What is Gastric Balloon?
A gastric balloon is an inflatable medical device that is placed in the stomach by an endoscopic method to get rid of excess weight. The procedure takes 15-20 minutes and does not require hospitalization and you can go back to your home on the same day. In overweight patients who are not suitable for surgery, that is, those with a body mass index between 25-30, the first non-surgical method is gastric balloon application. The principle of the gastric balloon is the feeling of satiety due to the tension created by the balloon inflated in the stomach and the feeling of satiety by eating less due to the reduction of the stomach volume remaining in the upper part of the balloon.
How is the gastric balloon placed?
It is not a surgical method, but it is performed in a complete sleep without feeling with intravenous anesthesia drugs. First, the mouth esophagus, then stomach, and duodenum are examined by the endoscopic method. If there are no findings such as ulcer, gastritis, reflux, stomach hernia, cancer in the esophagus, stomach, and intestine parts examined, it is appropriate to place a gastric balloon. When it is decided that the gastric balloon is suitable for placement, the endoscope is removed. If a six-month balloon is to be placed, it is advanced through the mouth, if a one-year balloon is to be placed, it is fixed with a special apparatus at the end of the endoscope and sent to the stomach with the endoscope. It is then inflated with 500-600 cc of saline colored with methylene blue, depending on the volume of the stomach, or with air in some balloon types. When the inflation is completed, the valve part is pulled out of the body, and the gastric balloon remains at the entrance we call the fundus. The purpose of the blue dye is that it is absorbed in the intestine and dyes the urine blue when the balloon bursts, even if it is very unlikely. In the case of blue urination, the balloon should be removed immediately.
Is there any risk of gastric balloon?
The risks of the balloon inserted in the stomach are negligible, but the technique may have some complications, these are stomach and esophageal injuries due to traumas performed by endoscopy. However, such complications are almost nonexistent with professional surgeons. When such a situation occurs, patients should be informed about fever and abdominal pain, and when such a situation occurs, they should immediately contact the doctor who placed the balloon.
What will I encounter after the balloon is placed?
After the gastric balloon is placed, we give you medications that eliminate the feeling of nausea, vomiting, and discomfort, so that you can have a comfortable after-procedure. However, since the gastric balloon we have placed is foreign to the body, it is tried to be thrown by the stomach with vomiting. Therefore, you may have nausea and vomiting on the first night and the second day. To avoid these complaints, we write you a prescription and tell you the medications you will use before leaving. Following the placement of the balloon, we want you to be fed in a way that will minimize these complaints. For this purpose, we will give you a special diet, we want you to strictly follow this diet. We have a special diet consisting of liquids and mashed food for about two weeks. You have to apply this carefully. Starting immediately after the procedure, standing and walking every second you are awake is of great importance both in terms of losing weight and tolerating the balloon. For this reason, we want you to walk as much as possible on the first day and the following days after the effect of anesthesia.
How much weight will I lose?
If diet and exercise compliance is achieved with the gastric balloon method, you can lose approximately 25-30 pounds.
Will I regain the weight after the gastric balloon is removed?
After the gastric balloon is inserted, you will lose weight due to less eating and early satiety. However, since there is no permanent change in the stomach after the balloon is removed, weight can be gained again if diet and exercise are not made into a lifestyle. We continue to support our patients who lost weight by placing balloons until today after the balloon is released. If you start to gain weight again, we interfere with weight gain with reset diets. If there is an eating disorder, in other words a psychiatric disease such as bulimia, we get support from psychiatry. In case of high glycemic index (nutrition with white sugar derivatives), we get support from our bariatric dietitian. As a result, the weight loss process should be handled as a team with the determination of our patient and the cooperation of the surgeon, psychiatrist and dietician.
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