The gastric balloon is a non-surgical method of losing weight that consists of placing a balloon in the stomach to induce satiety. The balloon is passed through the mouth and esophagus, then inflated in the stomach.
The balloon is left in the stomach for 6 months, sometimes longer, depending on the type of ball. This method should lead to a weight loss of 10 to 25 kg.
Who can be posed?
This method is intended for patients who have 10 to 25 kg to lose (20 to 50% overweight compared to their ideal weight). These patients are not candidates for obesity surgery because their weight is not high enough. It is sometimes aimed at patients who are heavier but who, for various reasons, are not yet ready for surgery.
These patients have already followed medical diets which have sometimes been effective, but they have resumed weight afterwards, or could not continue their diet for more than 2 or 3 months.
La intra-gastric balloon placement in Tunisia is performed under local anesthesia on an outpatient basis. The intragastric balloon is placed and removed during an endoscopic procedure that lasts twenty to thirty minutes.
How to put it?
The deflated balloon is attached to a flexible tube, then it is inserted through the mouth with an endoscope into the stomach. Once the balloon is in place, a physiological solution (salt water) is injected through a small tube. When the tube is removed, the balloon is automatically sealed. The filling volume varies from 400 to 700 ml to adapt to a large number of people.
A blue dye is added to the physiological solution which is injected into the balloon. So, in the rare event that the balloon leaks, the patient notices it immediately by the change in color of their urine. If this happens, he should immediately contact the doctor so that the balloon can be safely removed.
The balloon is placed in the stomach for up to six months. The nutritionist provides the dietary advice and support required to help the patient make dietary changes and adapt their lifestyle.
How to remove it?
Using an endoscope and a small tube, the doctor withdraws the physiological solution from the balloon before extracting the deflated balloon from the stomach.
The patient rests for one to two hours for observation before he can leave the clinic. For the first few days, while the stomach is adjusting to the balloon, the patient has a feeling of discomfort. Nausea, bloating, diarrhea and cramps may occur. These side effects are temporary and normal. If necessary, the doctor prescribes an appropriate drug treatment to better control them. It is advisable to rest and not practice any physical activity for 24 hours. There is then a nutritional follow-up for six months. The first steps: drink cold liquids in small amounts, starting with a teaspoon, then slowly increase the amount of liquid.Week 1: diet based on liquids only
The very first days are uncomfortable because the stomach has to get used to the presence of the ball. The total consumption of liquids (water, fruit juice, clear soups, milk, etc.) should be more than 2 liters per day. The patient can use a meal replacement for a week to help meet their daily calorie and protein needs.Week 2: Food mashed, soft and solid
The stomach begins to adjust to its new size. The transition from mashed foods to solid foods takes about a week, but progress is only made if the body tolerates the foods in the next stage well:
Mashed foods for three days: Once the stomach is adapted to liquids, the patient can begin to include pureed foods in their meals.
Soft food for four days: This stage prepares the patient to return to solid food. It is advisable to eat slowly by chewing food diligently and to choose foods that are low in fat, calories and carbohydrates.
Solid Foods: It's the end of the food transition. The patient resumed normal activities and began to rehabilitate his appetite for sustainable and healthy weight loss. He takes the solid foods one after the other. He should drink plenty of water and avoid drinking and eating at the same time. It is recommended to drink at least one glass of water ½ hour before each meal and two glasses of water ½ hour after, in order to rinse the balloon.
The following six months: The patient must follow a diet to monitor his weight evolution.
Patients can expect significant weight loss of fifteen to twenty pounds during the six months of gastric balloon placement. Lasting success is conditioned by the patient's commitment to healthy eating, reducing portion sizes and adopting an active lifestyle. Patients have an easier time maintaining their weight loss for a longer period compared to diets alone.
What are your BMI and IMG indexes ?
Tests to do before having a gastric balloon
Blood group. Full blood count. Serum Urea. serum creatinine. Protidemia and protein electrophoresis. Serum electrolytes. Calcemia. Cholesterol. Triglycerides. HDL, VLDL. Low cortisol at 7 a.m. Thyrostimulin T4. FSH. LH.
Electrocardiogram - Cardiac Ultrasound.