What are the Types of Bariatric Surgery? How is it done? | Wellbariatric

What are the Types of Bariatric Surgery? How is it done?



Stomach reduction surgeries have been considered as methods aiming to limit the amount of food entering the stomach  or to reduce their absorption from the intestines since the 1950s when it was first performed. There are approximately 10 different types of endoscopic and laparoscopic treatment methods that are actively used. Each method has its own advantages and disadvantages. Many reasons such as the patient’s expectations, accompanying ailments and why they are overweight should be evaluated and the most appropriate treatment method should be offered to the patient.

Sleeve gastrectomy (sleeve gastrectomy), gastric band (gastric band), gastric balloon and stomach botox are among the methods used to restrict the entry of food into the stomach. All these methods, which were applied with open surgical methods in the past, are now performed with closed advanced surgical methods, which we call laparoscopic. Laparoscopic surgeries have many advantages such as lower length of hospital stay, less complication rate, much higher rate of participation in the daily life of the patient, and much less postoperative pain. Below we will examine all the methods and details applied against obesity. You can learn everything you are curious about by reading the content of the intervention method.

  1. Endoscopic Methods:

  • Stomach Balloon
  • Stomach Botox
  • Endo-Sleeve
  • Apollo
  1. Laparoscopic (Obesity Surgery Methods):

  • Stomach Clamp
  • Tube Stomach
  • Gastric Bypass
  • Biliopancreatic Diversion
  • Duodenal Switch
  • Ileal Interposition (Ileal Interposition)
  • Transit Bipartition
  • Stomach Balloon


Endoscopic intra-gastric balloon is an endoscopic method that is frequently used in overweight patients who are on the border of obesity and does not require surgery. The aim is to create a feeling of satiety by reducing the stomach volume that will enter food and to lose weight with less food.

There are many types of gastric balloons used in the market. The two prominent gastric balloons are those that are filled with serum or air. Generally, the gastric balloon is designed to stay in the stomach for 6 months. Some types can be increased or decreased as an adjustable gastric balloon. It can help you lose 10-25 kilograms of weight without the need for surgery.

With the help of the endoscope, it is enough for the anesthesiologist to sleep you for 15 minutes without stopping your breathing. First, a general endoscopic examination is performed and reflux, gastritis, etc. If it is observed that there is no situation, gastric balloon application is started under the observation of the endoscope. The balloon placed in the stomach is inflated with air or liquid under observation. Methylene blue mixed saline fluid is used for the liquid. The purpose of using methylene blue mixed saline is to ensure that the slightest leakage occurs in the stool or in the patient’s urine due to this blue color. Neither serum nor methylene blue are harmful to the body. It is not expected to be in contact with the body under normal conditions. The application is completed in 10-15 minutes. The patient can go home after 1-2 hours of rest. A few hours after the procedure, there may be symptoms of stomach cramping and vomiting. This is due to the mass effect of the balloon in the stomach and may take up to 3-4 days. In this process, drugs that suppress the feeling of vomiting or intravenous serum administration due to difficulty in fluid intake may help with the advice of your doctor. At the end of the 6-month period, the gastric balloon is emptied with a special apparatus and removed from the stomach by endoscopic method. Removal from the stomach is a process that requires expertise and the gastric balloon silicone must be removed without breaking.

The most important thing to remember in gastric balloon treatment is that the gastric balloon is an element that helps you gain a new nutritional habit. Since there is no radical intervention such as metabolic surgery or stomach reduction surgery, it is recommended in the undeveloped stages of obesity.

Who is Gastric Balloon Applied to?

  • Between the ages of 18-60.
  • It is very important for the person to get rid of some of his weight before obesity surgery as it will increase the success of the surgery and the continuity after it. The gastric balloon can aim to decrease the target weight determined before the surgery and to increase the success of the surgery.
  • If there is no major discomfort with a body mass index in the range of 30-39, a gastric balloon can be recommended.
  • There should be people determined to lose weight and not continue their dietary eating habits after the balloon is removed. Otherwise, weights lost quickly can be recovered.
  • People who have tried at least one of the methods of exercise, diet and medication before and have not been successful.
  • In people whose idea of ​​pregnancy is not 1 year
  • In patients who have not had bariatric surgery, intestinal obstruction, reflux, stomach ulcer, duodenal ulcer, chrone, etc. gastrointestinal disorders.
  • In people without alcohol addiction
  • People who have not had open stomach surgery before
  • In people without a large hernia
  • For people who will not have problems with anesthesia

What are the Side Effects and Risks of Gastric Balloon?

  • 30% of those who wear a gastric balloon may experience pain and nausea for a few days after the procedure.
  • Very rarely, complications due to the deflation of the balloon in the stomach and the progress of digestion, ie the GI tract, can be seen.
  • Dehydration may occur due to insufficient fluid consumption.

Brands by Gastric Balloon Type

Depending on the type of gastric balloon, the silicone structure is produced to resist stomach acid for 6 to 12 months.

Spatz gastric balloon offers adjustable content gastric balloon options.

Like Obalon and Mikrobalon, which are marketed as swallowable gastric balloon pills.

Nutrition After Gastric Balloon Procedure

Nutrition for the first 3 days

A liquid diet is recommended. Purely liquid or soft foods such as pieceless, blended soups, juices, milk, mashed banana, water and potatoes are suitable. Important points at this stage are:

  • You should eat 3-4 meals a day. (Breakfast, lunch, afternoon and dinner.)
  • You should eat with small bites and in an upright position.
  • You should make sure that there is at least 1-1.5 hours between meals.
  • You should avoid additions such as spices and oil as much as possible.
  • You should drink 1-1.5 liters of water, tea or fruit juice a day.
  • You should stay away from caffeinated coffee, hot chocolate, ice cream, etc.

Nutrition after 3 days

You can gradually switch to solid foods. 100-150 ml milk or yoghurt for breakfast, biscuits, 1 spoonful of pasta for lunch, 2 pieces of thin cut chicken, boiled various vegetables, banana for snack, boiled potatoes, steamed fish, boiled vegetables for dinner.

There should be a gradual transition to solid foods. If you feel vomiting, you should return to the liquid diet.

Diet within 15 days after gastric balloon application:

The success of gastric balloon applications is directly proportional to the success of your diet 100%.

Our recommendations:

  • Consume your meals very slowly and by chewing well.
  • Eat your food by cutting it into small pieces and serving it on small plates.

Stop eating as soon as you feel acid, reflux or bloating.

  • You can act as if you have 3 main meals a day, not as 3 main meals, but as 4 main meals a day, you can eat little by little and with a liquid weight.
  • Try to keep snacks off your diet.
  • Drink at least 1.5 liters of water a day.
  • Do not drink water or liquids while eating.
  • Avoid cola and similar carbonated drinks.
  • Stop eating at least 2 hours before bedtime.
  • Try to move and exercise for 40 minutes daily.
  • If your vomiting does not improve despite medication, if you have persistent stomach pain, or if you notice blue in your urine, contact your doctor immediately.


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