Orber’s intragastric balloon

A stomach balloon is an inoperable method of treating obesity. The treatment involves introducing a balloon into the stomach and filling it with liquid. This means that the patient after the operation consumes less food. By pressing the walls of the stomach, the balloon reduces the patient’s feeling of hunger. The reduced amount of food results in weight loss. At KCM Clinic Obesity Treatment Center, we only use ORBERA Balloons – a leading global producer of 6- and 12-month intragastric balloons.

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    The primary purpose of using an intragastric balloon (also called stomach balloon)  is to reduce the patient’s feeling of hunger. A balloon filled with liquid gives the patient a constant feeling of satiety. As a result, the patient eats fewer meals, which results in a gradual weight loss. After placing the gastric balloon there is no danger of damaging it. Patients can normally take their current life activities, exercise, run, and ride a bike. The patient’s average weight loss oscillates around 15 to 20 kg, but its greater or smaller decrease is an individual matter, depending on the patient’s predisposition and diet.

    Given the epidemic rates of obesity and subsequent rise in the prevalence of obesity-related health conditions and comorbidities, there is a global need for effective and safe treatment for overweight patients.

    While bariatric surgery is considered the most effective treatment modality for morbid obesity, there are restrictions for a patient to be a candidate for surgical intervention. Bariatric surgeries require a body mass index (BMI) greater than 35 kg/m^2 with associated comorbidities or meeting the BMI criteria for severe obesity with a BMI greater than 40 kg/m^2.

    With the parameters mentioned above to meet preoperative criteria, this leaves an intermediate group of patients who are not the right candidates for surgery but have also failed or not responded well to medical therapies. The intragastric balloon procedure may be a right option if you have concerns about your weight, whereas diets added with exercise have failed. The intragastric balloon is also appropriate for patients who are looking for a safe and effective weight-loss therapy that is minimally invasive.

    Intragastric balloon therapies are a minimally invasive and temporary method to induce weight loss in obese patients. Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster. The soft saline or an air-filled balloon is placed into the stomach typically in an endoscopic fashion. The balloon serves as a restrictive mechanism and promotes the feeling of satiation as it is a space-occupying device. The average gastric capacity is approximately 1200 mL, but an obese patient can stretch this volume threefold. A balloon volume of 400 mL or higher is enough to induce the feeling of satiation. A proposed mechanism of action is the delayed gastric emptying process, which can serve as a contributing weight-loss factor.

    Like all other weight-loss procedures, an intragastric balloon requires commitment to a healthier lifestyle. You also need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of the procedure.

    Significantly, as with all bariatric procedures, a patient must be compliant with lifestyle modifications to achieve and maintain meaningful weight loss before and after any intervention.

    At KCM Clinic Obesity Treatment Center, we only use ORBERA Balloons – a leading global producer of 6- and 12-month intragastric balloons

    In order to qualify and prepare for the placement of the intra gastric balloon inside the stomach, for patient safety, comprehensive tests and consultations in a bariatric outpatient clinic are required.

    A complete history and physical examination should be completed for all patients to screen for contraindications of intragastric balloon placement. The patient’s history should focus on any gastrointestinal disorders.

    Before placing an intragastric balloon, a patient should be seen by the doctor to review the procedure and obtain consent. The risks, benefits, and alternatives of the procedure must be explained. For a patient to be prepared for intragastric balloon placement, there are recommendations that a patient adheres to a clear liquid diet a few days before the procedure to empty the stomach.

    Usually, the patient can leave the clinic a few hours after the intragastric balloon procedure. For the next day, consume small amounts of fluid and avoid physical exertion. Before your body gets used to the balloon in the stomach (sometimes it takes several weeks), nausea, vomiting, flatulence, diarrhea and cramps may occur.

    Placement of a gastric balloon is not a surgical operation. Thanks to this, the procedure becomes much safer. There is a low risk of damage to the intragastric balloon after surgery, which also increases patients’ safety. People with comorbidities should contact their GP and cardiologist before undergoing intragastric balloon placement.

    Absolute contraindications to an intragastric balloon include any prior gastric surgeries, coagulopathies, severe liver disease, upper gastrointestinal bleeding lesions, pregnancy as well as the desire to become pregnant, alcoholism, drug addiction, and any contraindication for the patient to undergo esophagogastroduodenoscopy (EGD).

    Some of the balloons are placed via EGD or swallowing. In circumstances in which a balloon retrieval is necessary due to complications, an EGD can be required for this retrieval process.
    The relative contraindications to intragastric balloon therapy include a large hiatal hernia measuring 3 cm or greater in size, inflammatory bowel disease including ulcerative colitis and Crohn disease, previous abdominal surgeries, esophagitis, chronic nonsteroidal anti-inflammatory drug usage, and any prior uncontrolled psychiatric disorders.

    The patient usually has the opportunity to leave the hospital a few hours after the procedure, but care after returning home is equally important. To plan the discharge and the first days after surgery well, the patient should ask a loved one for transport from the clinic on the way back home. Make sure you can get help the first day after surgery. We recommend that you prepare all the necessary things at home before you go to the clinic.

    About the procedure

    The primary purpose of using an intragastric balloon (also called stomach balloon)  is to reduce the patient’s feeling of hunger. A balloon filled with liquid gives the patient a constant feeling of satiety. As a result, the patient eats fewer meals, which results in a gradual weight loss. After placing the gastric balloon there is no danger of damaging it. Patients can normally take their current life activities, exercise, run, and ride a bike. The patient’s average weight loss oscillates around 15 to 20 kg, but its greater or smaller decrease is an individual matter, depending on the patient’s predisposition and diet.

    Given the epidemic rates of obesity and subsequent rise in the prevalence of obesity-related health conditions and comorbidities, there is a global need for effective and safe treatment for overweight patients.

    While bariatric surgery is considered the most effective treatment modality for morbid obesity, there are restrictions for a patient to be a candidate for surgical intervention. Bariatric surgeries require a body mass index (BMI) greater than 35 kg/m^2 with associated comorbidities or meeting the BMI criteria for severe obesity with a BMI greater than 40 kg/m^2.

    With the parameters mentioned above to meet preoperative criteria, this leaves an intermediate group of patients who are not the right candidates for surgery but have also failed or not responded well to medical therapies. The intragastric balloon procedure may be a right option if you have concerns about your weight, whereas diets added with exercise have failed. The intragastric balloon is also appropriate for patients who are looking for a safe and effective weight-loss therapy that is minimally invasive.

    Intragastric balloon therapies are a minimally invasive and temporary method to induce weight loss in obese patients. Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster. The soft saline or an air-filled balloon is placed into the stomach typically in an endoscopic fashion. The balloon serves as a restrictive mechanism and promotes the feeling of satiation as it is a space-occupying device. The average gastric capacity is approximately 1200 mL, but an obese patient can stretch this volume threefold. A balloon volume of 400 mL or higher is enough to induce the feeling of satiation. A proposed mechanism of action is the delayed gastric emptying process, which can serve as a contributing weight-loss factor.

    Like all other weight-loss procedures, an intragastric balloon requires commitment to a healthier lifestyle. You also need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of the procedure.

    Significantly, as with all bariatric procedures, a patient must be compliant with lifestyle modifications to achieve and maintain meaningful weight loss before and after any intervention.

    At KCM Clinic Obesity Treatment Center, we only use ORBERA Balloons – a leading global producer of 6- and 12-month intragastric balloons

    Preparation

    In order to qualify and prepare for the placement of the intra gastric balloon inside the stomach, for patient safety, comprehensive tests and consultations in a bariatric outpatient clinic are required.

    A complete history and physical examination should be completed for all patients to screen for contraindications of intragastric balloon placement. The patient’s history should focus on any gastrointestinal disorders.

    Before placing an intragastric balloon, a patient should be seen by the doctor to review the procedure and obtain consent. The risks, benefits, and alternatives of the procedure must be explained. For a patient to be prepared for intragastric balloon placement, there are recommendations that a patient adheres to a clear liquid diet a few days before the procedure to empty the stomach.

    Convalescence

    Usually, the patient can leave the clinic a few hours after the intragastric balloon procedure. For the next day, consume small amounts of fluid and avoid physical exertion. Before your body gets used to the balloon in the stomach (sometimes it takes several weeks), nausea, vomiting, flatulence, diarrhea and cramps may occur.

    Precautions

    Placement of a gastric balloon is not a surgical operation. Thanks to this, the procedure becomes much safer. There is a low risk of damage to the intragastric balloon after surgery, which also increases patients’ safety. People with comorbidities should contact their GP and cardiologist before undergoing intragastric balloon placement.

    Absolute contraindications to an intragastric balloon include any prior gastric surgeries, coagulopathies, severe liver disease, upper gastrointestinal bleeding lesions, pregnancy as well as the desire to become pregnant, alcoholism, drug addiction, and any contraindication for the patient to undergo esophagogastroduodenoscopy (EGD).

    Some of the balloons are placed via EGD or swallowing. In circumstances in which a balloon retrieval is necessary due to complications, an EGD can be required for this retrieval process.
    The relative contraindications to intragastric balloon therapy include a large hiatal hernia measuring 3 cm or greater in size, inflammatory bowel disease including ulcerative colitis and Crohn disease, previous abdominal surgeries, esophagitis, chronic nonsteroidal anti-inflammatory drug usage, and any prior uncontrolled psychiatric disorders.

    Post-treatment care

    The patient usually has the opportunity to leave the hospital a few hours after the procedure, but care after returning home is equally important. To plan the discharge and the first days after surgery well, the patient should ask a loved one for transport from the clinic on the way back home. Make sure you can get help the first day after surgery. We recommend that you prepare all the necessary things at home before you go to the clinic.

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