“…Despite studies showing that bariatric therapies decrease body weight, improve insulin resistance and glucose metabolism, and may reduce inflammation, the exact mechanism is not well understood [1,[9][10][11][12]. Several reports have described different plasma hormonal changes after bariatric surgery, but the data on the effect on the omentin and visfatin levels are sparse and conflicting [9][10][11][12][13][14][15][16][17]. Moreover, only a few studies have described hormonal changes, mainly ghrelin and leptin, after endoscopic placement of a balloon into the stomach (bioenterics intragastric balloon, BIB), which is a commonly used procedure, also as bridge therapy to surgery, due to its minimal invasiveness and good tolerability [18,19].…”