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General Information

Gastric Banding is a surgical procedure that can be performed by miniinvasive (Video) surgery. LAGB is a surgical procedure that limits the speed of food intake by creating a bottleneck barrier in the upper part of the stomach. The food stays in the upper pouch before it gradually passes through to the larger part of the stomach. As the upper stomach pouch is filled, the patient has a feeling of satiety after eating only a small amount of food.

The soft silicone band is placed around the top portion of the stomach. The gastric band restricts stomach capacity and reduces the quantity of food that can be eaten per meal. This means that you feel full after eating a smaller portion of food than normal and consequently you will stop eating and loose weight. The gastric band is fully adjustable without further surgery: it can be loosened if weight loss occurs too fast, or tightened if weight loss is too slow. Contrary to other irreversible surgeries applied in cases of serious obesity, the gastric band may be removed at any time, leaving no traces on the stomach.

 

Typical Patient for the Endoscopic Intragastric Baloon Implantation

Patient with BMI 30-70
Patient who
• Does not accept a surgical procedure
• Wants a temporary (6 months max.) treatment
• Is well-motivated (accepts diet and psychological criteria)
• Is no sweet eater
• Is no binge (volume) eater
• Is no stress eater
• Accepts after-care program
• Accepts a temporary implant in the stomach
• Has no heartburn
• Has no poorly-stabilized diabetes type ii

How is the balloon inserted into the stomach?

The unfilled gastric balloon is inserted into the stomach through the mouth and oesophagus with the aid of an endoscopic camera. The physician will advise you whether the procedure should be conducted under local or general anaesthesia. Using a fluid supply tube, the gastric balloon is then filled and the tube removed. The insertion of the gastric balloon takes between 20 to 30 minutes. You will be able to return home after an appropriate period of recovery.

How long will the gastric balloon remain in the stomach?

A maximum of six months. The physician ultimately determines on the basis of your weight loss how soon the balloon can be removed.

How is the gastric balloon removed from the stomach?

An endoscopic camera is once again introduced into the stomach through the oesophagus. The gastric balloon is then punctured, deflated, grasped with forceps and removed.

What side effects might be associated with gastric balloon insertion?

The most likely complaints are vomiting and nausea, which may occur during the early stages. Please consult your treating physician about any risks involved

After Implantation

After surgery, the patient must follow special diets and vitamin intake to lose weight in a controlled manner.

Sport and physical activity

• Three weeks after operation
• 3 hours of physical activity per week / But under sport medical supervision and medical advice.

Endoscopic Intragastric Balloon - Facts

• No operation: implantation of a balloon
• Duration of therapy: 30 minutes
• Mandatory removal of balloon after 6 months
• Anaesthesia: only analgosedation
• Hospitalisation: 2-3 days

Advantages

• The patient feels satiety
• The patient loses more weight on average than with other diet programmes
• The patient is supported by a team of medical experts
• The patient learns how to sustain weight loss
• The patient appreciates the advantages of a non-surgical and non-pharmacological approach

Disadvantages

• The procedure is only for 6 months
• Some patient do not tolerate restrictive procedures
• Nausea and vomiting, especially in the beginning
• Strict diet and exercise programe
• Low cost/effectiveness ratio

How much weight will I lose?

You can lose between 15 and 25 kg. Essentially, weight loss depends on your discipline and the extent to which you adhere to the diet.

Supplementation after EIB:

• Multivit+ minerals: 1 tab. per Day
• Biotin, Selenium, Vitamin B9 (B11), Zink: In case of hair problems

Sport and physical activity

• Three weeks after operation
• 3 hours of physical activity per week / but under sport medical supervision and medical advice.