There's no need to stay at hospital after implantation.
After 2-3 hours, patient can return home or hotel. First doctor consultation, balloon application, first doctor appointment, bariatric dietitian follow up (skype/ facetime/ whatsapp/mail) and balloon removal is in cost.
The balloon can stay maximum 6 months, after 6 months the removal cost in 16.600 TL.
Due to health conditions Patient may stay in İstanbul 1-2 days.
Gastric balloon is an increasingly popular practice in recent years. The most important advantage of this application is that it can be performed endoscopically without requiring general anesthesia. Internal volume of gastric balloon is resistant to inflation with 400-700 cc liquid or air. Thus, since stomach volume decrease, intake of excess food is prevented.
Estimated application time is 10-20 minute. The patient does not need to stay in the hospital, after the procedure the patient can be discharged with 3-4 hours of surveillance and intravenous serum application.
After application, especially in first 48 hours, nausea, vomiting and cramp-like pain can be observed. Medical treatment is applied to relieve such disturbances. These complaints are temporary and approximately after 1 week, the patient will be quite relieved.
The application of gastric balloon is a non-surgical treatment. It is an especially suitable for patients who do not consider surgical treatment but can not lose enough weight with diet and exercise. This application is limited in terms of time. The duration of the gastric balloon to stay at stomach is max. 180 days (6 months). After this time, gastric balloon has to be removed. The removal is done endoscopically and patient can return to normal activation after 2 hourseved.
During this time, patients may lose 30-45 percent of their excess weight. Success in losing weight is closely related to patient harmony. After the application, calorie restriction for the patients is recommended (1000-2000 kcal/day). This restriction can be applied easily, because much food intake can not be possible depending on application.
If it is desired that the gastric balloon is to remain longer than 180 days, it should be placed in the stomach by necessarily changing with a new one. Those who consider this application need to aim to changing their eating habits within 6 months.
Complication depending on gastric balloon application is very rare. In literature, balloon rejection and very rare balloon puncture have been reported in some patients. In such case, balloon must be removed endoscopically.
Gastric balloon is an easy to apply method that can be recommended for obese patients who do not consider surgical treatment and who hesitate for such surgical procedures. However, patients must strive to change their eating habits in order to ensure long-term weight loss with this method.
Who can be applied gastric balloon?
• 18-65 years (Under the age of 18 and over 65 applications can be done by experienced centers)
• Body Mass Index (BMI) bigger than 30 kg / m2 or BMI 27-30 kg / m2 with accompanying diseases (Hypertension, ischemic heart disease, type 2 diabetes, sleep apnea, joint disorders)
• Highly morbid obese patients at high risk for obesity surgery (BMI bigger than 50 kg / m2)
• Before the obesity surgery (tube stomach or gastric bypass) in order to prepare the operation
Who can not be applied gastric balloon?
• Stomach ulcer (active-hemorrhagic)
• Wound presence in esophagus (Grade III-IV)
• Large hiatal hernia (greater than 5 cm)
• Esophagus and stomach anomaly
• Aspirin and blood thinner usage (should be stopped at least 1 week before application)
The gastric balloon application procedure
All patients are required to stay hungry 6 hours before application and medication relief is provided intravenously for patients before the application. It is very important to apply gastric balloon in hospital condition and with the anesthesiologist. EKG, O2 saturation and blood pressure should be followed-up by monitoring all patients.
Before placement of gastric balloon, esophagus and stomach structure is evaluated by doing gastroscopy. If there is no obstacle for practice, by lubricating with a jelly gastric balloon is pushed from esophagus to stomach. By drawing the vacuum system on the inflated balloon, the balloon is released in the stomach and the process is completed. Approximately time for the gastric balloon application is 10-20 min. after the application the patient is taken to the room and monitored for 3-4 hours by applying serum and medicine intravenously then can be discharged.
Sedation Anesthesia of Gastric Balloon Application
The patient must be comfortable and fit in order to perform this procedure. This group of patients generally has high levels of anxiety, anxious about how to end the procedure and during the procedure they are in a nervous mood due to the thought that if they may feel venture or not. A type of sleep called sedation is ideal anesthesia for this intervention. The quality of the sedation-anesthesia application during this short intervention not only makes the procedure more convenient but also allows the procedure to finish without patient being aware of anything. Before the process, the patient should be hungry for 6 hours.
The entire process is performed in the hospital-equipped endoscopy unit under the most secure conditions. During the procedure, the patient is in a deep sleep and feels almost nothing. In our case experience of over 700, when the patients were asked if they remember anything after application and removal, they stated that they did not. The entire application period is 10-20 min on average.
Patients are discharged with suggestions after being observed for 3-4 hours at hospital. Removal of the gastric balloon is also performed by sedation-anesthesia in the same way. After the balloon is removed, the patients are discharged after being kept under surveillance for 1 hour.
In such applications sedation-anesthesia is a very ideal and safe method. However, be aware that such drowsiness procedures should not be performed without an anesthesiologist and a fully equipped endoscopy unit environment because the sudden distribution of medicines that provide anesthesia and drowsiness in obese people varies due to their fat mass ratios being high. In order to keep safety of patient at the highest level, rules should be followed carefully.