A variety of effective options exist for the management of overweight and obese patients, including dietary therapy approaches such as low-calorie diets , other options are altering physical activity patterns; behavior therapy techniques, pharmacotherapy , surgery; and combinations of these techniques .Despite these efforts, the prevalence of obesity has doubled in the past 20 years. Any method of weight loss is not optimal and the patients may regain pretreatment weight with time.This work is a trial to compare effects of both Bioenterics intragastric balloon versus Atkins diet on the weight loss and amount of weight may be regained one year after either of these methods. Prospective study, from a total of 180 patients, 80 of them selected over a period of 4 years, included patients divided in to two comparable groups, first treated with insertion of Bioenterics intragastric balloon and the second subjected to modified Atkins diet for 6 months. Body Weight and height were measured with a calibrated scale and a wall-mounted stadiometer while the subjects were wearing light clothing and no shoes at the start and during visit measurements. The collecting data were analyzed using the IBM SPSS (statistical package for social science) statistics version 21. Two comparable groups of obese patients were studied, each group consists of 40 female patients, mean age in group A was 27years (20-39 years) with mean body weight 90 kg (80-100) and mean body mass index 36(31-39.9) who were treated with insertion of Bioenterics intragastric balloon. While mean age in group B was 29 years (20-39 years) with mean body weight 91 kg (80-102) and mean body mass index 36.5 (31-39.9). In group A after completion of the treatment and removal of BIB the at 180 days , mean weight loss was 25 kg (mean BMI 32.3) .At the 360 days in group A, mean BMI was 33.4 and at 540 days was 34 in group. While in group B after completion of the treatment at 180 days , mean weight loss was 13 kg (mean BMI 34.9) ,at the 360 days mean BMI was 36 and mean BMI was 36.5 at 540 days .All patients regained weight and this trend was more evident in group B patients. We conclude that BIB is superior to Atkins diet in early, substantial weight loss and maintaining lost weight after one year from completion of the treatment.
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