Endoscopic Balloon Insertion or, Gastric balloon insertion or, BioEnterics Intragastric Balloon (BIB – System) is the procedure that involves endoscopy-guided insertion of a special balloon into patient’s stomach that is filled with saline. The balloon is made of silicone to aid weight loss over a 6-month period.
Ideal candidates for Endoscopic Balloon Insertion
- Overweight (BMI of 27 kg/m2 or greater) or obese (BMI 30 kg/m2 or greater) persons
- Can be pre-operative preparation in the treatment of morbid obesity
Who should avoid
- Persons with previous gastric surgery
- Persons with a very large hiatus hernia
A gastroscope is inserted through the mouth into the stomach of the patient. With the help of this gastroscope, a balloon is placed into the stomach and is then filled with 500-700 ml of fluid (saline) and a blue dye. The procedure is performed under anesthesia and takes about 15-20 minutes.Most of the patients may go to home within few hours after the procedure.
- The maximum duration for balloon to remain in stomach is 12 -18 months
- Patient should take liquid food during the first few days
- This should be followed by 5-6 small meals a day
- Sweets, fatty and spicy foods and alcohol should be avoided
- Proper and regular follow up with physician and dietician is required
- Patient should not consume high-calorie food otherwise patients may gain weight
How is the gastric balloon removed?
The balloon is removed after deflating it at the end of the 6-month with the help of a gastroscope.
Benefits of the procedure:
- Reduced the stomach capacity
- Slowed rate of stomach emptying
- Sensation of stomach fullness even after small meals
- All these will eventually result in weight loss