Gastric Balloon

Stomach balloon (called intra gastric balloon or orbera balloon – which is the popular brand of gastric balloons) belongs to the non-surgical weight loss procedures. It is also a short-term treatment, but the results are long-lasting of course. The main tool for the procedure is a soft and flexible silicone balloon. Such a deflated balloon pill is put into the stomach endoscopically (alternatively, the balloon can be placed via the food pipe). Once it is inserted, the surgeon inflates the balloon to the size of a grapefruit with the use of saltwater. The stomach is filled in ⅓, so you feel full faster and are able to eat less food.

The whole balloon surgery takes about 30-60 minutes and is done under either general anaesthesia or local anaesthesia with sedation. The time when the balloon can remain in the stomach is limited to either 6 or 12 months because stomach acid tend to damage the balloon material gradually. However, it is enough time to lose much weight and get used to eating smaller portions even without having a balloon inside..

Weight loss balloon is often considered by patients mainly due to its non-surgical character. It is a relatively fast and simple procedure, however, there are some recommendations for having a weight loss balloon.

So, who can have a gastric balloon? The ideal candidate’s BMI is between 27 and 35. In 2010, the intragastric balloon candidacy was extended to overweight people who are not able to lose weight in a regular way (diet and exercises), so if your BMI equals or is slightly lower than 27, you can still be qualified for the balloon. Clearly, people with BMI higher than 35 would rather be qualified for gastric sleeve or bypass. In addition, candidates have to be prepared to change their eating habits and lifestyle permanently and realize that the weight loss is a long process. However, it is relatively frequent that gastric balloon is suggested for extremely obese patients (with BMI over 60) as a preparation for a more complex bariatric surgery. Gastric balloon in this case helps people lose weight quickly, which allows them to have the proper surgery earlier.

Before we describe the procedure of a balloon in the stomach for weight loss, we need to mention the consent. Before the procedure, patients are encouraged to discuss all the aspects of the balloon including possible risks and complications. Any questions and concerns should be explained before agreeing for the surgery. Once a patient is decided to undergo it, there is a consent form to sign in. There, patients must admit that they realize all the possible side effects, complications that might happen in the future, and most importantly, they give a word, to tell the truth about their health condition. So, we strongly advise everyone to get as much information from the surgeon as possible before making the final decision.

The Orbera stomach balloon procedure takes about 30 minutes, however, sometimes it can reach an hour. Firstly, a patient is anaesthetized and sedated. Before the proper procedure takes place, the stomach specialists examine a patient with an endoscope to see whether the gullet and stomach would tolerate the balloon (e.g. whether there is no inflammation or ulcers).

Traditionally and most frequently, a gastric balloon is inserted into the stomach with an endoscope. This tiny and flexible tube has a special camera and a deflated balloon attached to its end. The tube is put through the mouth and food pipe in the stomach and with the use of a camera, the balloon is placed in the right position. Once placed, the balloon is inflated with the saline (a salt water) so that it fills about 30%-40% of the stomach. Then, the surgeon takes the tube out also through the mouth. After the procedure, patients rest and are under doctor’s observation for a few hours. Patients may feel numbness and soreness in the throat. If they feel pain, it is advisable to ask the doctor for some medications. Patients are usually allowed to leave the clinic the same day, but driving is not allowed for 24 hours. So, they may need an assistance on that day.

Who is the gastric balloon applied to?

Gastric balloon can be applied to people with a body mass index of 30 and above who are diagnosed with overweight and/or obesity.

What is the age group limit for gastric balloon procedure?

Gastric balloons are suitable for patients between the ages of 18-70. After the health tests and necessary examinations are done, the final decision is made by the doctor. Underage patients can have this operation with parental consent.

Is a gastric balloon a permanent implant?

No. Gastric balloon can remain in the stomach for 6 months or a year. At the end of this period, it is removed in the same way.

How is gastric balloon operation done?

The balloon is applied endoscopically, without surgery. General anesthetized patient does not feel anything during the operation. The process takes about 15 minutes.

Is it necessary to stay in hospital after gastric balloon operation?

No. Patients are discharged 1-2 hours after gastric balloon operation.

What are the side effects of gastric balloon operation?

After the gastric balloon operation, there may be short-term and mild complaints such as nausea, vomiting, stomach spasm, and abdominal pain. These go away in about 2-3 days.

What are the advantages of having gastric balloon?

Gastric balloon procedure does not require surgery, the recovery and return to daily life process is faster and easier. Requires anesthesia but no incision or blood loss. Also the balloon implant is removable.

How should nutrition be after gastric balloon?

One week after the gastric balloon operation is the period of getting used to the implant. The stomach will be sensitive for about 1 week and liquid feeding is recommended. Do not switch to solid foods quickly. Follow with pureed and soft foods. Then a special diet is arranged for you under the guidance of your doctor and dietitian.

What is the weight loss success rate of gastric balloon process?

It has been observed that patients lose approximately 10-15 kilos within a month after intragastric balloon placement. Losing weight ratio is approximately 7% to 15% of body weight over six months. Total excess weight loss varies between 30% and 50%.

Is it possible to gain weight after gastric balloon placement?

Gastric bypass surgery is an effective method in the treatment of obesity. If you follow your diet, exercise regularly and gain healthy lifestyle skills, there is no reason for you not to lose weight effectively after gastric balloon operation.

Is it possible to gain weight after gastric balloon removal?

After the gastric balloon is removed, an increase in appetite is common as a cavity will form in the stomach. It’s normal. You should take your physical and mental precautions against the risk of regaining weight. It is extra important to stick to your diet and exercise program. Pay more attention to the advice of your doctor and dietitian, especially in this process. Please do not delay your health controls.