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Intragastric Balloon: Discover What It Is, How It Works, and Much More

by Felipe Paludo Salles
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The intragastric balloon is a less invasive alternative procedure (compared to bariatric surgery) aimed at helping people lose weight.
Learn about the procedure and get all your questions answered below.

What is the intragastric balloon?

The intragastric balloon is a procedure that involves placing a balloon inside the stomach, occupying part of the available space, which causes the person to eat less.

Consequently, the intragastric balloon aids in the weight loss process.
 

How does the intragastric balloon work?

The intragastric balloon works by reducing the gastric capacity by up to 50% and making the passage of food more difficult, which slows down digestion a bit.

This sends a satiety signal to the brain, causing the patient to feel less hungry or the urge to eat at inappropriate times. It also helps people who suffer from food compulsion.

Important: the placement of the gastric balloon is considered an auxiliary treatment, meaning that in addition to being temporary (it can remain in the stomach for six or twelve months, depending on the type of balloon), it should be accompanied by a routine of healthier habits and dietary reeducation.

The gastric balloon is considered a less invasive approach compared to others (such as bariatric surgery) because it does not require surgery for placement and does not cause any metabolic changes.

Moreover, its efficiency helps in the control of diseases associated with obesity, such as hypertension and diabetes.

 Intragastric balloon: discover what it is, how it works and much more

Is endoscopy required for the placement of the intragastric balloon?

Yes, endoscopy is performed as a preliminary examination to detect possible changes or abnormalities. If something is confirmed, treatment of the problem must be started before the balloon can be placed.

Is the placement of the intragastric balloon similar to an endoscopy exam?

Yes, the placement of the balloon can be compared to an endoscopy exam, as the intragastric balloon, still deflated, is inserted through the mouth, passing through the esophagus until it reaches the stomach.

To guide the way, an endoscope is used. The tube has a camera and light, which allow the doctor to watch the procedure simultaneously.

After the balloon’s time in the body, the doctor deflates and removes the gastric balloon. It is essential to respect the maximum period; otherwise, there is a risk of perforation due to deterioration of the material.
 

Indications and contraindications

 

Indications

Patients considered super obese and with diseases that prevent the performance of bariatric surgery (high blood pressure, sleep apnea, and diabetes);
Patients who do not wish to undergo surgery or who do not have an indication for bariatric surgery.

Contraindications

Patients with psychiatric disorders;
Patients who use anticoagulants, anti-inflammatories, excessive alcohol, or drugs;
Patients who have already undergone gastric or intestinal resection surgery;
Patients suffering from hiatal hernia, potentially hemorrhagic lesions, reflux esophagitis, stenosis, or esophageal diverticulum;
Patients with inflammatory bowel disease.
 

Learn more about the EndoBlog and get more information about the intragastric balloon

The EndoBlog is a portal created by Endoscopia Terapêutica aimed at providing truthful and highly relevant information to the population. By following the site, you have free access to content about digestive system health, main exams for disease detection, and tips for prevention and well-being.

Browse the EndoBlog to discover all the materials about health and intragastric balloon, esophageal varices elastic ligation and much more

Also read: Endoscopic treatment of stomach varices | Upper Digestive Endoscopy | Achalasia

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Residência em Endoscopia Digestiva no Hospital das Clínicas da USP (HCFMUSP)
Residência em Gastroenterologia no Hospital Universitário da UFSC
Presidente da SOBED / SC na gestão 2018-2020
Médico da clínica Endogastro em Florianópolis e ProGastro em Joinville


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