Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps to lose weight by limiting how much you can eat and making you feel fuller faster.

The intragastric balloon procedure

may be an option if you have concerns about your weight, and diet and exercise haven’t worked for you. it is 100% reversible and it can be removed at any time.

The placement of an intragastric balloon helps you lose weight. Weight loss can lower your risk of potentially serious weight-related health problems, such as:

● Gastroesophageal reflux disease (GERD)
● Heart disease or stroke
● High blood pressure
● Obstructive sleep apnea
● Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
● Type 2 diabetes

Intragastric balloon placement and other weight-loss procedures or surgeries are typically done
only after you’ve tried to lose weight by improving your diet and exercise habits.

Who it's for?

An intragastric balloon may be an option for you if:
● Your body mass index (BMI) is between 30 and 40
● You’re willing to commit to healthy lifestyle changes, get regular medical follow-up and
participate in behavioral therapy
● You have not had any previous stomach or esophageal surgery
Intragastric balloons aren’t the right choice for everyone who is overweight. A screening process
will help your doctor see if the procedure might be beneficial for you.


Pain and nausea affect about one-third of people soon after insertion of an intragastric balloon.
However, these symptoms usually only last for a few days after balloon placement. These
symptoms can usually be managed with oral medications at home.
A potential risk includes balloon deflation. If the balloon deflates, there’s also a risk that it could
move through your digestive system. This can cause a blockage that may require an additional
procedure or surgery to remove the device.
Other possible risks include overinflation, acute pancreatitis, ulcers or a hole (perforation) in the
stomach wall, which might require surgery to fix.

How you prepare

If you’re going to have an intragastric balloon placed in your stomach, your health care team will

give you specific instructions on how to prepare for your procedure. You may need to have
various lab tests and exams before your procedure.
You may need to restrict what you eat and drink, as well as which medications you take, in the
time leading up to the procedure. You may also be required to start a physical activity program.

What to expect

The intragastric balloon procedure is done in the endoscopy unit as an outpatient procedure.

You’ll be sedated for the procedure.
During the procedure, the doctor advances a thin tube (catheter) loaded with the intragastric
balloon down your throat into your stomach. Next, the doctor advances an endoscope — a
flexible tube with a camera attached — down your throat into your stomach. The camera allows
the doctor to see the balloon as he or she fills it with saline.
The procedure takes about half an hour. You can normally go home one or two hours after the
procedure is finished. We recommend a 24 hour monitoring to treat and prevent secondary
symptoms associated with the balloon placement.
After the procedure
You can have small amounts of clear liquids starting about six hours after the procedure. The
liquid diet generally continues until the start of the second week, when you can start eating soft
foods. You’ll probably be able to start eating regular food around three weeks after the insertion
of the intragastric balloon.
Intragastric balloons are left in place for up to 12 months and then removed using an endoscope.
At that time, a new balloon may be placed, or not, depending on the plan determined by you and
your doctor.
You’ll also meet with members of your medical team, such as your nutritionist and psychologist,
frequently after your procedure.


An intragastric balloon can make you feel fuller faster than you normally would when eating,
which often means you’ll eat less. The intragastric balloon also slows down the time it takes to
empty the stomach. Another reason may be that the balloon seems to change levels of hormones
that control appetite.

The amount of weight you lose also depends on how much you can change your lifestyle habits
including diet and exercise.

Based on a summary of currently available treatments, loss of about 7% to 15% of body weight
occurs typical during the first six months after intragastric balloon placement. Total excess
weight loss ranges from 30% to 47%.

As with other procedures and surgeries that lead to significant weight loss, the intragastric
balloon may help improve or resolve conditions often related to being overweight, including:

● Gastroesophageal reflux disease
● Heart disease
● High blood pressure
● Obstructive sleep apnea
● Osteoarthritis (joint pain)
● Type 2 diabetes
● High cholesterol
● Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

When weight-loss procedures don't work

When weight-loss procedures don’t work

It’s possible to not lose significant weight or to regain weight after any type of weight-loss
procedure or surgery, even if the procedure itself works correctly. This weight gain can happen if
you don’t follow the recommended lifestyle changes. Permanent healthy changes in your diet,
along with regular physical activity and exercise, are necessary to avoid regaining weight.