Intragastric Balloon in Obese Patients With Uncontrolled Asthma

Prior treatment

• Treatment with orlistat Xénical® or GLP1 analogues or regular consumption of narcotics (heroin, cocaine and amphetamines). Analgesic treatments, including level 3, are authorized during the study.

Other illness

• Diagnosis of Chronic Obstructive Pulmonary Disease (COPD)
• Cancer diagnosed within the last 5 years
• Any patient for whom IGB is contraindicated \[criteria defined by the French Society for Digestive Endoscopy) and the French Think-Tank for Hepato-Gastroenterology Practices\]:
  • 8.1 Severe cognitive or psychiatric disorders, chronic alcoholism, drug addiction 8.2 Severe and unstabilised eating disorders: bulimia or history of anorexia 8.3 History of gastric surgery including the ring insertion 8.4 Haemostasis disorders 8.5 Anticoagulant or non-steroidal anti-inflammatory medicines 8.6 Severe liver disease 8.7 Pregnancy or desire to become pregnant or breastfeeding 8.8 Anticipated failure to comply with prolonged medical follow-up 8.9 Large hiatal hernias \> 5 cm, inflammatory (Crohn's) or stenosing small bowel disease, pyloric stenosis and structural abnormalities of the digestive tract 8.10 Systemic lupus erythematous 8.11 Severe oesophagitis and active gastroduodenal ulcer 8.12 Silicone allergy

Other

• Blood eosinophilia greater than 4.5 G/I
• Treatment by biotherapy within the 12 months after inclusion
• Smoking \> 10 packs/year (PA)
• One asthma exacerbation in the 4 weeks leading up to the inclusion visit or IGB placement.
• Patient under guardianship or tutorship, persons placed under the protection of justice or persons participating in another search including an exclusion period still in progress

• Men and women aged between 18 and 65 years
• Asthma according to the Global Initiative for Asthma (GINA) criteria
• Patients with uncontrolled asthma based on an ACQ score ≥1.5 despite inhaled corticosteroids ± long acting bronchodilators (LABA)
• Patients with grade I obesity (BMI\> 30 kg/m² and \< 35 kg/m²) or morbid obesity (BMI\<40 or ≥35 kg/m² with serious physiological risks, as recommended by the French Health Authorities) with contraindications for or refusal of bariatric surgery.
• Effective contraception for women
• Patients who have signed a written informed consent form
• Patients with health insurance
• Complete COVID-19 vaccination schedule according to current guidelines