Weight Loss: a Systematic Review and Meta-Analysis. Obesity surgery, 30(9), 3341–3346.

SAMPLE SIZE (N)

2013

METHODS

Meta-analysis 6 studies

Ienca 2019

Raftopoulos 2019

Espinet 2019

Jamal 2019

Alsabah 2017

Machytka 2016

DEMOGRAPHICS

Baseline BMI: 30.6-36.2 kg/m²

RESULTS

TBWL (4M): 12.75%

TBWL (1Y): 10.94%

1 SBO

1 gastric perforation Intolerance requiring balloon removal: 2.3%

CONCLUSIONS

This meta-analysis demonstrates that the Allurion intragastric balloon is a safe device offering an effective weight loss that warrants further studies for its long- term weight loss outcomes. Severe adverse events are rare, and the rate of early removal is low.

REFERENCE

https://doi.org/10.1007/s11695-020-04522-3

3.

CITATION

Ienca, R., Al Jarallah, M., Caballero, A., Giardiello, C., Rosa, M., Kolmer, S., Sebbag, H., Hansoulle, J., Quartararo, G., Zouaghi, S. A. S., Juneja, G.,

Murcia, S., Turro, R., Pagan, A., Badiuddin, F., Dargent, J., Urbain, P., Paveliu, S., di Cola, R. S., Selvaggio, C., … Al Kuwari, M. (2020).

The Procedureless Elipse Gastric Balloon Program: Multicenter Experience in 1770 Consecutive Patients. Obesity surgery, 30(9), 3354–3362.

SAMPLE SIZE (N)

1770

METHODS

19 centers

Physical follow-up visits

DEMOGRAPHICS

71% female

29% male

Mean age : 38.8 ± 12 years

Mean Weight: 94.6 ± 18.9 kg

Mean BMI: 34.4 ± 5.3 kg/m²

RESULTS

Mean weight loss : 13.5 ± 5.8 kg

TBWL: 14.2 ± 5%

Change in BMI : 4.9 ± 2 kg/m² All metabolic parameters

significantly decreased

52 (2.9%) intolerance

11 (0.6%) early deflations

4 (0.2%) were endoscopically removed after discovery of contraindications

3 (0.17%) small bowel obstructions (previous version of Allurion Balloon)

1 (0.06%) gastric dilation

CONCLUSIONS

The Allurion Balloon demonstrated an excellent safety profile. The balloon also exhibited remarkable efficacy with 14.2% TBWL and improvement across all metabolic parameters

REFERENCE

https://doi.org/10.1007/s11695- 020-04539-8

Safety and efficacy data from around the world - LATAM, MEA, Europe

1.

CITATION

Palermo, M., & Davrieux, C. F. (2023).

Swallowable Intragastric Balloon: First Consecutive Experience in Argentina. Journal of laparoendoscopic & advanced surgical techniques. Part A, 33(2), 146–149.

SAMPLE SIZE (N)

153

METHODS

Single-center (Argentina)

6 months follow up

DEMOGRAPHICS

78% female

22% male Mean age: 39 years

Mean BMI: 29.5 kg/m²

RESULTS

Mean TBWL 12% at 4 months

AE reported: abdominal pain, nausea, vomiting, headache, reflux, constipation and diarrhea.

CONCLUSIONS

Effective, safe, and well tolerated

REFERENCE

https://doi.org/10.1089/lap.2022.03 40

2.

CITATION

Taha, O., Abdelaal, M., Asklany, A., Alaa, M., Belal, S., El Assal, I., Shahin, M., Abubasha, A., & Elbanhawy, D. (2021).

Outcomes of a Swallowable Intragastric Balloon (Elipse™) on 96 Overweight and Obese

Patients. Obesity surgery, 31(3), 965–969.

SAMPLE SIZE (N)

96

METHODS

Retrospective analysis

Single-center (Egypt)

DEMOGRAPHICS

71% female

29% male Mean age: 28.9 years

Mean weight: 92.7 kg

Mean BMI: 33.6 kg/m²

RESULTS

TBWL at 16 weeks: 12.1%

Improvements in Triglycerides, LDL cholesterol, HbA1c (p<0.0001)

Intolerance requiring balloon removal: 3.1%

Early balloon deflation (<90 days): 1.1%

No SAEs

CONCLUSIONS

The swallowable gastric balloon can be safely and successfully swallowed, with consistent weight loss and clinical improvement in factors related to metabolic syndrome

REFERENCE

https://doi.org/10.1007/s11695- 020-05086-y

3.

CITATION

Jamal, M. H., Almutairi, R., Elabd, R., AlSabah, S. K., Alqattan, H., & Altaweel, T. (2019).

The Safety and Efficacy of Procedureless Gastric Balloon: a Study Examining the Effect of Elipse Intragastric Balloon Safety, Short and Medium Term Effects on Weight Loss with 1-Year Follow-Up Post-removal. Obesity surgery, 29(4), 1236–1241.

SAMPLE SIZE (N)

106

METHODS

Single-center (Kuwait)

1 year post excretion follow-up

DEMOGRAPHICS

77% female

23% male Mean age: 31.3 years

Mean weight: 92.2 kg Mean BMI: 34.3 kg/m²

RESULTS

90/106 patients successfully followed-up (1y)

TBWL (3M): 10.9%

TBWL (1Y) : 7.9%

Change in BMI (3M): 3.7 kg/m² Change in BMI (1Y): 2.95 kg/m²

6 removals due to intolerance 1 small bowel obstruction

3 early deflations

CONCLUSIONS

Allurion IGBs are effective, safe, and feasible non-invasive method for weight loss

REFERENCE

https://doi.org/10.1007/s11695- 018-03671-w

4.

CITATION

Alsabah, S., Al Haddad, E., Ekrouf, S., Almulla, A., Al-Subaie, S., & Al Kendari, M. (2018).

The safety and efficacy of the procedureless intragastric balloon. Surgery for obesity and

related diseases : official journal of the American Society for Bariatric Surgery, 14(3), 311–317.

SAMPLE SIZE (N)

135

METHODS

Multicenter (Kuwait)

4 months follow-up

DEMOGRAPHICS

82% female

18% male Mean age: 33.5 years

Mean BMI: 33.7 kg/m² Mean weight: 88.8kg

RESULTS

At 4 months: Mean WL: 13kg

Mean BMI loss: 4.9 kg/m²

Mean TBWL: 15.1%

1 SBO

CONCLUSIONS

This study aimed to evaluate the safety and effectiveness of the Allurion Balloon in the largest population studied as of date. It was also able to demonstrate that it swallowed, filled, imaged, and passed. In addition, it effectively aided in weight loss, showing promising results.

REFERENCE

https://doi.org/10.1016/j.soard.2017.12.001

5.

CITATION

Al-Subaie, S., Khalifa, S., Buhaimed, W., & Al-Rashidi, S. (2017).

A prospective pilot study of the efficacy and safety of Elipse intragastric balloon: A single- center, single-surgeon experience.

International journal of surgery (London, England), 48, 16–22.

SAMPLE SIZE (N)

51

METHODS

Single-center (Kuwait)

4 months duration

DEMOGRAPHICS

92% female

8% male

Mean age: 33.6 (18-65) years

Mean WT: 83.9 ± 12.3 kg

Mean BMI: 32.1 (27.3-39.7) kg/m²

Mean WC: 95.3 ± 9.2 cm

RESULTS

Total weight loss: 8.84 kg

TBWL: 10.44%

Change in BMI: 3.42 kg/m² Total WC reduction: 8.62 cm

5 removals due to intolerance 1 early deflation

No SAEs

Overall satisfaction above average

CONCLUSIONS

These data proves that Allurion is safe and effective for weight loss. Nevertheless, some limitations were observed that need to be overcome for better outcomes.

REFERENCE

https://doi.org/10.1016/j.ijsu.2017.1 0.001

6.

CITATION

Ernesti I, Ienca R, Basciani S, Mariani S, Genco A (2018)

Effect of A New Swallowable Intragastric Balloon (Elipse™) on Weight Loss and Metabolic

Syndrome.

J Obes Nutr Disord: JOND-120.

International journal of surgery (London, England), 48, 16–22.

SAMPLE SIZE (N)

42

METHODS

Single-center (Italy)

Physical follow-up visits

DEMOGRAPHICS

69% female

31% male

Mean age: 47.2 ± 10.3 years

Mean WT: 110.5 ± 21.9 kg

Mean BMI: 39.2 ± 6.7 kg/m²

WC: 123.5 ± 16.9 cm

RESULTS

Mean weight loss : 12.9 kg

TBWL: 11.9%

Change in BMI: 4.5 kg/m² WC: 111 ± 16.2 cm

Significant reduction in major comorbidities: blood pressure, WC, triglycerides, blood glucose and HOMA-IR index.

No complications

CONCLUSIONS

The main finding of the present study was a significant BMI reduction and Metabolic syndrome remission rate within 4 months of treatment instead of 6 months, as happens in other balloons

REFERENCE

DOI: 10.29011/JOND-120.100020

7.

CITATION

Genco, A., Ernesti, I., Ienca, R., Casella, G., Mariani, S., Francomano, D., Soricelli, E., Lorenzo, M., & Monti, M. (2018).

Safety and Efficacy of a New Swallowable Intragastric Balloon Not Needing Endoscopy: Early Italian Experience. Obesity surgery, 28(2), 405–409.

SAMPLE SIZE (N)

38

METHODS

Single-center (Italy)

Phone follow-up

DEMOGRAPHICS

74% female

26% male

Mean age: 46.4 ± 10.6 years

Mean WT: 109.7 ± 21.9 kg

Mean BMI: 38.6 ± 6.7 kg/m²

RESULTS

Mean weight loss: 12.7 kg

TBWL: 11.6%

Change in BMI: 4.2 kg/m²

Significant reduction in major comorbidities: blood pressure, WC, triglycerides, blood glucose and HOMA-IR index.

No complication during balloon passage. 37 normal stool excretion, 1 endoscopic removal.

CONCLUSIONS

The results of this study on 38 consecutive patients demonstrate that the Allurion™Balloon is safe, effective, and very well accepted by patients.

REFERENCE

https://doi.org/10.1007/s11695- 017-2877-1

8.

CITATION

Machytka, E., Gaur, S., Chuttani, R., Bojkova, M., Kupka, T., Buzga, M., Giannakou, A., Ioannis, K., Mathus-Vliegen, E., Levy, S., & Raftopoulos, I. (2017).

Elipse, the first procedureless gastric balloon for weight loss: a prospective, observational, open- label, multicenter study.

Endoscopy, 49(2), 154–160.

SAMPLE SIZE (N)

34

METHODS

Multicenter (Czech republic & Greece)

Follow-up every 2 weeks

DEMOGRAPHICS

68% female

32% male

Mean age: 42 (18-59) years

Mean BMI: 34.8 kg/m² (27-40)

Mean weight: 101.9 kg (73-134)

RESULTS

TBWL: 10.0%

BMI Loss: 3.9 kg/m² WC reduction: 8.4 cm

Reduction in HbA1c: 0.16% Mean LDL reduction: 9.7 mg/dL Mean TG reduction: 16.4 mg/dL SBP and DBP reduction:

9.6mmHg and 5.8mmHg

Overall quality of life, physical function, self-esteem, sexual life, public distress, and work-related quality of life significantly improved.

No SAEs, all AEs were expected and normal

CONCLUSIONS

These results demonstrate clinically significant weight loss with the Allurion Program, the first procedureless gastric balloon. The weight loss was similar to that seen in previous studies of endoscopically placed balloons. In addition, Allurion therapy led to improvements in waist circumference, several metabolic parameters, and overall quality of life.

REFERENCE

https://doi.org/10.1055/s-0042- 119296

9.

CITATION

Raftopoulos, I., & Giannakou, A. (2017).

The Elipse Balloon, a swallowable gastric balloon for weight loss not requiring sedation, anesthesia or endoscopy: a pilot study with 12- month outcomes.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 13(7), 1174–1182.

SAMPLE SIZE (N)

12

METHODS

Single-center (Athens, Greece)

1Y follow-up

DEMOGRAPHICS

58% female

42% male Mean age: 41 years

Mean BMI: 35.9 kg/m²

Mean weight: 103.5 kg

Mean WC: 117.6 cm

RESULTS

4 months

Mean TBWL: 14.6%

12 months

Mean TBWL: 5.9%

Quality of life was significantly improved at excretion and 12 months.

No SAE reported

CONCLUSIONS

This study is the first to demonstrate 12-month efficacy and performance outcomes of the Allurion Balloon.

REFERENCE

https://doi.org/10.1016/j.soard.2017.02.016

Cost-effectiveness of the Allurion Balloon

1.

CITATION

Mital, S., & Nguyen, H. V. (2021).

Cost-effectiveness of procedure- less intragastric balloon therapy as substitute or complement to bariatric surgery. PloS one, 16(7), e0254063.

SAMPLE SIZE (N)

N/A

METHODS

Practice economics

Cost effectiveness comparison of procedureless intragastric balloons (PIGB), gastric bypass/sleeve gastrectomy, Gastric balloon as a bridge to gastric bypass/sleeve gastrectomy and no treatment.

DEMOGRAPHICS

N/A

RESULTS

Gastric balloon as a bridge to bariatric surgery is less costly and more effective than bariatric surgery alone as it helps to achieve a lower post-operative BMI.

Of the six strategies, PIGB as a bridge to sleeve gastrectomy is the most cost-effective.

While PIGB alone is not cost- effective compared with bariatric surgery, it is cost-effective compared with no treatment.

CONCLUSIONS

PIGB can yield cost savings and improve health outcomes if used as a bridge to bariatric surgery and is cost-effective as a stand-alone treatment for patients lacking access or unwilling to undergo surgery

REFERENCE

https://doi.org/10.1371/journal.pone.0254063

Symptom Management

1.

CITATION

Ienca, R., Giardiello, C., Scozzarro, A., di Cola, R. S., Di Lorenzo, N., Juneja, G., Lopez, G., & Badiuddin, (2019).

Improving Nausea and Vomiting Post-Elipse Balloon: a Novel Single-Dose Regimen of 300 mg Netupitant/0.5 mg Palonosetron Hydrochloride. Obesity surgery, 29(9), 2952–2956.

SAMPLE SIZE (N)

30

METHODS

Patients received Akynzeo at placement

DEMOGRAPHICS

70% female

30% male

Mean weight: 97.8 kg

Mean BMI 34.7 kg/m²

RESULTS

4/30 (13%) reported vomiting on days 1, 2, and 3;

9/30 (30%) reported nausea higher than score 4 on days 1, 2,

and 3;

8/30 (26.6%) reported gastric pain higher than score 4 on days 1, 2, and 3.

CONCLUSIONS

In our experience, the use of a single-pill netupitant / palonosetron resulted to be very easy to administer and effective in reducing vomiting, nausea, and gastric pain in 87%, 70%, and 73.4% patients respectively, ameliorating the post Allurion™ placements symptoms safely.

REFERENCE

https://doi.org/10.1007/s11695- 019-03937-x
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