Gastric Balloon
For Weightloss

 In the ever-evolving landscape of weight loss treatments, the endoscopic intragastric balloon, or simply the gastric balloon, stands out as a relatively new and non-surgical bariatric procedure. This treatment bridges the gap between traditional diet and exercise routines and more complex surgical interventions. It offers a viable, non-surgical option for obesity management and is known globally for its effectiveness.

The concept of managing obesity by inducing a sensation of satiety using a gastric balloon dates back to 1982. Over the years, extensive research and hundreds of studies have validated its efficacy. However, the journey wasn’t entirely smooth. In the mid-1980s, the use of gastric balloons was temporarily halted due to poorly designed versions that deflated unexpectedly, leading to intestinal obstructions.

 

A significant turning point came in 1987, during a scientific congress in Florida. International experts convened and established the essential design criteria for an ideal gastric balloon. Since then, new-generation intragastric balloons have gained widespread acceptance, particularly in Europe, as a reliable obesity treatment.

 

For a gastric balloon to be effective and safe, it must possess specific characteristics:

 

•Material: Constructed from high-quality silicone elastomer, ensuring resistance to gastric acid and food particles.

•Filling: Inflated with a saline solution.

•Design: Spherical and smooth-surfaced to minimize the risk of ulcers and obstructions.

•Tracking: Equipped with a radiopaque marker for accurate monitoring.

•Volume: Adjustable between 400 and 500 cc, tailored to the patient’s anatomy.

 

 The process of placing an intragastric balloon is straightforward yet meticulously executed. It involves using an endoscope, a flexible, lighted camera with a diameter of 0.8-12 mm, to guide the balloon into the stomach. Here’s a step-by-step overview:

 

1.Sedation: The patient undergoes conscious sedation (sedoanalgesia), ensuring they are asleep and pain-free during the 10-15 minute procedure.

2.Endoscopic Examination: The entire upper digestive system, from the esophagus to the duodenum, is examined for any issues like reflux, ulcers, or severe gastritis.

3.Balloon Placement: If no contraindications are found, the endoscope is removed, and the balloon is inserted into the stomach. The balloon is then inflated with a saline solution mixed with methylene blue (a dye to detect leaks).

4.Completion: The procedure is quick, taking about 10 minutes, after which the patient regains consciousness and can leave the hospital after a short rest period.

 

 Post-procedure, patients might experience stomach cramps, nausea, and vomiting due to the balloon’s mass effect on the stomach. These symptoms typically subside within 3-4 days and can be managed with oral or intravenous medications. In rare cases where symptoms persist and are intolerable, the balloon may need to be removed earlier than planned.

 

 After six months, the balloon is removed endoscopically, again under sedation anesthesia. The process involves:

 

1.Draining the Balloon: A special apparatus drains the saline solution from the balloon.

2.Removal: The deflated balloon is then extracted using a specialized holder.

 

It’s crucial to have these procedures performed by experienced bariatric surgeons to avoid complications like esophageal injury or intestinal obstructions.

 

 The intragastric balloon is suitable for individuals who meet the following criteria:

 

•Ages 18-60

•Body Mass Index (BMI) of 28-39 or 35+ for pre-surgical weight reduction

•Failed previous weight loss methods

•No significant digestive system issues (e.g., large stomach hernia, ulcers)

•No alcohol or drug addictions

•Not pregnant or planning pregnancy within 12 months

•No history of bariatric surgery, bowel obstruction, or peritonitis

•Not chronic high-dose painkiller or aspirin users

 

 Conversely, individuals with the following conditions are not suitable candidates:

 

•BMI below 30 (varies by country)

•Digestive system disorders (e.g., Crohn’s disease, esophagitis)

•Risk of upper digestive system hemorrhage (e.g., varices)

•Congenital or acquired digestive system problems

•Mental instability or psychological issues

•Substance addiction

•Poor health profile unsuitable for anesthesia

•Large stomach hernia

•Previous abdominal surgery

 

 While generally safe, the intragastric balloon procedure carries potential risks and complications:

 

•Severe Nausea: Common in the initial days, manageable with medication.

•Dehydration: Ensuring adequate fluid intake is crucial.

•Balloon Deflation: Methylene blue in the saline helps detect early deflation. An abdominal X-ray or ultrasound can confirm balloon integrity.

•Intestinal Obstruction: Rare but serious, occurs if a deflated balloon goes unnoticed.

 

 The primary mechanism of the balloon is to induce satiety and limit food intake by occupying space in the stomach. Success hinges on selecting appropriate patients and adherence to dietary and behavioral modifications. Although weight loss results vary, patients typically lose an average of 15-20 kg within the first 3-4 months. However, long-term weight maintenance requires permanent lifestyle changes, as weight regain is possible post-removal.

 

 Following the placement of the intragastric balloon, patients should adhere to specific dietary guidelines to maximize effectiveness:

 

•Eat slowly and chew thoroughly.

•Opt for small portions served on small plates.

•Stop eating when feeling acid reflux or bloating.

•Limit to three main meals and three snacks daily.

•Avoid snacking between meals.

•Drink at least 1.5 liters of water daily, avoiding liquids during meals.

•Avoid carbonated drinks and strong coffee.

•Do not smoke before meals.

•Avoid late-night eating.

•Cease eating and drinking two hours before bedtime.

•Change lying position if experiencing stomach pain.

•Exercise for at least 40 minutes daily.

•Seek medical attention for persistent nausea, vomiting, stomach pain, or if urine turns blue.

 

 The cost of an intragastric balloon procedure varies globally. In the United States, the average cost is $8,150, while in Australia, it is around $8,250. In Mexico, the procedure costs approximately $5,800, and in the UK, around $6,195. At our center, the cost is significantly more affordable compared to these figures. Our all inclusive price is £ 1950, including VIP airport transfers, 2 days of accomodation and dietitian support.

 

 The intragastric balloon represents a valuable, non-surgical option for weight loss, offering an intermediate solution between diet and exercise and more invasive bariatric surgeries. While not a magic bullet, it provides a supportive tool for individuals committed to changing their eating habits and lifestyle. With careful patient selection and adherence to post-procedure guidelines, the intragastric balloon can be an effective component of a comprehensive weight loss strategy.