Gastric Balloon: Consultations before balloon insertion

Physician Vianna Costil says four consultations are possible prior to placement of the gastric balloon. First of all, consultation with the doctor…

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Gastric Balloon

An intragastric balloon or gastric balloon (LARGE) is a balloon that sits in the stomach to allow patients to feel full faster, thereby limiting food intake and possibly leading to weight loss. Unlike other bariatric surgeries, it is a simple and fast intervention that does not leave any traces. Since the gastric balloon is removed after 6 or 12 months, it has a limited duration. Doctor Vianna Costil describes it as “a non-surgical treatment for obesity.”

It is indicated for patients who suffer from obesity but do not want to undergo a more invasive and difficult procedure such as gastric reduction surgery (gastric band, bypass, tube).

In France, 14.5% of the adult population is considered obese, ie 6.5 million people, and according to WHO estimates, the global trend is to increase over the next 10 years. Our sedentary lifestyle and limited time often cause us to adopt a lifestyle that is harmful to our health, but it is still possible to reverse the situation. When diets and physical activity are no longer enough, there are many solutions to help us lose weight and adopt a healthy life, as with the gastric balloon.

According to the Nutrición Hospitalaria article, “…Obesity is considered a major risk factor for cardiovascular disease and is associated with the development of hyperinsulinemia, insulin resistance, glucose intolerance, high blood pressure, and metabolic syndrome…”

Who can choose this technique?

The gastric balloon is intended for people who have obesity problems and cannot lose weight with a traditional technique (slimming diet + physical activity) under the supervision of health professionals.

The minimum body mass index (BMI) required to be a gastric balloon placement candidate depends on the type of balloon and the choice of the doctor who will operate on you. Some doctors prefer to put the ball to people with a higher BMI.

What is the first appointment with the doctor like?

During your first meeting with the doctor, he or she will ask you questions about your motivations, background and current situation, in order to make an assessment of your state of health. He will explain how the placement of the gastric balloon works, how the post-operative period develops, what kind of diet you will have before and after the intervention, and the follow-up you will need during the treatment. He will explain the positive and negative points of the ball and will be able to predict how many kilos you are likely to lose thanks to this intervention. It will also give you a detailed estimate .

Take advantage of this consultation to ask all your questions to your surgeon, if you think you need a coach or nutritionist, don’t hesitate to talk to him, he will likely be able to advise you and refer you to healthcare professionals. confidence.

Consultations before balloon insertion

Physician Vianna Costil says four consultations are possible prior to placement of the gastric balloon. First of all, consultation with the doctor responsible for the installation of the balloon, but also a dietary consultation that will help you adopt a new lifestyle and change your eating habits after installation. Next, you may need psychological follow-up if your weight is linked to an eating disorder. Finally, you need to make an appointment with the anesthesiologist to schedule the operation.

Different types of gastric balloon

• Allurion: Gastric balloon without anesthesia or fibroscopy (see below)
• Orbera: This balloon has a 6-month lifespan and is designed for people with a BMI of 27 to 35. The sleeve is made of silicone and filled with 500 to 700 cc of sterile blue saline solution.
• Orbera 355: This balloon is one year old and is suitable for people with a BMI between 30 and 40. It has the same features as the previous balloon.
• Heliosphere Bag: It is a balloon with a BMI between 27 and 35 and a lifespan of 6 months. Its shell is made of polyurethane, filled with 720cc of air and weighs 30g.
• Spatz: The Spatz balloon has a one-year life and is designed for a BMI of 30 to 40. It has a silicone envelope and is adjustable thanks to a tube attached to the balloon, making it possible to reduce its volume depending on the situation. to increase if poor tolerance or weight loss is sluggish. It is initially filled with 550 cc of sterile blue saline solution.
• Medsil: It is a balloon with a lifespan of 6 months between BMI 27 and 35. It is made of a silicone envelope and filled with 500 to 700 cc of sterile blue saline solution.
• Obalon: a pill-shaped intragastric balloon

The saline solution filling the balloons is colored blue for safety reasons. Thus, if the balloon burst, the patient would immediately notice it in his urine.

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