Intra gastric balloon
The gastric balloon is a non surgical method to lose weight, which consists in putting a balloon in the stomach, to give satiety.
The balloon is left 6 months in the stomach.
This method must give a wheight loss from 10 to 25 kgs.
There are 2 types of gastric balloon :
The air filled balloon (900cc)
The saline filled balloon (550-700cc)
This method is addressed to patients who have from 10 to 25 kg to lose (20 to 50 % of ponderal overload compared to their ideal weight). These patients are not candidates with the weight loss surgery because their weight is not high enough.
It is sometimes addressed to patients having a weight more raised but which, for various reasons, are not yet ready for the surgery.
These patients had already made modes which were sometimes effective, but they took again weight after (5 to 10 % of the patients only preserve their weight loss, with the usual modes), or could not continue their mode more than 2 or 3 months.
The balloon is a choke. It makes possible to lose in 6 months the weight which would require an effort during 2 years.
It is a method which must be integrated in a medical, nutritional and possibly psychological follow up during the installation of the balloon and also after its removal.
The engagement of the patients compared to the food changes and their behavior is essential.
This chapter on the gastric balloon was carried out by Doctor Vianna COSTIL, specialist in gastro enterology.
To learn more :
www.ballon-intragastrique.com. This Website is exclusively devoted to the gastric balloon.
Tableau comparatif
Mini Gastric Bypass
- BMI over 45 or 40
- Type 2 diabetes
- Rather sweet food
- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduce nutriments absorbtion
- Dumping syndrom
- Slightly decreased
- Very rare vomiting
Mandatory
Supplementation required
Easy by coelioscopy
10 ans
Coelioscopy
1h30 to 2h30
3 to 5 days
About 2 weeks
Rare
- Haemorrhagy
- Digestive leak
Very rare
- Vitamin deficiencies
- Bowel obstruction
65 - 70 %
70 - 80 %
Sleeve Gastrectomy
- BMI over 40
- Type 2 diabetes
- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Decreased
- Rare vomiting
Little
Rare
No
6 years
Coelioscopy
1h30 to 2h30
3 to 5 days
About 2 weeks
Rare
- Haemorrhagy
- Digestive leak
Very rare
- Vitamin deficiencies
60%
70%
Gastric Bypass
- BMI over 45
- Type 2 diabetes
- Rather sweet food
- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduce nutriments absorbtion
- Dumping syndrom
- Slightly decreased
- Very rare vomiting
Mandatory
Supplementation required
Possible by coelioscopy, but very difficult
More than 20 years
Coelioscopy
2h30 to 4h
4 to 6 days
About 2 weeks
Rare
- Haemorrhagy
- Digestive leak
Very rare
- Vitamin deficiencies
- Bowel obstruction
70%
80%
Gastroplasty
- BMI between 35 and
40 with morbidity
- BMI between 40 and 45
- Rather salted food
- No snacks
Editable reduction of ingested
volume
- Very decreased
- Easy vomiting
Very mandatory
Very rare
Easy by coelioscopy
12 years
Coelioscopy
1/2h to 1h30
1 to 2 days
About 1 week
Very rare Haemorrhagy
- Pouch dilatation : 10%
- Migration of the band into
the stomach : less than 2%
40%
50%