The Gastric Balloon procedure, which can not be mentioned as an alternative to obesity surgery, does not heal morbid obesity. This process, in which surgery is not a neccessity, should not be confused with the “stomach reduction” method.
For the treatment of “morbid obesity“, while preparing for the surgery, weight can easily be lost thanks to the Gastric Balloon method. On the other hand, this procedure is used as a supportive method for patients who are considered as ‘over weight’ but who are not suitable for surgery by the doctors.
In order to reduce nutrition, the water-filled rubber pillow placed in the stomach by the cutless method is roughly the size of the tight hand of an adult person.
What is this ‘Balloon’?
For those who want to lose weight, balloon application in the stomach is a non-surgical method. The patient does’nt have to stay in the hopspital after the procedure. After a brief procedure (15 minutes), patients can return to their routine life. The Gastric Balloon is applied with 1 year use period, with a quick feeling of fullness, it makes the portions smaller and prevents high energy received at the beginning.
Is the Gastric Balloon functional?
A limited amount of weight is lost with Gastric Balloon method that should be removed after a year. On the other hand, some patients want to get rid of the balloon prematurely with complaints of swelling in the lumbar region, pain and sore.
What is the function of the ellipse shaped Gastric Balloon?
In another way of slimming method, which differs from the previous ones, the patient swallows a capsule, and this capsule soon swells in the stomach and gives the patients saturation. The Gastric Balloon used in this most effective non-surgical intervention is called Obalon.
‘Gastric Balloon’ in practice
The ‘Gastric Balloon’ implantation, in which the internal structure of the stomach is primarily examined, does not require surgery. During the procedure performed without an incision, the patient feels nothing thanks to complete loss of sensation.
If there are no anatomical constraints after the examination, a pillow is placed in the stomach with the help of an “optical device” than it gains volume like a balloon thanks to air or liquid.
There are more than one balloon models and these models differ according to the time that the balloon will be in the stomach and the dose of the liquid to be injected.
Op Dr. Ersoy Taşpınar, the specialist who implements the procedure will give information about all processes. It is important not to eat in the 12-hour period before the procedure and not to drink fluids up to 6 hours. This rule is very important to prevent nausea after the balloon is inflated. It is an average of 15-20 minutes process.
There is 1 to 2 hours of follow-up after the procedure, after which the patient can be discharged. In this case, however, driving is prohibited because the anesthetic effect may not have passed yet. It is possible to lose weight in a short time thanks to this procedure (Gastric Balloon), but surgical methods are of course more effective.
How long will this balloon stay in my body?
Some models of the “Gastric Balloon” (which designed to stay in your stomach for 180 days), can stay in your body without removing it for up to 365 days. After these periods are completed, the balloon can be deflated and easily removed from the stomach by endoscopy.
What is my target weight with the balloon?
By the help of “Gastric Balloon”, how much weight you can lose is entirely up to you. Its average was recorded as 10-25 kilograms. The weight to be lost depends on how many kilos you have at the beginning of the treatment, your nutrition program and your determination to continue the
Obesity, which is described as the disease of the century and creates many problems in the psychiatric-physiological sense, is a phenomenon in which the governments and medical circles seek solutions.
The number of people suffering from excessive weight gain is rapidly increasing due to rapid-nutritional use, resistance to diabetes, insulin resistance, lack of exercise and unbalanced food consumption. Individuals living with these troubles try many different diets, but both by the pharmacological causes and the difficulty of sugar control, make it difficult to lose weight and efforts often result with disappointment.
The main purpose of getting rid of obesity is to maintain a healthy life because excess weight can damage the cells in the tissues after a while and cause cancer or cause problems in multiple organs. In real life, people who cannot reach their desired weight although they did sportive exercises or tried healthy eating efforts often experience surgical operation concerns.
This anxiety causes eating disorders and unfortunately the process goes to an inextricable situation resulting in gaining more weight. Along with the positive developments in the medical world, the “Gastric Balloon” method is used to save obesity patients in order to lose weight quickly.
Offering the keys of a new and healthy life to obesity patients with this method in Bursa, thanks to the practices performed by Op. Dr. Ersoy Taşpınar without surgical intervention, hope is instilled to many patients. This article has been prepared in order to inform the readers about the Gastric Balloon, to inform about the procedures (implantation process, who can use them, risks), and to explain important details.
The surgical method known as switch or duodenal switch is a surgical operation that combines both sleeve gastrectomy and gastric bypass characteristics.
The process is performed in two steps. First, a sleeve gastrectomy is performed in which approximately 80% of the stomach is removed and the rest is formed into a thin tube.
As a result, the stomach with a volume of 1.5-2 L takes the form of a thin and long tube with a volume of about 120 ml. This part of the surgery is an irreversible surgical procedure.
The small intestine (duodenum), which is normally attached to the stomach, is then separated to form a bypass and two separate pathways and a common canal are formed.
The consumed food is normally directed from the tube-shaped stomach after sleeve gastrectomy to the beginning of the small intestine, but is directed to the lower part of the small intestine and from there to the colon.
This sleeve is the short portion of the small intestine that is separated after gastrectomy.
The other path of the longer part of the small intestine is the part where bile and other digestive enzymes mix with food and lead to absorption, the length of which is reduced to 250 cm. As a result, because the stomach volume is too small, the patient gets a sense of satiety by eating less and because the nutrients are absorbed less as the pathways of the small intestine are reduced, the amount of calories left in the body becomes less.
This method, which is generally used in diabetic patients with a high body mass index, can be performed in a single operation, but it can be applied gradually. In the first stage, a different operation can be performed for bypass 6-18 months after sleeve gastrectomy.
With this method, patients can lose 70-100% of their excess weight.
What is Duedonal Switch?
At the exit of the stomach is a muscle system called pylorus. The pylor has the function of a valve which allows the food contained in the stomach to be controlled to pass into the duodenum, ie the duodenum.
The pyloric muscle also prevents ingestion of the digestive fluids from the bile duct and pancreatic duct opening into the duodenum.
In biliopancreatic diversion (BPD) surgery, pyloric muscle is taken along with the last part of the stomach.
Due to the absence of pyloric muscle, dumping syndrome is frequently seen and severe.
In addition, ulcer development in anastomosis is more common in the absence of pyloric muscle.
Duodenal Switch is another type of Biliopancreatic Diversion (BPD) operation where the stomach is reduced to protect the pyloric muscle and the small intestine is connected to the duodenum two cm. after the stomach and pylorus.
These two are called Biliopancreatic Diversion-Duodenal Switch (BPD / DS).
Why choose Duodenal Switch?
Statistically it is the most comprehensive weight loss method in surgical interventions.
Optimal method for diabetes, high blood pressure, high cholesterol and high triglyceride. The most effective solution for high-calorie-fed patients.
Does not cause indigestion because the “pyrolic valve in of the stomach is preserved This method reduces appetite and the feeling of hunger because of the removal of the stomach that produces GHRELIN (starvation hormone).
This method causes more loss of weight compared to clap or Gastric Bypass methods.
The Duodenal Switch procedure (also known as vertical gastrectomy, biliopancreatic deception, DS and BPS-DS) limits the amount of food consumed (vertical gastrectomy reduces the size of the stomach) and reduces the amount of calories entering the body. (duodenal valve) Duodenal Switch surgery causes more weight loss than it directly affects metabolism and is a more effective method for the treatment of diabetes, hypertension and high cholesterol diseases.
Since it is an application that reduces fat absorption, it is a specially developed method for patients who eat fatty foods.
How is Duodenal Switch Surgery performed?
The first stage of the surgery is to remove 85% of the stomach, such as sleeve gastrectomy or tube stomach surgery, and turn the stomach into a thin tube.
This section has the effect of restricting food intake. In the second stage, the intestine is separated by a few cm ahead of the annular muscle layer called the pylor, and a little behind the spill of the bile-pancreatic fluid.
Gastric outlet from the small intestine-large intestine junction with the small intestine at a distance of 250 cm backward mouth.
That is, the length of the bowel, where bile and other digestive enzymes are mixed with food and leads to absorption, is reduced to 250 cm.
This procedure reduces the absorption of calories and fats in foods by a rate that is higher than that of gastric bypass.
Surgical Methods Used in Duodenal Switch Surgery:
1) Robotic Surgery (Robot Assisted Minimally Invasive Surgery):
2) Open Surgery:
Open duodenal switch surgery is performed through a large incision in the abdomen of the patient.
The size of the incision prolongs postoperative recovery time.
The biggest advantage of open surgery is that the surgeon performs the operation by feeling the tissues.
3) Laparoscopic Surgery (Minimally Invasive Surgery):
As in the robotic duodenal switch surgery, the operation is performed through small incisions in the abdomen of the patient. The surgeon at the patient’s head performs the operation with long, flat laparoscopic instruments accompanied by a 2-D image provided by a camera called a laparoscope.
Bariatric Surgery Team of MEDICANA comprehends how important it is for you to decide an obesity surgery.
We are so decisive in to use our knowledge and act very carefully at all stages of the surgery and to help you with an ultimate attention in all issues that will change many aspects of your life.
Some of our team members had undergone obesity surgery and therefore, we know somewhat more details about the facts of life after the obesity surgery. Obesity surgery is the first part of a long process and it is also the key of success after the treatment. Our support is a part of your journey that will create a real difference for your target.
Bariatric Surgery Team of MEDICANA considered patient feedbacks, while post-slimming care program was planned and thus, we developed a patient-guided program. Our program will facilitate the changes in your life style and eating habits that you will be need to gain maximum benefit from your operation. We get menus planned by your dietician and meet our patients in Sunday breakfasts, hiking, outdoor sportive activities under guidance of our sportive consultants; we will always with our patients in seminars that address what you should consider while living you’re your new body after the operation. Our surgeon, dietician and psychologist will be available in all meetings and you will have the opportunity to ask any question in your mind. Patients who want to attend will a chance to meet the same team and other patients, who were operated on, in a WhatsApp Group.
If you think about undergoing obesity surgery and seek more information before scheduling an appointment, you should contact our obesity contact person.
Compliance to your diet plan to lose weight may be a stressful situation for you, your spouse or your family. Please call our obesity surgery team, if you face difficulty in coping with this stress. Moreover, you may talk with your family, friends or our psychologist.
BMI or Body Mass Index is calculated to evaluate your body fat using your height and weight. The Body Mass Index, also called Quetelet Index, was developed by a Belgium statistician Adolphe Quetelet in 1800s. Quetelet had developed this simple measure to classify people by optimal body weight relative to the height.
Body mass index can be calculated using metric numbers. It is calculated by dividing your body weight by the square of your height. It is expressed as kg/m2. This ensures universal use of BMI.
How is BMI calculated
BMI = Weight (kg) / Height (m) ²
If your height is 175 cm and weight is 75 kg, your BMI is calculated as follows:
75kg / (1.75m²) = 24.49kg / m²
What does your BMI score mean?
BMI score is commented by using standard weight status categories. These categories are same for and apply to all adults, including men and women as well as all body types; they are also age-independent.
BMI weight categories
<18.5 – Low body weight 18.5 - 24.9 – Optimal or Healthy Body Weight 25.0 - 29.9 - Overweight 30.0 -34,9- Class I Obesity 35-39,9- Class II obesity 40 and above- Class III (morbid) obesity
- Comparing to being morbid obese, this surgery helps weight loss and thus, you can eliminate the risk of a health hazard.
- Obesity is associated with certain diseases;
(diabetes mellitus, hypertension, heart diseases, risk of stroke, shortened expected life span, lumbar hernia, arthrosis, irregular menstrual cycles, sleep apnea syndrome, gall bladder stone, high blood cholesterol, fatty changes of liver and colorectal, ovarian and breast cancers) risks of these conditions decrease substantially after the surgery. If a patient already has one of these conditions, they may have a chance to get rid of these diseases at a certain rate.
- Decreased food consumption will lead to decrease in calorie intake and resultant weight loss.
Obesity surgery does not only make you appear and feel better, but it will also enable you live a healthier life.
- Weight loss will improve your physical aspects and life style that were impaired by being overweight.
- If you had failed in many diet and exercise programs, bariatric surgery is the most effective and the only method that leads to weight loss in the long term with the correct care and support program that will possibly help how you will work and change your eating habits and life style.
- Energy levels will increase and it will facilitate mobility and boost your quality of life.