title: [Efficiency of endoscopic treatment with intra gastric balloon in severe to morbid obesity].
abstract: BACKGROUND
  Obesity raises such a healthcare matter throughout the world. Its management is not only complex but also most often multidisciplinary. The medico-dietary treatment is of inconstant efficiency and the surgical treatment, though more efficient, presents a considerable morbidity-death rate. The endoscopic treatment through intra-gastric balloon avails a seducing alternative namely accounting for surgery preparation.
  
  
  OBJECTIVE
  To assess the efficiency of the endoscopic treatment through gastric balloon, both in the short and long term, and this is accounting for weight loss as well as tolerance.
  
  
  METHODS
  We have carried out a retrospective study including the patients suffering from severe to morbid obesity and who had a gastric balloon implemented in our Endoscopy Unit between November 2005 and December 2007.
  
  
  RESULTS
  Twenty one patients were included. The average age was 32,19 ± 12,65 years with extremes of 16 and 52 years. Fifteen patients suffered from morbid obesity. The patients' average weight was 134, 52 ± 26,46 kg (extremes 88 and 194 kg). Some co-morbidity was found out with 15 patients. Te balloon implementation (Héliosphère®) was carried out with no incidents in all patients. Six months after the balloon implementation, the average weight loss was 17,5% and the average loss of over weigh was 37%. In biological level, we noted a normalisation of fasting glycaemia in 28,6 % of cases, of the cholesterolemia in 100 %, of the triglyceridemia in 33,33%, of the uraemia in 42,8% and hepatic tests in 50 % of the cases. The metabolic syndrome disappeared in 28,57 % of cases. The assessment after a 5-year-period was marked by the need to surgical treatment in 4 patients and this is due to the loss of efficiency of endoscopic treatment. A bad tolerance of gastric balloon was observed in 34 % of the cases, dominated by sicknesses. Only one patient presented incoercible sicknesses with ionic troubles as well as deshydrating requiring the precocious extraction of the balloon after 48 hours of its implementation.
  
  
  CONCLUSIONS
  The endoscopic treatment through intra gastric balloon is well tolerated but efficiently limited in time. It might be recommended in preparation for a surgical treatment or in case of contre- indication or surgery refusal.
authors: Fatma
authors: F
authors: Houissa
authors: Senda
authors: S
authors: Trabelsi
authors: Kamel
authors: K
authors: Hadj Brahim
authors: Leila
authors: L
authors: Mouelhi
authors: Slim
authors: S
authors: Bouzaidi
authors: Mohamed
authors: M
authors: Salem
authors: Haiffa
authors: H
authors: Mekki
authors: Kaouther
authors: K
authors: El Jery
authors: Yosra
authors: Y
authors: Said
authors: Sana
authors: S
authors: Kheder
authors: Radhouane
authors: R
authors: Debbech
authors: Taoufik
authors: T
authors: Najjar
mesh_terms: D000293:Adolescent; D000328:Adult; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D015905:Gastric Balloon; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult