Treating Mild Obesity with Medical Support
Lifestyle changes such as healthy eating and regular physical activity are the first steps in treating mild obesity (BMI up to 35). However, maintaining long-term weight loss is often difficult without medical intervention. This is where the gastric balloon becomes an effective, minimally invasive solution.
What Is a Gastric Balloon?
The gastric balloon is a non-surgical, temporary weight loss solution placed inside the stomach to reduce food intake. It is recommended for individuals with a BMI between 28 and 35 kg/m2, who wish to lose up to 15% of their body weight.
Who Are the Ideal Candidates?
- Patients with mild obesity (BMI 28–35): Can expect approximately 10–15% weight loss.
- Patients with morbid obesity (BMI over 50): The gastric balloon can serve as a preparatory step before procedures such as sleeve gastrectomy or gastric bypass.
Contraindications for Gastric Balloon Placement
Absolute Contraindications:
- Previous stomach surgeries
- Severe liver disease
- Pregnancy or planned pregnancy
- Coagulation disorders or active upper GI bleeding
Relative Contraindications:
- Hiatal hernia
- Inflammatory bowel diseases (e.g., ulcerative colitis, Crohn’s disease)
- Chronic use of NSAIDs
Types of Gastric Balloons
Different types of gastric balloons are available, tailored to individual needs. Ideal characteristics include:
- High efficiency and safety
- Radiopaque markers for imaging and monitoring
- Low risk of ulcers or obstructions
- Adjustable volume (typically 400–500 ml)
How Is the Gastric Balloon Inserted?
Placement is done endoscopically under sedation, in a safe and quick outpatient procedure:
- An endoscope is used to inspect the stomach and confirm there are no contraindications.
- The balloon is positioned and filled with sterile saline solution.
- The patient is observed for an hour post-procedure before being discharged.
Recovery and Side Effects
Mild nausea and abdominal discomfort are common in the first few days. These symptoms are typically managed with proton pump inhibitors and antiemetics.
Post-Procedure Diet Plan
A structured diet significantly improves the results of this method:
- Phase 1 (Days 1–3): Clear liquid diet – protein shakes, broths, compote
- Phase 2 (Weeks 1–2): Pureed and semi-liquid foods
- Phase 3: Gradual reintroduction of solid foods, avoiding gas-producing ingredients like beans, peas, and fresh fruits in large amounts
Ongoing Medical Supervision
Every phase of treatment must be guided by medical professionals and based on evidence-based recommendations. Regular follow-up visits are essential for long-term success.
