Gastric Balloon in Turkey

A gastric balloon is a temporary device placed in the stomach to aid weight loss. It works by making individuals feel full faster, thereby reducing food intake. Research has shown that regular use of a gastric balloon can result in an average weight loss of 12.8%. While it is generally considered a safe procedure, mild side effects such as nausea and vomiting may occur. Rarely, serious complications like stomach perforation or intestinal obstruction can develop. When applied under medical supervision, a gastric balloon is an effective tool for weight management. However, it should be tailored to meet individual needs.

What is a Gastric Balloon?

A gastric balloon is a device designed for weight loss, temporarily placed in the stomach. By inflating the balloon inside the stomach, it helps individuals feel full sooner, reducing their food consumption. Gastric balloons were first used in the 1980s and have since been refined to become safer and more effective. Modern balloons, often filled with liquid or air, are applied under medical supervision. Devices like Orbera have gained popularity since 2015 for their reliability. Since gastric balloon placement does not involve surgery, it is a lower-risk option for weight management.

When is Gastric Balloon Treatment Used?

Gastric balloon treatment is an effective option for individuals struggling with weight loss, particularly in specific situations. It is generally recommended for individuals meeting certain criteria:

• BMI of 30-40 kg/m²
• BMI of 27 kg/m² with obesity-related health issues
• Conditions such as type 2 diabetes, hypertension, or sleep apnea
• Individuals not suitable for bariatric surgery
• Failure to lose weight through diet and exercise
• Commitment to lifestyle changes

This treatment aims to enhance the health benefits of weight loss and provides a less invasive alternative to surgery. It also helps individuals develop healthy habits during the weight loss process. However, the gastric balloon requires disciplined lifestyle changes alongside the physical intervention.

The treatment is planned and monitored by a physician to suit individual needs. Incorporating healthy eating habits and regular physical activity is crucial for long-term success. A gastric balloon can, therefore, serve as an effective tool not only for short-term but also long-term health goals.

Who Is Not Suitable for a Gastric Balloon?

A gastric balloon is not suitable for individuals with certain medical conditions or risk factors. In the following cases, gastric balloon placement is not recommended:

• Individuals with a history of major stomach surgery
• Active stomach, esophagus, or duodenal ulcers
• Patients with varices in the stomach or esophagus
• Hiatal hernia larger than 5 cm
• Inflammatory bowel diseases like Crohn’s disease or ulcerative colitis
• Structural issues such as pyloric stenosis or delayed gastric emptying
• Severe liver diseases like liver failure
• Blood clotting disorders or patients on blood thinners
• Untreated Helicobacter pylori infection
• Pregnant or breastfeeding women
• Individuals with severe psychiatric conditions unable to adhere to lifestyle changes
• Alcohol or substance abuse issues
• Regular use of stomach-irritating medications
• Patients unable to comply with post-treatment follow-ups

These conditions increase the risk of complications or reduce the effectiveness of the gastric balloon. Therefore, anyone considering the procedure must undergo a thorough medical evaluation and consult a specialist. Suitability is assessed based on personal health history and current medical status.

How Is a Gastric Balloon Placed?

Gastric balloon placement is an endoscopic procedure performed by a specialist. The procedure involves several steps, ensuring the patient’s safety and comfort:

1. A medical evaluation is conducted.
2. The patient must fast before the procedure.
3. Sedation is administered.

The balloon is inserted into the stomach using an endoscope, then inflated with sterile liquid to the appropriate size and secured in place. After the procedure, the patient’s comfort is monitored, and supportive treatments are provided if needed.

What Are the Side Effects of Gastric Balloon Treatment?

While gastric balloon treatment is an effective method for weight loss, it can cause various side effects, mostly mild and occurring in the early stages of treatment. However, serious complications may occur in rare cases. The potential side effects include:

• Nausea and vomiting
• Abdominal pain and cramping
• Diarrhea
• Acid reflux and heartburn
• Bloating and gas

Rare complications include deflation of the balloon and migration into the intestines, stomach perforation, gastric ulcers, or sores. Additionally, conditions such as esophagitis (inflammation of the esophagus) or acute pancreatitis may occur, often requiring surgical intervention.

Side effects are typically managed with medication. Antiemetics are used to reduce nausea and vomiting, while acid suppressants help alleviate discomfort caused by reflux and stomach acid.

How Successful Is Gastric Balloon Treatment?

The success of gastric balloon treatment varies based on the type of balloon used and the patient’s adherence to lifestyle changes. Clinical studies have shown that this method can achieve significant weight loss:

• Average weight loss: 4.6 kg
• BMI reduction: 1.59 kg/m²
• Elipse balloon: 11.2 kg weight loss
• Elipse BMI reduction: 4.9 kg/m²
• Obalon system: 26.5% excess weight loss
• Control group: 9.7% excess weight loss

Since the gastric balloon is a temporary solution, long-term weight control requires sustained lifestyle changes. Regular physical activity, a balanced diet, and psychological support are essential components that enhance the success rate of the treatment. However, patient responses to the treatment vary, and side effects or complications can limit its effectiveness. As a result, gastric balloon treatment should always be recommended by a specialist based on individual health needs and conditions.

What Should Be Done Before Gastric Balloon Placement?

Certain preparations are necessary before undergoing gastric balloon placement to ensure a safe and effective process. These include both physical and lifestyle adjustments to maximize the procedure’s outcomes:

Pre-Procedure Preparations:

• Medical history evaluation
• Blood tests
• Endoscopy
• Heart tests (e.g., ECG)

Dietary adjustments are critical for minimizing risks during the procedure:

• High-protein, low-carbohydrate diet
• Fasting on the day of the procedure

Medication Adjustments:

• Discontinuing blood thinners
• Taking prescribed stomach protectors
• Using anti-nausea medications

Lifestyle changes also play an important role:

• Quit smoking
• Ensure adequate hydration
• Prepare a supportive recovery environment

All these steps are tailored to the patient’s health status and conducted under specialist supervision. Proper preparation helps reduce the risk of complications and ensures better outcomes.

Post-Gastric Balloon Care and Diet

After gastric balloon placement, it is crucial to follow a diet and care plan tailored to the patient’s daily life. This ensures optimal weight loss and prevents potential complications:

Diet Phases:

1. First days: Only clear liquids.
2. Liquid diet: Progress to full liquids.
3. Soft foods: Begin in the second week.
4. Solid foods: Introduce balanced, small portions gradually.

Adequate hydration is vital after the procedure. Small, frequent sips of water are recommended to avoid discomfort:

• No carbonated drinks.
• Gradual water intake throughout the day.

Exercise plans should gradually intensify, with regular check-ups to guide the process:

• Start with light walks.
• Increase activity levels progressively.
• Attend routine doctor appointments.

To ensure long-term success, working with a dietitian and psychological support can be beneficial. Awareness of potential complications and immediate access to medical help if needed is essential. Medications prescribed by the doctor should also be taken as directed.

What is the cost of gastric balloon in Turkey?

On average, a gastric balloon costs in Turkey from €2000 to €3,000, although it can vary depending on the individual case.