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Gastric Balloon

The gastric balloon is ideal for those who are overweight (non-healing weight), light (class I obesity), moderate (class II obesity) patients, and those who want to start with less invasive weight loss.

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WHAT IS Gastric Balloon?

It is also preferred over the definitive procedure in SUPER MORBIDLY OBESE patients with a BMI> 50 and SUPER SUPER MORBIDLY OBESE patients with a BMI> 60. A "preoperative gastric balloon" is used in patients with high obesity to help the patient lose weight and reduce the risk of permanent surgery.
Patients ready to begin a healthy new lifestyle that includes regular exercise and diet changes will greatly benefit from a controlled weight loss program.
With the help of our support team, continuous weight loss can be achieved and we are committed to your long-term success in losing weight!

HOW SUCCESSFUL IS GASTRIC BALLOON?

Among the weight loss procedures, the gastric balloon is the only "non-invasive" option. Inrta-Stomach (Endoscopic Balloon) The balloon is inflated with isotonic water of 450-500 ccm after it has been endoscopically inserted into the stomach. The stomach balloon fills almost 65-70% of the stomach volume (average stomach volume 600-900 ccm) and the "feeling of satiety" always ensures a "feeling of fullness in the stomach". Since it covers almost 2/3 of the stomach's volume, it offers obese people less food intake and restriction of food intake with mechanisms similar to those used in pod gastrectomy. It is the only method that is non-invasive, non-surgical, and restrictive.
The gastric balloon tube can also be used in patients with indications similar to gastric surgery, but who are afraid of surgery or are sometimes "at high risk of not being able to perform an operation".
Since there is no surgery, there is no "cut / no wound". The "recovery time" is very short.
It is an outpatient procedure and does not require hospitalization.

DO I HAVE PAIN DURING GASTRIC BALLOON PLACEMENT?

The gastric balloon is placed endoscopically. The endoscopy is performed under "sadation anesthesia". The person with endoscopy will experience mild drowsiness with "short-term sedatives", will not remember the endoscopy or endoscopic gas balloon placement (amnesia), and will not feel pain during the procedure.
The endoscopic balloon application is an absolutely "painless non-surgical procedure".

IS GASTRIC BALLOON REVERSIBLE?

Both the placement and removal of the gastric balloon are endoscopic procedures that do not require an outpatient hospital stay. Placing the gastric balloon and removing the endoscopic gastric balloon is definitely not a surgical technique.
The gastric balloon is also completely reversible and is removed from the stomach endoscopically (after 6-12 months) in the same way

WHAT ARE THE ADVANTAGES OR SİDE EFFECTS OF GASTRIC BALLOON?

Possible outcomes and complications are:
Restricting food intake (as long as the balloon remains)
Little weight loss
Stomach discomfort (first 1-5 days)
Nausea and vomiting (first week)
Abdominal or back pain (rarely)
Acid reflux or gastro-eosophageal reflux disease (GERD)
Digestive problems (minor)

WHAT IS A GASTRIAN BALLOON?

The Intragastric Balloon is made of soft, smooth silicone rubber. The empty balloon is directed through your mouth, esophagus, and stomach.

HOW MANY GASTRIC BALLOONS ARE AVAILABLE?

Adjustable or not adjustable;
The volume / capacity of some balloons available on the market can be reduced to the maximum / approved capacity or inflated if necessary.
Those who can stay 6 months / 12 months;
Gastric balloon manufacturers state how long the balloon can stay in the stomach based on the results of their clinical tests. Although the use of the intra-gastric balloon varies from product to product, it is limited to a minimum of 6 months and a maximum of 12 months.
It usually takes up to 6 months for the obese person to reach the maximum level with the adjustment of the balloon in the stomach, adjustment to the diet with the gastric balloon, and the beginning of the weight loss process. For this reason, intra-gastric balloons that are used for less than 6 months are not preferred by the experts.
In 12 month old balloons the same processes are still valid, but after the 1 to 6 month period in which the weight loss process slows down / plateaued after the "highest weight loss efficiency", the patient increases the current balloon volume again by 500 cm³ up to the maximum permissible capacity (750 cm³) with the endoscopic method. By generating the second heat phenomenon in the metabolism, greater weight loss can be promoted.

WHAT IS ORBERA?

ORBERA365 ™ is a durable gastric balloon made of soft silicone. It encourages your body to adjust to healthier serving sizes while temporarily staying in the stomach for 12 months. The shape and volume of the gastric balloon take up enough space in your stomach to accommodate healthier serving sizes.
It's not adjustable, it is inflated and placed at full volume all at once.
The balloon’s technology and design help patients lose three times more weight than diet and exercise alone.

Frequently Asked Questions

Traditionally, a gastric balloon must be placed and removed using an endoscopic medical procedure that requires anesthesia. The gastric pill balloon is a gastric balloon that is swallowed and excreted naturally months later *. The gastric dissolvable balloon is typically placed during an outpatient visit. The balloon system consists of a soft, expandable balloon, a placement tube and a filling system. During a 20-minute outpatient visit, you will swallow a capsule containing the deflated balloon along with a thin tube. As soon as the capsule gets into your stomach, your advisor will fill the balloon with the tube with 550 ml of water with water. Once the balloon is filled, your advisor will carefully remove the tube - and you are on your way. Is the balloon easy to swallow? Most people can swallow the balloon without any problems. People who have difficulty swallowing can be assisted by their advisor, who will guide the balloon into place without endoscopy or anesthesia.

This occurs in less than 1 in 200 gastric balloon placements. The blue dye in the gastric balloon acts as a "warning system" and comes out of the balloon. It will be absorbed and temporarily change the color of your urine to green. This is a warning sign that you should see a doctor right away to have your gastric balloon removed. If you suddenly notice that you are feeling less full, it may be a more subtle sign that the gastric balloon is deflated and you should seek advice. Removing the gastric balloon should fix the problem.

Sparrow balloon; The Spatz3 balloon system is a more suitable choice for patients with higher weight loss goals of more than 15 kg who would benefit from therapy for more than 6 months. The Spatz3 balloon has two advantages. Adjustability and longer therapy time.
Spatz3 intragastrically adjustable balloon greatest advantage; Endoscopic insertion into the stomach consists in the fact that it is possible to increase the balloon volume to the maximum allowable capacity (750 cc) after a certain amount of weight loss with the help of endoscopic assistance in the process of "weight loss plateau or weight loss". By taking up more space in the stomach, the obese person eats much less thanks to the "further restriction of food intake" and all of this "re-initiating / activating the weight loss process". It is observed to provide "more weight loss" compared to gastric balloons which can be used for 6 months.

Gastric band; The gastric band is an adjustable gastric band that is placed on the upper part of the stomach by laparoscopic surgical technique. The stomach volume at the top of the circular belt (approx. 50 ccm) restricts food consumption / intake as it fills up more quickly with a small amount of food and creates a feeling of early satiety. As a result, obese people get fewer calories and lose weight.
Since it severely restricts the stomach volume, the "success of the procedure" is higher than the gastric balloon.
However, it is a laparoscopic surgical procedure. As with any surgical procedure, it has its own complications. (see gastric banding session)
Gastric balloon; The gastric balloon is inserted into the stomach through the esophagus with the help of a non-surgical endoscopic examination, inserted into the stomach and inflated with 450-500 ml of saline solution. The gastric balloon takes up space in the stomach and limits the amount of food that can be consumed. With less food he creates a feeling of fullness faster / earlier.

Those who have previously not been able to lose weight despite repeated diet and / or an exercise program / those who are unable to maintain the lost weight
Obese (recently unhealthy weight is preferred. Obesity Week, USA 2020) people with a BMI between 25 and 30.
Patients with obesity between BMI 30-35 (class I)
In patients with BMI> 60 super morbid obesity during the preparation time for the operation (as the first step of the bariatric procedure to reduce the risk of complications of the operation by lowering the BMI)

The following conditions are not advisable for an intra-gastric balloon:
Previous gastric surgery (including any anti-reflux surgery).

  • Hiatal hernia 5 cm or larger.
  • Significant coagulation disorder (blood clotting).Potentially bleeding upper gastrointestinal lesion.
  • Pregnancy or desire to become pregnant and breastfeed.
  • Alcoholism or drug addiction, or significant mental health problems. Severe liver disease.
  • Any medical / clinical reason so that you cannot tolerate / do an endoscopy.

During the removal, the endoscope is inserted into the stomach, the balloon is pierced, its contents evacuated and then the outer covering of the deflated gastric balloon is removed with the endoscope. The process takes no more than 15-20 minutes and can be performed with a little calm or simply under local anesthesia.

Prior to placing the intragastric balloon, you should follow a puree / soft solid diet 12 hours prior to the appointment for the procedure And avoid all food and liquids 6 hours before the procedure as you will be sedated during the procedure. Usually it means you don't need to eat or drink anything after midnight.

The deflated balloon is placed in your stomach from your mouth and then filled with sterile saline solution. The process is usually straightforward and takes 20-30 minutes. You will be recovered quickly and monitored in the clinic until your doctor discharges you (usually about an hour).
It can be useful to have someone ready to take you to your hotel, or you should send us your transfer request to your hotel. After the endoscopic balloon is placed, the experienced Bariatric Clinic nutritionist will give you detailed instructions on your care and nutrition.

HOW SHOULD I FEED AFTER ENDOSCOPIC GASTRIC BALLOON PLACEMENT?

After the placement of the endoscopic gastric balloon, your nutritional program will be specially prepared for you by our experienced bariatric nutritionist before you leave the clinic or follow the online nutritional advice.
The first 24 hours
Just a sip of liquid like water, hearty juices, clear soups.
Days 2-5
Liquid diet, soups, milk, broth, jelly, liquid food.
Day 6 on
Semi-solid food for a healthy, low-calorie diet.
1. Eat regularly, including 3 main meals and one snack in the morning and afternoon.
2. Don't eat dinner too late and wait at least 2 hours after eating before going to bed.
3. Drink at least 1.5 liters of water a day (unless you have another medical reason preventing you from doing so). Limit consumption of liquids during meals.
4. Eat slowly and chew gently. Avoid hard nuts and seeds, as well as anything that could damage the balloon.
5. Avoid products that contain simple carbohydrates (chocolates, honey, gelatin, ice cream, pastries, candy, dried fruits, dates, raisins, plums, etc.).
6. Avoid caffeinated drinks and carbonated drinks.
7. Exclude foods that are difficult to digest based on your own experience.
8. The use of sweeteners in moderation is acceptable.
9. Avoid unnecessary foods or habits that increase stomach acid.
10. Follow the meal plan provided by your dietitian as closely as possible.

IS DIETITIC SUPPORT NECESSARY AFTER ENDOSCOPIC GASTRIC BALLOON PLACEMENT?

"Healthy and correct nutrition is an art". E. TOPAL, MD
Weight loss must be provided with special menus. During weight loss, your diet, weight loss process tracking, and weight loss speed will be tracked and performed online by our bariatric nutritionist experienced in these methods. The required contact numbers will be sent to you after your transaction.

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