Overview

Intragastric Balloon Placement or also called as Balloon Weight Loss Surgery in Mumbai or Balloon Bariatric Surgery in Mumbai is placing a deflated balloon within the stomach using endoscopy then filling it to decrease the amount of intragastric space. It is often left within the stomach for six months and leads to an average weight loss of 10-15 kg in half a year. It’s going to be utilized in patients who are overweight and not coming to the category of sleeve gastrectomy.

If you suffer from Metabolic Disorder and have tried various treatments without results, metabolic surgery could also be indicated. At the present, surgery combined with behavioural changes is that the only documented method for achieving long-lasting weight loss for patients with morbid obesity.

A silicone balloon is placed within the stomach, under endoscopic guidance. A gastric balloon aims to scale back the desire of hunger and helps to feel the fullness of the stomach which would at end result in weight loss. The Balloon Bariatric Surgery isn’t considered a permanent weight loss procedure. There are differing kinds and sizes of balloons available. All balloons are temporary and need to be removed after a particular duration (6-12 months).

Doctor consultation helps in

1. Assessment

2. Guidance

3. Discussion about various procedures. You can ask any questions that you simply feel are necessary.

4. The team confirms that an intragastric balloon may be a good option for you.

After this, you’ll be advised investigations and consultations that are felt necessary for the assessment of your health condition.

The Placement of Intragastric Balloon

Your doctor does an endoscopy under mild anaesthesia with a flexible tube equipped with a camera to check inside of the stomach. If there’s no local disease during endoscopy he sets up the intragastric balloon within the stomach. The gastric balloon consists of a silicone elastomer-based material, which is soft and pliable. The balloon is inserted uninflated through the mouth and passed down the oesophagus. It’s coated with a local anaesthetic to facilitate the passage.

Once the balloon is within the stomach, it’s infused with sterile saline coloured in blue (BIB system) or air (Heliosphere system), through a catheter attached to the balloon. When a balloon is filled, the doctor gently pulls on the inner end of the catheter to get rid of it. The balloon contains a self-sealing valve that stops the leakage of liquid or air. The balloon floats freely within the stomach. The procedure time is about 20 minutes. You’ll be monitored within the hospital for a couple of hours before returning home (Generally overnight).

Medications

During the initial days of the insertion of the balloon, nausea, vomiting, abdominal pain, acid reflux are common. Your doctor would prescribe medications to reduce gastritis. Medicines for nutritional supplementation/ multi-vitamins might not be generally needed. You are able to contact the doctor during subsequent days. You’ve got to have food as prescribed by the dietician. It’s important to drink more water to avoid dehydration. Some patients take a light-weight meal. A radiograph of the abdomen or abdominal ultrasound is never indicated for persistent abdominal pain. Nutritional assessment is completed after one month and three months. A consultation (in person or by phone) monthly is going to be scheduled. The consultations help to assess the progress of balloon weight loss surgery.

Dietary Counseling

The first consultation is scheduled a week later. Nutritional and behavioural modification is the key to reduce weight and keeps it off after removal of the balloon. Your physical activity is evaluated and diet is adjusted to your body needs and profession. Psychological treatment could also be necessary just in case of eating disorders.

Why Is Balloon Surgery Done?

The balloon bariatric surgery helps you lose weight. Weight loss can lower your risk of various serious weight-related health problems, such as:

· Gastroesophageal reflux disease (GERD)

· Heart disease or stroke

· High blood pressure

· Obstructive sleep apnea

· Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

· Type 2 diabetes

Intragastric balloon placement and balloon weight loss surgery or other procedures are typically done only after you’ve tried to reduce weight by improving your diet and exercise habits.

Who is Balloon Weight Loss Surgery For?

An intragastric balloon could also be an option for you if:

· Your body mass index (BMI) is between 30 and 40

· You’re willing to commit to healthy lifestyle changes, get regular medical follow-up and participate in behavioural therapy

· You haven’t had any previous stomach or oesophagal surgery

Intragastric balloons aren’t the appropriate choice for everybody who is overweight. A screening process will help your doctor see if the procedure could be beneficial for you.

At this point, the price for placing and removing the intragastric balloon might not be covered by insurance, and would therefore be an out-of-pocket expense.

What Are The Risks Of Balloon Weight Loss Surgery?

Pain and nausea affect about one-third of individuals soon after insertion of an intragastric balloon. However, these symptoms usually only last for a couple of days after balloon placement. These symptoms can usually be managed with oral medications at home.

Although rare, serious side effects may occur after intragastric balloon placement at weight loss center. Call your doctor immediately if nausea, vomiting and abdominal pain occur any time after surgery.

A potential risk includes balloon deflation. If the balloon deflates, there’s also a risk that it could move through your gastrointestinal system. This may cause a blockage which will require a further procedure or surgery to get rid of the device.

Other possible risks include overinflation, acute pancreatitis, ulcers or a hole (perforation) within the stomach wall, which could require surgery to fix.

How Can You Prepare For The Balloon Weight Loss Surgery?

If you are going to get an intragastric balloon placed in your stomach at a weight loss centers, your health care team will provide you with specific instructions on how to mentally prepare oneself for your procedure. You’ll require to undergo have various lab tests and exams before your procedure.

You may get to restrict what you eat and drink, also as which medications you’re taking, within the time leading up to the procedure. You’ll even be required to start a physical activity program.

What Can You Expect During The Balloon Weight Loss Surgery?

The intragastric balloon procedure is completed within the endoscopy unit as an outpatient procedure. You will be sedated for the procedure.

During the procedure, the doctor advances a narrow tube (catheter) loaded with the intragastric balloon down your throat into your stomach. Next, the doctor advances an endoscope — a flexible tube with a camera attached — down your throat into your stomach. The camera allows your doctor to see the balloon as he or she fills it with saline.

The procedure takes around half-hour. You’ll be able to normally be able to head home one to 2 hours after the procedure is finished.

What is Done After The Balloon Weight Loss Surgery?

You can have small amounts of clear liquids starting about six hours after the procedure. The liquid diet generally continues until the beginning of the second week, once you can start eating soft foods. You’ll likely be ready to start eating regular food around three weeks after the insertion of the intragastric balloon.

Intragastric balloons are left in the stomach for up to six months and are then removed using an endoscope. At that point, a replacement of the balloon could also be placed, or not, counting on the plan determined by you and your doctor.

You’ll also meet with members of your medical team, like your nutritionist and psychologist, frequently after your procedure.

What Are The Balloon Weight Loss Surgery Results?

An intragastric balloon can cause you to feel fuller faster than you normally would when eating, which means you’ll eat less. One reason while removing the intragastric balloon is, it slows down the time it takes to empty the stomach. One more reason could be that the balloon seems to vary levels of hormones that control appetite.

The amount of weight you lose also depends on the amount of change your lifestyle habits including diet and exercise.

Based on a summary of currently available treatments, loss of about 7% to 15 of weight is typical during the six months after intragastric balloon placement. Total excess weight loss ranges from 30% to 47%.

As with other procedures and surgeries that cause significant weight loss, the intragastric balloon may help improve or resolve conditions often associated with being overweight, including:

· gastroesophageal reflux disease

· Heart disease

· High blood pressure

· Obstructive sleep apnea

· Osteoarthritis (joint pain)

· Type 2 diabetes

· High cholesterol

· Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

Endoscopic Intragastric Balloon

When Does The Balloon Weight Loss Surgery Doesn’t Work?

It’s possible to not lose significant weight or to regain weight after any sort of weight-loss procedure or obesity surgery, although the procedure itself works correctly. This weight gain can happen if you do not follow the recommended lifestyle changes. Permanent healthy changes in your diet, along with regular physical activity and exercise, are necessary to avoid regaining weight.

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