Intragastric Balloon Placement

Intragastric balloon placement is a minimally invasive medical procedure used for weight loss in obese individuals. The procedure involves the insertion of a saline-filled or gas-filled balloon into the stomach through the mouth, using an endoscope.

Indications

Procedure

The procedure is typically performed under conscious sedation or light anesthesia. The endoscope is inserted through the mouth and guided into the stomach. The balloon is then inserted through the endoscope and filled with saline solution or gasundefined.

Types of Balloons

  • Orbera: a saline-filled balloon that remains in the stomach for up to 6 months
  • ReShape: a dual-balloon system that is also filled with saline and remains in place for up to 6 months
  • Spatz: an adjustable, gas-filled balloon that can be adjusted and remains in place for up to 12 months

How it Works

The intragastric balloon takes up space in the stomach, reducing hunger and promoting feelings of fullness. This leads to a reduction in food intake and subsequent weight loss.

Risks and Complications

  • Nausea and vomiting
  • Abdominal pain
  • Balloon deflation or rupture
  • Gastrointestinal obstruction or perforation (rare)

Post-Procedure Care

Patients typically require a liquid diet for the first few days after the procedure, followed by a gradual introduction of solid foods. Regular follow-up appointments with a healthcare provider are necessary to monitor weight loss and adjust the treatment plan as needed.

Efficacy

Studies have shown that intragastric balloon placement can result in significant weight loss, with average losses ranging from 10-30% of initial body weight over 6-12 months. However, individual results may vary, and long-term weight loss maintenance is dependent on lifestyle changes and ongoing medical supervision.

Removal

The balloon is typically removed after 6-12 months, depending on the type of balloon used and the patient's progress. The removal procedure is similar to the insertion procedure, using an endoscope to deflate and retrieve the balloon.

Frequently Asked Questions (FAQs)

What is an intragastric balloon?
A soft, silicone balloon placed in the stomach to help with weight loss.

How is the balloon inserted?
Through the mouth, using a flexible tube with a camera.

Is the procedure painful?
Typically done under mild sedation, with minimal discomfort.

How long does the procedure take?
About 20-30 minutes.

How long is the balloon left in place?
Usually 6-12 months.

Can I eat normally with the balloon?
No, a liquid diet is recommended for the first few weeks.

Will I experience nausea or vomiting?
Possibly, during the initial adjustment period.

Can the balloon be adjusted or removed?
Yes, if necessary, through an endoscopic procedure.

Are there any potential risks or complications?
Yes, including bowel obstruction, stomach ulcers, and balloon rupture.

Is the intragastric balloon suitable for everyone?
No, certain medical conditions may make it unsuitable.

Article last updated on: 1st July 2025.
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