Steps of the intervention

A follow up during your prodedure

Find the different steps from your care of the intervention to the removal of the balloon.

Before the operation, you are cared for by a multidisciplinary medical team

Taking care by a medical team

A check-up will be performed by your medical team, which gather a gastroenterologist, a nutritionist and eventually a psychologist or a psychiatrist.

A nutritional and behavioral check with a nutritionist of a dietician can by conducted in consultation or by videoconference with MethodCo.
Your gastroenterologist will prescribe you a biological check-up, he will conduct an abdominal echography to evaluate if you have a fatty liver (hepatic steatosis) or hepatic fibrosis du to overweight.

He will evaluate the results of the nutritional, behavioral and clinical check-up.

A consultation with an anesthetist is mandatory prior to the procedure.

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Consultations before the gastric balloon procedure

  1. Gastroenterology consultation

    It allows to confirm weither the gastric balloon is a fit for your case. The doctor will inform you about the next steps.

    You should ask all the questions you consider. You must evaluate with the doctor all the advantages of the balloon regarding the potentials risks.

    A written document will be given by your doctor. You can discuss about it with him before you sign the informed consent.

  2. Dietetic consultation

    Gastric balloon is an efficient help to lose weight if associated with a diet and behavorial follow-up with health professionals to modify your dietetic habits.

    Cooking lessons can be possible if you need help to change your nutritional habits.

  3. Psychological consultation

    Your gastroenterologist will evaluate if a particular consultation is more suited.

    If you have an unbalanced nutritional behavior caused by psychological issues, you can seek help if you want by a psychologist or a psychiatrist.

  4. Anesthesia consultation

    It is mandatory before any anesthesia, even ambulatory.

    You have to inform the doctor of any medication you are taking and if you have any known allergies.

    If there is’nt any contra-indication, you can then take an appointment for the procedure.

    A written document will be given to you by the gastroenterologist and anesthetist. You can discuss it with them before signing your consent.

The gastroenterologist initially performs fibroscopy under anaesthesia

The hanging of the gastric balloon

Concerning the balloons for 6 months to a year (Orbera®, Medsil®, Heliosphère Newtech®, Orbera 365®, Spatz®), the gastroenterologist will performed a gastric fibrescopyright before the procedure.

If there is no local contra-indications, she will put the balloon in place.

The Elipse balloon, for 4 months, is swallowed as a big pill linked to a catheter which allows to inflate the balloon.

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What is the pose of the gastric balloon about ?

  1. Preparation and removal of the balloon

    The gastric balloon is made of an elastomer of silicone or polyurethane.

    It is flexible and malleable. It is introduced in the mouth and brought down in the esophagus while isn’t inflated.

    The inflated balloon is coated with a local anesthetic, to ease the passing of the throat .

  2. Filling of the balloon

    When the balloon is in the stomach, it is filled weither with a sterile blue saline solution or with air, with the help of the catheter fixed to the balloon.

  3. Release of the gastric balloon

    When the balloon if filled, the doctor pulls slowly on the intern extremity of the catheter to pull it out.

    The balloon is equipped with an auto closing caps, which prevent any leak of liquid or air. The balloon is free floating in the stomach.

This part last for about 20 minutes.

You will be monitored at the clinic for a few hours. You can also be hospitalized for the first night or go home with someone (except Elipse® balloon).

See the video of the procedure

Nutritional and behavioural management is an essential element in preventing weight gain.

A strict follow up before and after the procedure allows you to achieve you weight goal sustainably.

The follow up regarding the nutrition, behavior and physical is essential to :

  1. Balance you diet
  2. Manage your eating behavior
  3. Have a regular physical activity adapted your physical condition.
  4. Keep up your motivation !
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After the pose of the gastric balloon, you have a follow up

  1. Nutritional monitoring

    The first consultation is planned for the following weeks.

    The nutritional and behavioral care is the key element to lose weight and not regaining it after the removal of the balloon. We are talking about a monthly consultation.

    The importance of losing weight is in correlation with the number of consultations. A regular follow up is realize with a nutritionist, a dietician, or by videoconference with MethodCO which ease you to adapt the follow-up in your planning.

  2. Physical activity

    Having a regular physical activity adapted to your physical condition, medical issues if necessary and your liking is as important as a nutritional balance to reach your goal of losing weight sustainably.

    A team of physical educators car help you and also with videoconference.

  3. Medical follow up

    Nausea, vomiting, abdominal pain and gastro-oesophageal acid reflux are common during the days following the procedure.

    Your gastroenterologist will have prescribed dietary recommendations and medications to reduce these effects. A special leave of a few days is prescribed, and a short hospitalization is possible.

    In case of abdominal pain and/or persistent vomiting despite the treatment prescribed by your gastroenterologist, you have to contact on emergency his office or the Trocadéro Clinic.

    An abdominal X-ray, abdominal ultrasound or CT scan may be indicated.

    Regular consultations after the pose will be scheduled with your gastroenterologist.

    Before removal of the gastric balloon, your doctor will explain the diet to follow to avoid residues in the stomach that could interfere with the technical act.

The use of your gastric balloon is 4 months, 6 months or one year


    After a long time, the balloon can deflate, leave the stomach and go into the gut. There is a risk of intestinal obstruction if it is blocked in the gut. An emergency non-surgical intervention can be necessary to remove it.

    Keeping the balloon in the stomach for too long does not allow you to lose more weight, or to avoid gaining weight. The stomach as adapted to the balloon and is no longer helping to give you a feeling of satiety.

    With the behavioral and nutritional management and the physical activity that was carried out after the removal of the balloon, the modification of the feeding behavior makes it possible to not regain weight.

  • After removal of the balloon, nutritional and behavioral follow up must be maintained

    A weight problem that has been installed for many years, can’t be solved in a few months.

    The balloon is an effective starter. Nutritional and behavioral management is the key element to prevent weight gain.

The balloon is removed after 6 months

How long do you keep the balloon ?

The balloon Elipse® eliminates itself after 4 months.

Gastric balloon lasting 6 months or 1 year (Orbera®, Medsil®, Heliosphère Newtech®, Orbera 365®, Spatz®) are removed with the help of a gastric fibroscopy of the stomach in 15 mn.

After its time of use, the gastric balloon is no longer effective because the stomach as adapted to its presence.

If the time of use isn’t respected, the gastric secretion makes it porous, it can deflate and go to the gut which exposes the risk of intestinal obstruction.

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Gastric balloons are removed by oesophage and mouth whithout surgical intervention
(except Elipse® balloon , removed spontaneously whithin 4 months)

  1. Removal under ambulatory anesthesia

    The removal is performed under general ambulatory anesthesia, with intubation and under endoscopic control.

    This procedure last for about 15 minutes. The patient can leave the clinic 2h30 after the procedure.

  2. Intervention of the gastroenterologist

    The gastroenterologist sets up the gastric endoscope in the stomach.

    He pierces the balloon, vacuums the liquid inside the balloon, grasps the deflated balloon and extract it thought the esophagus and then into the month.

Would you like more information?

We organize information meetings to answer your questions