GASTRIC BALLOON - Types, Effectiveness, and Choosing the Right One


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Gastric Balloon: Types, Effectiveness, and Choosing the Right One

  • If you're struggling with weight loss and looking for a non-surgical solution, a gastric balloon might be an option for you. This blog will break down everything you need to know about gastric balloons, including the Allurion Balloon, Endoscopic Balloon, and Adjustable Balloon, their effectiveness, and how to choose the best one for your needs.
What Is a Gastric Balloon?
  • A gastric balloon is a non-surgical, weight loss procedure where a soft silicone balloon is placed in your stomach to take up space. This helps you feel full faster, eat smaller portions, and lose weight over 5 to 12 months.
  • Unlike weight loss surgery, gastric balloons are removable, require no incisions, and are ideal for people who need a less invasive weight loss solution.
Are Gastric Balloons Effective?
  • Yes! Studies show that gastric balloons can help patients lose 15-25% of their total body weight within 6 months when combined with diet and exercise. It is however, important to maintain lifestyle changes after the balloon is removed.


What Are the Different Types of Gastric Balloons?
  • There are several types of gastric balloons, but the three most common are:
1. Allurion Balloon (Swallowable 4-5 Month Balloon)


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How it works: The Allurion Balloon is the only gastric balloon that doesn’t require any sedation or endoscopy or surgery.

You swallow a capsule containing the balloon, which is then filled with sterile water via a thin tube running from your mouth.

After about 4-5 months, it naturally deflates, the water is absorbed and the soft shriveled balloon passes through your digestive system as waste

  • BMI Requirement: Typically for people with a BMI of above 26
  • Pros: No anesthesia or endoscopy needed, quick procedure.
  • Cons: May cause mild to moderate nausea, stomach cramps in the first few days post procedure


2. Endoscopic Gastric Balloon (Traditional 6 Month Balloon)


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  • How it works: Placed via endoscopy (a tube down the throat) under mild sedation. The balloon is filled with saline and stays in the stomach for 6 months before removal (another endoscopy is needed).
  • BMI Requirement: Usually for BMI of above 26
  • Pros: Longer duration than the Allurion Balloon, proven effectiveness.
  • Cons: Requires sedation, may cause mild to moderate nausea, cramps initially.


3. Adjustable Gastric Balloon (Spatz3 12 Month Balloon)


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  • How it works: Similar to the endoscopic balloon but can be adjusted in size. If weight loss slows, a doctor can inflate it more to increase restriction. Lasts up to 12 months.
  • BMI Requirement: Best for BMI above 26, especially if more weight loss is needed.
  • Pros: Adjustable for better results, longer duration.
  • Cons: Requires endoscopy for placement and adjustment.


Which Gastric Balloon Should I Choose?
  • Picking the right gastric balloon depends on several key factors, including your health profile, weight loss goals, and personal preferences. Here’s a deeper breakdown to help you decide:
  • 1. Procedure Preference
    • Allurion: If you avoid invasive procedures, this is your best option—no sedation, no endoscopy.
    • Endoscopic/Adjustable Balloons: Require a brief endoscopy (about 20 minutes) under mild sedation. Some patients prefer this because the balloon is placed precisely, reducing initial nausea.
    2. Duration & Commitment
    • 5months: Allurion is the simplest, least invasive & a rapid solution with lifestyle changes.
    • 6 months: Traditional endoscopic balloons offer more time to adapt to healthier eating habits.
    • 12 months: The adjustable balloon is ideal for those who need extended support or have more weight to lose.
    4. Weight Loss Goals
    • Moderate weight loss (~15% body weight): Allurion or a standard endoscopic balloon may suffice.
    • Significant or sustained weight loss: The adjustable balloon is superior because doctors can increase its volume if weight loss slows, offering better long-term results.
    • Key Takeaway: There’s no "best" balloon for everyone—only the best one for you. A doctor’s evaluation is crucial to assess your stomach anatomy, medical history, and weight loss expectations before deciding.


    FAQs
    What Is the Difference Between a Gastric Balloon and Allurion Balloon?
    • Gastric Balloon or Endoballoon (Traditional): Placed via endoscopy, lasts 6 months, requires a removal procedure.
    • Allurion Balloon: No endoscopy—swallowable and naturally passes after ~ 5 months. Less medical intervention, least invasive, no sedation.
    How Painful Is a Gastric Balloon?
    • First 3-5 Days: Most patients report cramping, nausea, and vomiting as the stomach adjusts. Doctors prescribe anti-nausea & other meds to help.
    • After Adjustment Period: Discomfort fades. Some patients experience mild heartburn or bloating, especially after overeating.
    Are Gastric Balloons Safe?
    • Generally yes, but risks include:
    • Balloon deflation (rare, but can cause blockage if it migrates).
    • Acid reflux (managed with medication).
    • Ulcers (if the balloon rubs against the stomach lining—rare with proper placement).
    • Safety Tip: Choose a board-certified doctor to reduce risks.
    Can I Get Pregnant with a Gastric Balloon?
    • Not recommended. The balloon restricts nutrition, and pregnancy requires increased calorie/nutrient intake as well as anatomical space. Doctors advise waiting until after removal or natural passage
    Gastric Balloon Side Effects
    • Common (First Week): Mild to moderate Nausea, vomiting, stomach cramps.
    • Ongoing (Manageable): Heartburn, bloating, occasional indigestion.
    • Rare but Serious: Bowel obstruction (if balloon deflates prematurely).
    • Final Note: Side effects are temporary and improve as your body adapts. Staying hydrated and following a soft-food diet, activity & psychological guidance helps.


    Final Thoughts
    • Gastric balloons are a great non-surgical weight loss tool, but success depends on commitment to diet and exercise. The Allurion, Endoscopic, and Adjustable Balloons each have pros and cons—your choice should align with your comfort with invasiveness, lifestyle changes and weight loss goals.
    • Interested in a gastric balloon? Consult a specialist to find the best option for you.

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