Intragastric Balloon (Orbera)
Gastric balloon, also called endoscopic intragastric balloon, is a non-surgical weight-loss procedure which involves the insertion of a specialized balloon inside the stomach to occupy space and limit the food carrying capacity of the stomach. This makes you feel full sooner and limits your intake to smaller portions. The procedure is temporary and the balloon is usually removed after a period of 6 months.
Disease Overview
Obesity is an excess of total body fat which results from caloric intake that exceeds energy usage. A measurement used to assess the health risks of obesity is Body Mass Index or BMI.
Gastric balloon is a non-surgical weight-loss treatment recommended for those individuals who are not good candidates for weight-loss surgery.
Indications and Contraindications
The gastric balloon is indicated in the following patients:
- BMI above 27
- Unable to lose weight with exercise and diet
- Willing to participate in a medically-supervised lifestyle and behaviour modification program
The weight-loss system is contraindicated in the following patients:
- Have previously undergone bariatric surgery
- Are suffering from inflammatory diseases of the GI tract, large hiatal hernia, structural abnormalities in the pharynx or oesophagus, and are prone to upper GI bleeding
- Allergy to materials used during the procedure
- Alcoholics or drug abusers
- Women who are pregnant or breastfeeding
Procedure
The placement of the gastric balloon is carried out as an outpatient procedure.
The procedure is performed endoscopically under sedation. The deflated gastric balloon is attached to an endoscope, a narrow lighted tube with a camera attached, which is guided through your mouth and into the stomach. Once in the proper position, your doctor inflates the balloon with saline and a dye, or gas to the desired size. While the endoscope is removed, the balloon is retained in the stomach. The entire procedure takes about 15 minutes to complete. You will be able to leave the hospital soon after.
The balloon is temporarily left in the stomach for about 6 months, following which it is removed. The removal of the gastric balloon is also performed under sedation.
Post-Operative Care
Following the procedure, your throat might feel a little sore and you may experience some cramps and nausea as your stomach adjusts to the balloon.
You will be on a liquid or soft diet for a few weeks. This is followed by 6 months of supervised diet and behaviour-modification that will be taken care of by a multidisciplinary team of nutritionists, gastroenterologists, and medical weight-loss physicians. This helps you to continue eating healthy and staying active, which will greatly influence results.
Risks and complications
The Gastric balloon procedure is generally safe, but as with any procedure complications may occur and can include:
- Oesophagal or gastric ulcers or perforation
- Deflation of the balloon which can lead to blockage.
- Should the balloon rupture, the dye is used, will be released in the urine and you can notify your doctor immediately.
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Sleeve Gastrectomy
Sleeve gastrectomy also referred to as vertical sleeve, gastric sleeve or tube gastrectomy is a surgical procedure performed for the treatment of obesity.
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Gastric Bypass
Roux-en-Y gastric bypass (RYGB), commonly called simply "gastric bypass", is one of the most popularly performed bariatric procedures worldwide and has long been considered the "gold standard" of bariatric surgery.
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Mini Gastric Bypass
The One Anastomosis Gastric Bypass (OAGB), also known as "mini-gastric bypass" was first reported in 2001. The OAGB is a minimally invasive procedure performed with laparoscopic technique.
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Lap Band
In this procedure, a hollow band made of special material is placed around the stomach near its upper end, creating a small pouch and a narrow passage into the larger remainder of the stomach.
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Intragastric Balloon (Orbera)
Gastric balloon, also called endoscopic intragastric balloon, is a non-surgical weight-loss procedure which involves the insertion of a specialized balloon inside the stomach to occupy space and limit the food carrying capacity of the stomach.