Intra Gastric Balloon
What is an Intra Gastric Balloon?
A gastric balloon, also known as an intragastric balloon, is a medical procedure that entails inserting an inert balloon into the stomach. In most cases, saline is used to fill and inflate the balloon. The presence of the balloon inside the stomach induces a feeling to eat less. The principle behind the gastric balloon procedure is that eating less food induces weight reduction.
What is the procedure for Gastric Balloon placement?
Gastric balloon is a minimally invasive procedure that involves placing an inflated balloon in the stomach to reduce weight. The patient is sedated with moderate sedatives before an endoscope is administered to the stomach through the esophagus. In general, the surgeon does a preliminary check of the stomach. This is done to assess the condition of the inside stomach. Any signs for such conditions like peptic ulcer, any unusual growth, etc are looked for. Before performing the gastric balloon procedure, the surgeon verifies that the stomach is in good health. The balloon is inserted into the stomach through the endoscope. This deflated balloon is held by the endoscope tip. The balloon is inflated with 600 to 800ml of saline solution after the device is within the stomach. The balloon is inflated to a size that it is too big to enter into the small intestine or move out of the stomach. The whole treatment is painless and takes around 15-20 minutes. The patient may go home the same day after receiving a gastric balloon.
It has comparatively lower risk than other weight loss procedures. After 6 months the Gastric balloon is deflated and is removed from the stomach using the same simple endoscopic procedures.
How does an Intragastric Balloon work ?
- It allows patients to feel full and hence minimize their meal consumption.
- It promotes fullness by preventing food intake, lowering intragastric volume, and delaying gastric emptying.
- It affects hunger control and gastric emptying by altering gut hormones and peptides such as ghrelin, leptin, cholecystokinin, and pancreatic polypeptide
What is the Preprocedural Evaluation for Intragastric Balloon Placement?
- Hemogram, RBS, and HbA1C levels
- Cortisol, Blood Group
- HbsAg, HIV I & II, Anti HCV, VDRL, Urine RE are all tests that may be performed.
- Thyroid function test, Renal function test, Liver function test
- C peptide fasting, C peptide 1 hr pp, Insulin fasting
- GAD Antibodies , IA2 Antibodies (in diabetic patients)
- ECG, X-Ray and USG Abdomen.
What is expected after intragastric balloon insert?
Nausea, vomiting, stomach discomfort, and acid reflux are common symptoms in the days after balloon placement. To relieve these symptoms, medications will be recommended. Water should be consumed often to avoid dehydration.
You must eat the foods advised by the doctor. Every month, a consultation will be scheduled. The consultations aid in assessing weight reduction progress.
The diet will be prescribed by a doctor. Following balloon removal, nutritional and behavioral changes are required to ensure that the body stays fit and no extra weight is gained.
When to withdraw the intra gastric balloon?
Intragastric balloon is placed for a period of 6 – 8 months after which it is removed. The stomach adapts to it, and the balloon may lose its effectiveness. It may be necessary to remove the balloon early if the balloon spontaneously ruptures or if the patient does not tolerate the balloon at all – though these are very unusual occurrences.
The balloon is deflated before being taken via the esophagus and out of the mouth. This is also done under mild general anesthesia with the use of an endoscope. The treatment takes around 15 minutes. The patient might be discharged the same day after the procedure.
How can a gastric balloon help you lose weight?
When the balloon is inflated and in place, it takes up space in the stomach, causing patients to eat less. It also reduces stomach emptying, so patients are less hungry. The stomach does not shrink because the balloon stays inflated within the stomach. As a result, a state of fullness or satisfaction is constantly present.
Because a gastric balloon alone cannot result in weight reduction, the patient must continue with weight loss, diet, and regular activities to obtain the desired outcomes. Studies show that the gastric balloon or intragastric balloon procedure helps to reduce three times more weight along with regular exercise and proper dieting. According to studies, a gastric balloon may help you lose 20% to 30% of your weight.
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