الفهرس 
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Abstract
This pre/post-interventional study was carried out on 42 obese patients (BMI 40 kg/m2), of both sexes, aged 22–53 years attending to Internal Medicine, Gastrointestinal Endoscopy Department, Suez Canal University Hospitals. Patients with other medical comorbidity and patients refused to participate in the study were excluded. All patients were subjected to careful history taking and one-month specific eating regimen with recording of amount and type of food eaten. After 1 month of treatment with a low-calorie diet and physical exercise, the patients performed the BIB. The patients treated with the gastric balloon. The data from scheduled postoperative visits have been recorded, each visit body weight, waist circumference and BMI were recorded, laboratory investigations (CBC, liver enzymes, serum creatinine, lipid profile, and serum Ghrelin) were also recorded for each visit. Six months after the placement of BIB, the patients had the balloon removed with the endoscopic evaluation of the esophagus, stomach, and duodenum to detect any potential complications caused by the therapy. Results were as follow: • The age of patients ranged from 22 to 53 years with mean ±SD was 35.79± 8.63 years. 12 (28.6%) patients were males while 30 (71.4%) patients were females with male to female ratio was 0.4: 1.
• Anthropometric measurements of patients showed that the mean weight, height and BMI were 126.69± 9.79 kg, 1.66± 0.06 m and 45.77± 3.71Kg/m2 respectively. The mean waist circumference in studied cases was 137.40± 15.58 cm. The mean ideal body weight was 61.04± 4.07. The mean excess weight (EW) was 65.65± 8.99 Kg while the mean EW% was