Gastric Balloon-Botox

Gastric Balloon-Botox

If you are 15-20 kg over the weight you should be, a gastric balloon may be a suitable option for you. The gastric balloon, also called intragastric balloon, is actually a weight loss treatment without the use of medication or invasive surgery.

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If you are 15-20 kg over the weight you should be, a gastric balloon may be a suitable option for you. The gastric balloon, also called intragastric balloon, is actually a weight loss treatment without the use of medication or invasive surgery.

WHAT IS A GASTRIC BALLOON?

A gastric balloon is a small silicone balloon filled with sterile serum (0.9% saline). When filled, it is about the size of an orange and takes up about a third of your stomach. The balloon is usually filled with between 450 and 600 ml of fluid, but this can vary from person to person. 

A gastric balloon helps to reduce a person's weight. Because the person's stomach shrinks, they feel full more quickly. It is placed into the stomach by endoscopy without the need for invasive surgery and left there for a period ranging from 6 months to a year. During this time, the balloon takes up space in the patient's stomach and thus ensures quick satiety. This helps the person to reduce portion sizes, leading to weight loss. 

When the balloon is removed again, the patient will have adopted these new healthier eating habits, meaning the weight loss will be permanent in about half of people. Dietitian support is important in this process.  

 

 

TYPES OF STOMACH BALLOONS

Gastric balloons are divided into two according to the way they are placed. One of these is endoscopic placement and the other is swallowable gastric balloons. The swallowable balloon is more expensive and stays in the stomach for a shorter time. The swallowable balloon (Allurion), which is excreted through the intestines after about four months, faced some limitations in France in 2024. Due to the side effects we experienced in some of our patients, we suspended the Allurion (swallowable balloon) application until the results were clear.  

We frequently use 6-month and 1-year balloons inserted with the help of endoscopy. The endoscope also allows your stomach to be controlled at the same time. Since the procedure is performed with sedation, you will not feel any discomfort. The procedure takes about 15-20 minutes. You can return to your daily life approximately 45 minutes after the procedure. The one-year balloon (Spatz 3) can be inflated a little more 3 months after it is placed in the stomach by endoscopy. In this way, it is aimed to make them lose weight more effectively. 

HOW IS A GASTRIC BALLOON INSERTED?

The gastric balloon can be placed in the stomach in two different ways. One of these is endoscopic placement. In this method, the doctor inserts the balloon into your stomach using a thin, flexible tube (endoscope) with a lighted camera. The endoscope passes through your mouth and follows your esophagus into your stomach. 

Light anesthesia (sedation) is used for the procedure. The balloon is then inflated by filling it with a sterile saline solution or air to take up space in the stomach. This helps you eat less food and feel full more quickly. 

If the gastric balloon is not inserted with an endoscope, the patient is asked to swallow a tiny capsule. In this method, also known as swallowable gastric balloon (Allurion), the swallowed balloon is then inflated with sterile serum by the doctor. We have suspended the swallowable balloon application until the final results are available. We have encountered serious side effects in one of our patients with the Allurion balloon, which has been restricted in France due to some side effects. 

Six months after the gastric balloon application with the help of endoscopy, your doctor deflates the balloon with the help of endoscopy and removes the balloon from your mouth. Anesthesia (sedation) is applied for the removal procedure. There is no need to remove the balloon, which can be swallowed, after about 4 months, it is naturally excreted from the body through the intestines.  

WHO IS SUITABLE FOR GASTRIC BALLOON SURGERY?

If your BMI is greater than 27, a gastric balloon can help you lose weight and also get rid of other medical problems such as type 2 diabetes or high blood pressure. In more practical terms, if you are 15 or 20 kg above normal, a gastric balloon may be a suitable option for you. 

It is also suitable for patients who have not had stomach or esophageal surgery before. Gastric balloons can be helpful for morbidly obese people who need to lose weight before surgery. They are also suitable for people who are undecided about a surgical procedure. 

HOW LONG DOES GASTRIC BALLOON SURGERY TAKE?

Gastric balloon surgery is a short procedure lasting 15-20 minutes. Although the word surgery is used by patients, the gastric balloon application is actually a surgical method, that is, a gastric balloon is not surgery. You will be superficially anesthetized during the procedure. You do not feel what is done in this process called sedation. Dietitian support may be necessary after the procedure. 

WHAT ARE THE SIDE EFFECTS OF GASTRIC BALLOON?

Approximately 6-12 hours after the gastric balloon, stomach cramps and nausea may occur. These side effects can usually last for 48 hours. To prevent these complaints, a special anti-nausea medication is used 1 day before the procedure. Most patients overcome this period and have no complaints after 48 hours. 

The gastric balloon may burst in the stomach. This is very rare and the patient's urine turns green. This is because the balloon is filled with a blue liquid. In this way, blue colored water mixes with the urine to create the green color so that the balloon bursting in the stomach can be dragged into the intestines and prevent it from causing obstruction here, and allows the patient to call the doctor at an early stage. The burst balloon is removed with an endoscope and the possibility of intestinal obstruction is prevented. 

STOMACH BALLOON SURGERY PRICES

Gastric balloon prices vary depending on which of the gastric balloon types you prefer. Please call 0 532 728 14 84 for up-to-date information about the price of swallowed gastric balloon.

STOMACH BOTOX APPLICATION

One of the endoscopic applications that has been widely used in our country in recent years is botulinum toxin (BTX) injection into the muscle tissue under the gastric mucosa. BTX is a neurotoxin produced by Clostridium botulinum bacteria species. Type a, b and c toxins are the toxins associated with botulism in humans. 

The BTX-A isotype has been used in clinical practice for many years for the treatment of certain diseases. BTX-A is also used in the treatment of achalasia, a motility disorder of the gastrointestinal tract. BTX-A inhibits the contraction of smooth and skeletal muscles by blocking the release of acetylcholine at the neuromuscular junction. Injection of BTX-A into the stomach delays gastric emptying by inhibiting gastric motility. In this way, people are expected to lose weight by eating less by providing longer satiety. Unfortunately, studies in the literature do not show that Botox in the stomach has a permanent effect. 

What exactly happens in sleeve gastrectomy?

In sleeve gastrectomy, 80% of your stomach is removed and you are left with a tubular stomach shaped like a banana. You become full with less food. Since the part of the stomach that secretes appetite hormone is also removed, your appetite decreases. this surgery is performed through small holes in your abdominal wall. These holes are closed with hidden stitches and the scars disappear over the years.

How much weight do I need to be to have sleeve gastrectomy?

For gastric sleeve surgery, you need to be at least 25 kilograms above your normal weight. Body mass index should be above 35. Diabetics between 30-35 can also undergo surgery.
 

How is it different from gastric bypass?

In sleeve gastrectomy surgery, only the stomach is intervened. In gastric bypass surgery, both the stomach and small intestines are modified. In gastric bypass, food does not pass through the first part of the stomach and small intestine. So absorption is reduced. Therefore, vitamin support is more necessary in bypass patients.
 

Does sleeve gastrectomy surgery impair long-term health?

Gastric sleeve gastrectomy surgery causes very few problems in the long term compared to the damages caused by obesity. Diseases such as diabetes; high blood pressure, sleep apnea disease, which cannot be cured unless weight is lost, reduce human life and quality of life. Gastric sleeve gastrectomy increases the duration and quality of life by improving these diseases. A technically non-standard sleeve gastrectomy surgery may adversely affect health. Therefore, it is of great importance to prefer experienced clinics.
 

Does gastric sleeve surgery cause cancer?

Gastric sleeve gastrectomy reduces some common cancers that may be related to obesity. Reducing the stomach does not increase the risk of any cancer.
 

How much weight is lost after gastric sleeve surgery?

After sleeve gastrectomy, 80% of the excess weight is lost. This process takes 9 months. The weight lost with regular life and healthy nutrition is not regained. However, reasons such as arbitrary lifestyle and careless eating and snacking habits, excessive alcohol consumption can lead to some weight gain again. Even if the old weight is not reached, it can make the person unhappy in the intermediate weight. Fortunately, the rate of weight regain in a standard sleeve gastrectomy does not exceed 18% in 5 years.
 

How is the swallowable gastric balloon applied?

The swallowable gastric balloon is swallowed through the mouth using the endoscopic method and inflated in the stomach.

YOUR SURGERY PROCESS

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Our clinic is in Nişantaşı district of Istanbul. If you would like to meet face to face before surgery, contact us for an appointment. You have decided to have your surgery and if you are coming from out of town and have limited time, you can contact our doctor Koray via phone or WhatsApp. After your surgery day is determined, our dietitian Mr. Efe will give you information about your pre-operative diet verbally or in writing. With this diet, your liver will shrink and your surgery will be more comfortable. Share with us the medications you used before surgery and let us determine which ones to discontinue.

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On the day of surgery, unless you are told otherwise, please come to the hospital at 08:00 on an empty stomach. Mr. Samet will meet you at the hospital and accompany you during your pre-operative tests. These tests take approximately 2 hours. You will settle into your hospital room while you wait for the test results. Approximately 30 minutes before your surgery, our teacher Koray will come and visit you in your room. You will be given a sedative before the surgery and taken to the operating room on your bed. Your surgery will be performed under general anesthesia, so your hour-long surgery will feel like 1 second. You will stay in the recovery room for 30 minutes after the surgery. When you go to your room, the nurse will give you painkillers and anti-nausea for any pain or nausea you may have. There will be no drain catheter in your body. You will be able to get up and walk on your own 2 hours after arriving in the room. 1 companion can stay with you in the hospital. There is no harm in being alone. The morning after your surgery, you will undergo an x-ray and a stomach x-ray will be taken. Here you will be given a drink mixed with cherry juice. After the scope, you will start drinking water and apple juice. When you are discharged after staying in the hospital for 2 or 3 nights, you can drive or travel by plane.

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When you go home, both our dietitian and nurse will continue to support you on what to do. You will be able to return to your daily life. Thanks to the closed surgery technique, there will be no problem in heavy lifting and daily movements. Post-operative showering starts in the hospital, but you should cover your stitches with waterproof bandages during the shower for the first 5 days when you go home. Your stitches are hidden and there is no need to remove them. You will start using your prescribed medications at home. Nutrition will be explained to you by your dietitian in the hospital, and on the 15th day, you will meet with our dietitian face to face again and your measurements will be taken. Online meetings will be available for those out of town. You can come for monthly check-ups throughout your weight loss process. You will have your blood tests done every 3 months and send them to us.

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