Intragastric Balloon for Overweight and Obesity


MULTIDISCIPLINARY APPROACH- BARIATRIC TEAM

The insertion of balloon does not require surgery. You will be supported by a multidisciplinary team that includes a bariatric surgeon, a gastroenterologist, a dietician and an anaesthesiologist.

Doctor consultation helps in

  1. Assessment
  2. Guidance
  3. Discussion about various procedures. You may ask any questions that you feel are necessary.
  4. The team confirms that intragastric balloon is a good option for you.

After this you may be advised investigations and consultations that are felt necessary for the assessment of your health condition.


IGB preprocedural Evaluation

  • Hemogram, RBS, HbA1C
  • Liver function test, Lipid Profile, Thyroid function test, Renal function test
  • S. Calcium, S. Magnesium
  • S. Cortisol, Blood Group
  • Hbs Ag, HIV I & II, Anti HCV, VDRL , Urine RE
  • C peptide fasting, C peptide 1 hr pp, Insulin fasting
  • GAD Antibodies , IA2 Antibodies (in diabetic patients)
  • ECG, X-Ray Chest PA, USG abdomen, Dexa Scan.

Consultations:- Anesthesia, Cardiology, Counseling, Diabetology, Dietician


THE PLACEMENT OF THE INTRAGASTRIC BALLOON

Your doctor does an endoscopy under mild anesthesia with a flexible tube equipped with a camera to see the inside of the stomach. If there is no local disease during endoscopy he sets up the intragastric balloon in the stomach. The gastric balloon consists of a silicon elastomer based material. It is soft and pliable. It is inserted uninflated through the mouth and down the esophagus. It is coated with a local anesthetic to facilitate the passage. Once the balloon is in the stomach, it is filled with a sterile saline solution colored in blue (BIB system) or air (Heliosphere system), through a catheter attached to the balloon. When a balloon is filled, the doctor gently pulls on the inner end of the catheter to remove it. The balloon has a self-sealing valve that prevents the leakage of liquid or air. The balloon floats freely in the stomach. The procedure time is about 20 minutes. You will be monitored in the hospital for a few hours before returning home (Generally overnight)


Medications

During the initial days of the insertion of the balloon, nausea, vomiting, abdominal pain, acid reflux are common. Your doctor would prescribe medications to minimize gastritis. Medicines for nutritional supplementation/ multi-vitamins may not be generally needed. You can contact the doctor during the following days. You have to have food as prescribed by the dietician. It is important to drink more water to avoid dehydration. Some patients take a light meal. A radiograph of abdomen or abdominal ultrasound is rarely indicated for persistent abdominal pain. Nutritional assessment is done after one month and three months. A consultation (in person or by phone) every month will be scheduled. The consultations help to assess the progress of weight loss.


Dietary Counseling

The first consultation is scheduled a week later. Nutritional and behavioral modification is the key to loose weight and keep it off after removal of the balloon. Your physical activity is evaluated and diet is adjusted to your body needs and profession. A psychological treatment may be necessary in case of eating disorders.


THE INTRAGASTRIC BALLOON WITHDRAWAL

Intra gastric balloon is removed when:

  • Weight loss is adequate.
  • 6-8 months time
  • Spontaneous rupture
  • Patient not tolerating

Removing the balloon is carried out after 6 months. The balloon is no longer effective because the stomach has adapted to it. The gastric secretions make it porous and then it can deflate. The gastric balloon is removed the same way it has been introduced - through the esophagus and mouth - without surgery. The removal is performed under mild general anesthesia under endoscopic control. The removal lasts around 15 minutes. The balloon is punctured and the fluid or air is removed and then the empty balloon is brought outside.


COMPLICATIONS:

No major complication.

Nausea and vomiting during the first week in 7.4 % which settles itself


Frequently Asked Questions

How much weight can I loose with gastric balloon?

The balloon is an effective aid for losing weight in combination with diet and eating behavior modification program. Dietary counseling is done monthly and sometimes more frequently if needed. The weight you lose will depend on your motivation and the quality of diet. The balloon is not an appetite suppressant. This an effective aid for the modification of habits and eating behavior. The weight loss is between 10 and 20 kg for 6 months when the balloon is in place. After its removal the weight maintenance and prevention of weight regain will depend on how you adapt long-term lifestyle changes in eating and exercise. It is therefore important to continue the diet plan after removal of balloon.


OUR RESULT:

Average weight loss:- 15 to 20 kg

  1. Diabetes, Hypertension, Dyslipidemia
    • Complete resolution: - 50%
    • Reduction of medicines: - 50%
  2. Rate of PCOD resolution with positive pregnancy is excellent
  3. Sleep apnea (Snoring) very good control
intragastric balloon



Contact Details


Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Minimally Invasive Surgery Institute Internationale (MISII)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity, Diabetes Surgery, Endoscopic Thyroid Surgery,
Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kerala, Kochi, India
KIMS Kochi, Pathadipalam, Edapally, Kerala, Kochi, India
Lakeshore Hospital, Maradu, Kerala, Kochi, India

Consultant Surgeon
Starcare Hospital, Mawaleh, Seeb, Muscat, Oman (+968 24557200)
Medeor 24x7 Hospital, Dubai (+971 4 350 0600)
Venniyil Medical Center, Sharjah (+0971 (6) 56 82258)

Mobile: +919447230370, +919846320370 (India)
Mobile: 00971567581025 (UAE)
Email: drrpadmakumar@gmail.com

Websites:
www.drrpadmakumar.com

Other Details


National President - Indian Hernia Society
GC Member, Association of Surgeons of India
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal