Weight Loss Surgery

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 :

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The air filled balloon (900cc)

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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

Preferential
How it works
Alimentary comfort
Medical tracking
Vitamins deficiencies
Réversibility
Method carried out since
Technical operation
Lenght of operation
Lenght of hospitalisation
Seak leave
Operative complications
Late complications
Average excess weight loss after 1 year
Average excess weight loss after 5 years

ballon gastrique
Mini Gastric Bypass

Indications préférentielles

- BMI over 45 or 40
- Type 2 diabetes
- Rather sweet food

Mode d'action

- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduce nutriments absorbtion
- Dumping syndrom

Confort alimentaire

- Slightly decreased
- Very rare vomiting

Suivi médical

Mandatory

Carences vitaminiques

Supplementation required

Réversibilité

Easy by coelioscopy

Méthode réalisée depuis

10 ans

Technique opératoire

Coelioscopy

Durée intervention

1h30 to 2h30

Durée d'hospitalisation

3 to 5 days

Arrêt de travail

About 2 weeks

Complications opératoires

Rare
- Haemorrhagy
- Digestive leak

Complications tardives

Very rare
- Vitamin deficiencies
- Bowel obstruction

Perte moyenne d'excès de poids à 1 an

65 - 70 %

Perte moyenne d'excès de poids à 5 ans

70 - 80 %


Sleeve Gastrectomy

Indications préférentielles

- BMI over 40
- Type 2 diabetes

Mode d'action

- Reduction of ingested
volume
- Reduce hunger (ghrelin)

Confort alimentaire

- Decreased
- Rare vomiting

Suivi médical

Little

Carences vitaminiques

Rare

Réversibilité

No

Méthode réalisée depuis

6 years

Technique opératoire

Coelioscopy

Durée intervention

1h30 to 2h30

Durée d'hospitalisation

3 to 5 days

Arrêt de travail

About 2 weeks

Complications opératoires

Rare
- Haemorrhagy
- Digestive leak

Complications tardives

Very rare
- Vitamin deficiencies

Perte moyenne d'excès de poids à 1 an

60%

Perte moyenne d'excès de poids à 5 ans

70%


Gastric Bypass

Indications préférentielles

- BMI over 45
- Type 2 diabetes
- Rather sweet food

Mode d'action

- Reduction of ingested
volume
- Reduce hunger (ghrelin)
- Reduce nutriments absorbtion
- Dumping syndrom

Confort alimentaire

- Slightly decreased
- Very rare vomiting

Suivi médical

Mandatory

Carences vitaminiques

Supplementation required

Réversibilité

Possible by coelioscopy, but very difficult

Méthode réalisée depuis

More than 20 years

Technique opératoire

Coelioscopy

Durée intervention

2h30 to 4h

Durée d'hospitalisation

4 to 6 days

Arrêt de travail

About 2 weeks

Complications opératoires

Rare
- Haemorrhagy
- Digestive leak

Complications tardives

Very rare
- Vitamin deficiencies
- Bowel obstruction

Perte moyenne d'excès de poids à 1 an

70%

Perte moyenne d'excès de poids à 5 ans

80%


Gastroplasty

Indications préférentielles

- BMI between 35 and
40 with morbidity
- BMI between 40 and 45
- Rather salted food
- No snacks

Mode d'action

Editable reduction of ingested
volume

Confort alimentaire

- Very decreased
- Easy vomiting

Suivi médical

Very mandatory

Carences vitaminiques

Very rare

Réversibilité

Easy by coelioscopy

Méthode réalisée depuis

12 years

Technique opératoire

Coelioscopy

Durée intervention

1/2h to 1h30

Durée d'hospitalisation

1 to 2 days

Arrêt de travail

About 1 week

Complications opératoires

Very rare Haemorrhagy

Complications tardives

- Pouch dilatation : 10%
- Migration of the band into
the stomach : less than 2%

Perte moyenne d'excès de poids à 1 an

40%

Perte moyenne d'excès de poids à 5 ans

50%