General Surgery Specialist Op. Dr. Salim Balin gave information about the subject. Obesity, the plague of the modern age, is growing like an avalanche in our country as well as all over the world. A new generation gastric balloon for those who cannot lose weight despite diet and all other medical treatments and who are afraid of surgery, a swallowable (pill) gastric balloon offered by technology. Here is the Elipse swallowable gastric balloon in 7 questions.
What is a swallowable gastric balloon?
Swallowable gastric balloon; It is a new generation gastric balloon that is swallowed with water and does not require endoscopy, anesthesia and hospitalization. It reduces appetite by taking up space in the stomach and slowing the rate of passage of food through the stomach. In addition, thanks to the volume it occupies in the stomach, it allows to be satiated with a small amount of food. In addition, it helps patients who will have obesity surgery to lose weight before surgery and thus reduce their surgical risks. It is easy to swallow because it is produced in the size of an antibiotic capsule. Thanks to the thin walls of the swallowable balloon, which remains in the stomach for an average of 16 weeks, it can easily pass through the intestines and be excreted through the stool.
How is the method applied?
A process that takes an average of 15 minutes. The gastric balloon, which has a compressed design in capsule form in the size of antibiotic pills, is swallowed as if swallowing a pill, accompanied by plenty of water. There is a connection apparatus at the end of the capsule and with this the balloon is inflated. Confirmation is made by taking X-rays to determine that the balloon is positioned in the correct place in the stomach. Then, the physician performing the procedure inflates the balloon with liquid by means of the apparatus at the end of the balloon, and the given liquid does not have a negative effect on the body. After the balloon is inflated with 550 cc of liquid, X-rays are taken again. Checking the last location of the balloon now filled with liquid. After strict controls, the apparatus at the end of the balloon is gently pulled out and taken out of the mouth. Thus, the process is completed.
Who can benefit?
The swallowable gastric balloon can be applied to people between the ages of 15-65. People with a body mass index between 27 and 35 benefit the most from the method. Since it does not require anesthesia, it is considered to be an ideal method especially for people who have a disability in getting anesthesia, do not want to have anesthesia, and do not want to have an operation with a higher body mass index.
Who is it not suitable for?
People who have had previous gastric and intestinal surgery are not suitable for a swallowable gastric balloon. However, the person who is considering having it fitted should first have a preliminary interview with an experienced physician and undergo a detailed evaluation.
How many kilos can be lost with the method?
The swallowable gastric balloon stays in the stomach for an average of 16 weeks. During this period, an average of 10-15% of the initial weight is lost. In many scientific studies, the most effective weight loss period after gastric balloons is the first 3 months. The duration of the program in the swallowable gastric balloon is 6 months. After being able to lose maximum weight in the first 3 months, the aim is not only to lose weight, but also to continue the healthy eating habits adopted from the first day the balloon is placed, even after the balloon is removed from the body. In this way, the current weight is maintained and weight regain can be prevented. With the smart watch and scale, the patient's exercise, sleep and weight are tracked remotely.
Do you have difficulty swallowing the balloon?
Patients to whom the method is applied may worry if I cannot swallow the balloon. Most of the patients can swallow the balloon without difficulty. However, in people who have difficulty swallowing despite everything, the capsule can be sent to the stomach by the physician with the help of a fine guide.
What should be considered after the application?
Kiss. Dr. Salim Balin said, “After the swallowable gastric balloon application, the patient's prescription is prepared by the physician in order for the patient to have a comfortable habituation period and information is given about the liquid and soft diet program to be followed for the first few days. Vascular serum therapy for a few days may also be recommended for patients who have difficulties during the adjustment period. After the familiarization period is completed, the follow-up process begins with a personalized healthy nutrition program prepared together with the dietitian. "said.
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