Gastric Balloon
Gastric balloon is a silicone balloon inflated with 400-700 cc saline water after inserted into the stomach. This is a temporary weight loss method applied endoscopically for the people who can not lose weight with diet and exercise or do not want to be operated and also for the patients with a high surgical risk. Gastric balloon must be removed after a period ranging from 6 months and 1 year. This method is not applicable at the gastric ulcer, large stomach hernia and pregnancy situations. Nausea, pain, ulcers, stomach bleeding, gastric perforation, intestinal obstruction are rarely seen complications.
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DIET PROGRAM AFTER GASTRIC BALLOON
General advices for living with an intragastric balloon:
Eat slowly and always chew your food well.
Eat at least three meals and an appropriate amount of healthy food per day. If you can't finish your meal, keep the rest and eat it between meals.
Divide foods into smaller portions, use a smaller plate.
If you feel acid reflux (heartburn), bloating or gas, stop eating. Do not smoke before eating.
Avoid high-calorie snack foods and alcohol.
Drink at least one and a half liter (1500 ml) of water per day. Avoid eating and drinking at the same time.
After meals, sip a glass of water slowly. This will help to rinse the balloon and prevent unpleasant burping caused by food adhesion to the balloon.
Avoid carbonated beverages. Strong tea and coffee is not recommended.
Do not eat dinner too late. Do not nap shortly after eating and wait at least two hours before bedtime.
Is it possible to feel gastric balloon in my stomach?
It's possible to feel discomfort when trying to sleep or side-lying. This is an expected situation and raising the pillow may mitigate the discomfort.
Do physical exercise and walk at least 15-30 minutes or more per day.
For whom this brochure?
This brochure is for anyone who wants to install a gastric balloon for weight loss.
What is the gastric balloon?
Gastric balloon is a soft silicon pouch inserted into the stomach and filled with sterile water or air. A gastric balloon:
can help you to proper portion control (how much food to eat?)
can help you to reduce the frequency of eating (how often to eat?)
Your daily food consumption amount will be less and you'll stay full longer. This is useful for those who snack between meals.
Frequently Asked Questions:
How much weight I will lose?
Maybe you can lose 20 kg or maybe you can not lose any weight. Your success depends on to make necessary diet adjustments and how well will you apply this adjustments.
Will I feel the balloon in my stomach?
There will be some discomfort during the first few days. After that, your main feeling will be satiety after eating and drinking.
How long the balloon can stay in my stomach?
Typically, the balloon can stay in your stomach for six months.
Are there any side effects and complications of gastric balloon?
The first two weeks can be difficult. Cramping, nausea and vomiting is the most common symptoms but usually these are not harmful symptoms. If a persistent or recurrent problem occurs consult your doctor or dietitian and make sure you get plenty of fluids. If the problem continues, there are medication options to alleviate the discomfort.
Can I use alcohol?
Moderation of alcohol consumption does not affect the gastric balloon but it can cause heartburn and will not help your weight loss intentions!
After gastric balloon:
Adapting to the balloon is different from person to person. it can be very easy for some but discomfort may take longer for the others.
Avoid unnecessary physical activity for a week. After adapting to the balloon, activity and exercise levels can be increased.
After placing the balloon, you should follow the recommended diet plan in the next few pages. It should start with liquids and should be switched gradually from soft foods to normal foods. According to previous you will full much faster so you should eat and drink very slowly. You can not tolerate eating and drinking as before.
Constipation:
After obesity surgery, constipation can become a problem. Constipation usually occurs because of:
Inadequate fluid intake
Inadequate fiber diet
Insufficient physical activity
Choose fiber-rich foods such as:
Wholemeal bread, cereals
Fruits and vegetables (five portions a day)
Dried Nuts and legumes.
Fluids:
You need at least 1500 ml. or six to eight glasses of fluids a day. This fluids can be any fluid such as juice, milk or soups. Tea and coffee also drinkable but it should not be the main source of fluids. You should avoid carbonated beverages. Carbonated drinks can cause discomfort with gastric balloon.
Gastric Balloon Dietary Guidelines:
To adapt well to the stomach balloon, a postoperative diet should be followed closely.
Day 1 - 3: Only fluids
Day 4 - 10: Only soft foods
Day 10 and after: Normal foods
Day 1 - 3: Only fluids:
The first 3 days you should take only liquid foods. That will help you to get used to your balloon, preventing dehydration and keep your energy high. Solid foods can cause nausea and diarrhea at this stage so you should avoid them.
You will be allowed to sip water shortly after the balloon placement. if it can be tolerated you can take liquids such as milk, yogurt, fruit juice (low sugar) and soup.
You should choose nutritive and protein containing fluids. Soups are ideal and provides a good variety. Dense soups should be passed through a sieve or blender until it smooth.
To prevent dehydration you must take at least eight glasses of liquid daily. Soups are included. The following simple liquids generally well tolerated:
Recommended liquids:
Skimmed milk (about a pint a day)
Yoghurts
Pumpkin with low-sugar or low-calorie
Tea and herbal teas
Dilute juice (half portion of juice and half portion of drinking water)
Kahve (light coffee is recommended)
Broth, chicken broth, vegetable broth
Day 4 - 10: Only soft foods
If so far so good, you can now switch to soft foods. Our goal is four small meals throughout the day. Do not wait to be hungry. Frequent small meals are better than one big dinner. If necessary, use a small plate to help follow up portion sizes. Avoid solid foods that require chewing at the moment. Also do not consume spicy foods and strong tea or coffee. These foods may cause heartburn or reflux. Also drink 1 cup of skim milk a day.
Suggested menu:
Breakfast:
3 tablespoons oat flakes, 1 cup skim milk
Mid-morning:
1 or 2 tablespoons of low-fat yogurt
1 or 2 tablespoons soft / chopped fruit
Lunch:
1-2 tablespoons of lean meat / fish / eggs (can be sauced)
1-2 tablespoons of mashed potatoes or cooked rice
1-2 tablespoons soft / chopped vegetables.
Afternoon:
1-2 tablespoons of low-fat yogurt
1-2 tablespoons soft / chopped fruit
Dinner:
1-2 tablespoons of lean meat / fish / eggs (can be sauced)
1-2 tablespoons of mashed potatoes or cooked rice
1-2 tablespoons soft / chopped vegetables.
Before Bedtime:
Skim milk or yogurt
1-2 tablespoons soft / chopped fruit
Between meals:
Tea, coffee, low-calorie drinks such as diluted fruit juice
After 10 Days: Return to Normal and Balanced Nutrition
If you're good with soft foods and liquids then you can switch to regular food carefully. If you are having problems with recurrent nausea or vomiting after meals, do not skip that meal, just return to liquid or soft diet for a few meals.
Suggested menu:
Breakfast:
150 ml (half a cup) sugar free fruit juice
High-fiber cereal (for example, 3 tablespoons of oat flakes or muesli) with 150 ml of skim milk
or 1 slice of bread with low-fat cream cheese
Mid-morning:
Sugar-free drinks
Lunch:
60 grams of lean meat, chicken, fish, lentils, baked beans or egg
1 slice bread or 1-2 tablespoons of rice or 1-2 tablespoons of mashed potatoes or 1 small boiled potatoes
2 tablespoons vegetable or salad
1 portion of fruit
low-fat yogurt or 1 cup of skim milk
Afternoon:
Sugar-free drinks
Dinner:
60 grams of lean meat, chicken, fish, lentils, baked beans or egg
1 slice bread or 1-2 tablespoons of rice or 1-2 tablespoons of mashed potatoes or 1 small boiled potatoes
2 tablespoons vegetable or salad
low-fat yogurt or 1 cup of skim milk
