Gastric balloon

A gastric balloon is a medical weight loss device that is inserted into the stomach to increase the feeling of fullness. The balloon is usually placed via an endoscopic procedure and then filled with a sterile solution to inflate it. This causes the balloon to take up space in the stomach, reducing food intake and helping patients to eat less. The gastric balloon is a non-surgical option and can remain in the stomach for several months to a year before it is removed.

With a gastric balloon, most patients can typically lose between 10 and 25 kilograms. The exact weight loss depends on various factors, including individual diet, exercise and personal goals. In the long term, some patients can lose even more weight, especially if they maintain healthy lifestyle habits.

A gastric balloon is not suitable for the following people:
1. pregnant or breastfeeding women: The procedure should be avoided during pregnancy or breastfeeding.
2. people with certain diseases: People with severe gastrointestinal diseases, such as inflammatory bowel disease or stomach cancer, should not receive a gastric balloon.
3. severe obesity: other surgical options are often more effective in cases of extreme obesity (BMI over 40).
4. limited ability to change behaviour: patients who are not willing to change their eating habits and lifestyle cannot benefit from this procedure.
5. certain mental illnesses: The gastric balloon may be contraindicated in the case of active mental illnesses that affect eating behaviour.
A thorough consultation and medical assessment are important to determine whether a gastric balloon is suitable for you.

The insertion of a gastric balloon is usually performed under twilight sleep or general anaesthesia so that patients do not feel any pain during the procedure. After insertion, however, some patients may experience mild to moderate discomfort, such as abdominal pain, nausea or a feeling of fullness. These symptoms are usually temporary and usually subside within a few days. Individual sensitivity to pain can vary, and most patients find the benefits of the gastric balloon outweigh the temporary discomfort.

You should avoid the following foods if you have a gastric balloon:
1. fried and fatty foods: These can be difficult to digest and cause discomfort.
2. sugary foods: sweets, soft drinks and other sugary snacks can hinder weight loss and trigger cravings.
3. alcohol: Alcohol can reduce satiety and increase calorie intake.
4. carbohydrates in large quantities: Highly processed carbohydrates, such as white bread or pasta, should be consumed in moderation.
A healthy, balanced diet with plenty of fruit, vegetables and lean proteins is recommended to achieve the best results.

Yes, patients can feel hungry despite a gastric balloon, as the balloon does not affect the production of hunger hormones. However, the balloon ensures that the feeling of fullness occurs more quickly and food intake is reduced. Many patients report that they have less appetite and eat smaller portions, which contributes to weight loss. It is important to maintain healthy eating habits in order to achieve the desired results.

There are several different types of gastric balloons, including, for example
1st Arion swallowing balloon: This balloon is swallowed and unfolds in the stomach, making it easy to use and requiring no endoscopic placement. This novel balloon dissolves on its own and does not require removal.
2nd Spatz gastric balloon: This balloon can be refilled regularly throughout the maintenance period to achieve the desired results.
The choice of gastric balloon depends on individual needs and the doctor's recommendation.

As a rule, it is not necessary to lose a significant amount of weight before inserting a gastric balloon. However, many doctors recommend aiming for a slight weight loss in the weeks before the procedure to reduce the size of the stomach and make it easier to insert. This can also help to better prepare the body for the balloon. However, the exact recommendations may vary depending on the individual situation, which is why it is important to follow the instructions of the attending physician.

The gastric balloon is usually inserted as follows:
1. preparation: Before the procedure, the patient is given instructions for preparation, which may include a short-term diet and a period of fasting.
2. anaesthesia: The procedure is usually performed under light sedation or general anaesthesia to keep the patient comfortable during the procedure.
3. insertion of the balloon: The surgeon inserts a flexible tube (endoscope) into the stomach via the mouth and oesophagus. When using the Arion swallowing balloon, the balloon can simply be swallowed.
4. inflation of the balloon: the balloon is then filled with a sterile liquid, causing it to expand and take up space in the stomach.
5. monitoring: After the procedure, the patient is monitored to ensure that everything is going well. The patient can usually go home on the same day.
The entire process is usually quick and takes about 20 to 30 minutes.

Yes, you can usually fly with a gastric balloon, but you should wait a few days after the procedure to make sure you feel comfortable. Travelling by air can cause pressure changes, but most gastric balloons are designed to withstand these. It is advisable to speak to your doctor before flying for specific recommendations.

A gastric balloon offers several advantages:
1. weight reduction: The balloon helps to increase the feeling of satiety, which leads to reduced food intake and thus to weight loss.
2. non-surgical: The procedure is minimally invasive and does not require surgery, which reduces the risks and recovery time.
3. shorter recovery time: most patients can return to their normal activities quickly after the balloon has been inserted.
4. customisable duration: The gastric balloon can remain in the stomach for a period of several months to a year, depending on individual needs and goals.
5. support for behavioural change: The balloon promotes healthy eating habits and lifestyle changes that can contribute to long-term weight control.
6. availability of aftercare: Many programmes offer comprehensive aftercare and support to help patients achieve their weight goals.
Overall, a gastric balloon can be an effective option for people who want to lose weight without considering invasive surgical procedures.

After inserting a gastric balloon, you should note the following points:
1. diet: Start with a light diet consisting of liquid and pureed foods and gradually increase the consistency as recommended by your doctor.
2. hydration: Make sure you drink enough fluids to avoid dehydration.
3. stay active: Light physical activity is recommended, but avoid intense sports in the first few weeks after the procedure.
4. regular aftercare: keep the agreed aftercare appointments to monitor progress and recognise possible complications at an early stage.
5 Observe symptoms: Watch out for unusual symptoms such as severe pain, nausea or vomiting and contact your doctor immediately if they occur.
However, this can vary depending on the type of gastric balloon and your personal goals, so your local doctor will give you precise instructions.