What Is a Swallowable Gastric Balloon?

When looking to lose weight, individuals explore treatment options that range from surgical to non-surgical. One such non-surgical procedure is the swallowable gastric balloon. Many people researching weight-loss methods wonder: “What exactly is a swallowable gastric balloon, and is it the right option?” They may also be concerned about the permanence and effectiveness of different techniques.

The swallowable gastric balloon procedure involves swallowing a capsule with water. Once the capsule has reached your stomach, it is inflated, reducing the stomach’s available capacity. This technique has been used for years to help patients lose weight. Like any other weight-loss method, however, success largely depends on the patient’s commitment to healthy eating and regular exercise. Additionally, choosing a skilled doctor is vital for both safety and good results.

Differences Between the Swallowable Gastric Balloon and the Traditional Gastric Balloon

Although both techniques share the same core concept—placing a balloon in the stomach to reduce food intake—they differ in several ways:

1. Use of Anesthesia
   • Swallowable Balloon: No anesthesia is required; the patient remains fully conscious.
   • Traditional Balloon: Typically done under anesthesia or sedation.
2. Insertion Method
   • Swallowable Balloon: Initially provided in capsule form. The patient swallows the capsule, which is then inflated via a thin external tube.
   • Traditional Balloon: Inserted endoscopically through a catheter tube. After inflation, the tube is removed.
3. Duration in the Stomach
   • Swallowable Balloon: Remains in the stomach for around 4 months.
   • Traditional Balloon: Usually stays in place for 6–12 months.
4. Removal Process
   • Swallowable Balloon: Passes naturally through the digestive tract.
   • Traditional Balloon: Removed via endoscopy.

Advantages of the Swallowable Gastric Balloon

The swallowable gastric balloon offers several benefits during and after the procedure:

• No Surgery, No Anesthesia
  Because it doesn’t require incisions or sedation, the procedure is minimally invasive and low risk.
• Simplicity and Comfort
  Patients typically describe the process as quick and relatively easy, as they simply swallow a capsule and have it inflated.
• Lifestyle Flexibility
  There is no hospital admission or surgical downtime, allowing patients to return to daily activities rapidly.
• Broad Eligibility
  It can benefit those who do not qualify as severely obese. Often, a BMI (Body Mass Index) of 27–35 is sufficient to consider this option.
• Not Permanent
  Since the balloon self-deflates and exits the body naturally after about four months, no endoscopic removal is required.

It’s important to note that diet and exercise remain essential for achieving and maintaining weight loss. Long-term success requires adopting healthier eating habits and physical activity.

Who Is Eligible for a Swallowable Gastric Balloon?

Also called the Elipse Balloon, this method is generally recommended for:

1. BMI Over 27
   Patients with a BMI between 27 and 35 can benefit.
2. Patients with Related Conditions
   Conditions such as high blood pressure or type 2 diabetes, which may improve with moderate weight loss.
3. Age Range
   Typically recommended for individuals aged 18 to 65.

Who Is Not Eligible?

• Pregnancy or Breastfeeding
  The balloon is not advisable during these periods. After a C-section, patients should generally wait at least one year before considering the procedure.
• Cancer Patients
  Individuals currently undergoing cancer treatment usually are not suitable for a gastric balloon.
• Swallowing Difficulties
  The procedure is not advised if the patient has a medical condition that impedes swallowing.

How Is the Swallowable Gastric Balloon Placed?

The entire process takes approximately 20 minutes:

1. The patient swallows the balloon, initially encased in a capsule, with water.
2. Once the capsule reaches the stomach, a small external tube is used to inflate the balloon with about 550 ml of liquid.
3. An X-ray (or similar imaging) confirms the balloon’s correct placement.

Potential Risks and Side Effects

Reviews indicate that the swallowable gastric balloon can cause temporary side effects, such as:

• Nausea, Stomach Cramps, Vomiting
  Especially in the first few days.
• Gastrointestinal Issues
  Reflux, ulcer, or gastritis could occur, though medications can mitigate these risks.

As no incision is made, there is no direct risk of bleeding or infection. However, weight regain after the balloon passes out of the body is possible if a patient does not maintain a healthy diet and exercise routine.

Post-Procedure Nutrition: Recommended Diet

A carefully managed diet is crucial for maximizing weight loss. Generally:

1. First Week: Liquid Diet
   • Clear liquids, broths, diluted fruit juices, or mild teas.
   • Consume small sips to avoid stomach discomfort.
2. Second Week: Pureed (Soft) Foods
   • Use a blender for soft vegetables, lean meats, fruit purées, yogurts, etc.
3. After Two Weeks: Transition to Solid Foods
   • Introduce solids carefully to avoid nausea or pain.
   • Keep portions small and stop eating at the earliest sign of fullness.

Important Tips:

• Separate liquids and solids (avoid drinking while eating).
• Chew thoroughly and eat slowly.
• Limit high-fat, spicy foods and reduce excessive caffeine or tea intake.
• Avoid eating within 2–3 hours of bedtime.

Step-by-Step Summary of the Swallowable Balloon Process

1. Swallow the Capsule with water.
2. Inflate it via an attached tube.
3. X-ray checks placement in the stomach.
4. The balloon remains for ~4 months.
5. It self-deflates and passes out naturally.

Cost of the Swallowable Gastric Balloon in 2024

Costs can vary based on:

• Surgeon and Clinic
  Each specialist or facility may have different fees.
• Additional Services
  Nutritional guidance, follow-ups, and medication can affect pricing.

While cost matters, the experience of your doctor and the clinic’s facilities play a vital role in patient safety and overall satisfaction.