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The Good Bowel Habit Third Edition
Dr Robyn Nagel and
Mrs Shirley Owen
This 50 page book describes the normal pelvic floor, pelvic floor dysfunction and pelvic floor rehabilitation in detail.
Click here to view more information.

Frequently Asked Questions

Is it possible to have another balloon inserted after the first one?
Yes, and this is not uncommon. The technique is no more difficult than the first time. The amount of weight lost tends to be less than the first time the balloon was inserted. Thousands of people have now had the Orbera IG balloon inserted world wide.

What are the side effects and dangers?
During the first 3 days after insertion it is very common to feel very nauseated. To reduce this problem a combination of 3-4 drugs are given during this time. You will not be able to work during this time. Usually at some time during the first week this nausea suddenly switches off. Many people have to be encouraged to keep the balloon in place.
The endoscopic insertion is usually very safe but there are always small risks related to sedation and anaesthesia. The specific concerns that relate to the balloon insertion are:-
◙ balloon deflation (4% people)
◙ continued nausea and intolerance of the balloon past 2 weeks (7%)
◙ ulceration of the gullet or flare up of heartburn symptoms (16%).
◙ balloon migration and possible bowel obstruction (very rare)
◙ perforation, tearing or bleeding of the stomach or oesophagus (very rare)

Monitoring after the IG balloon?
During the first 14 days after the balloon insertion it is important to have regular contact with your physician team who will be monitoring your progress over the next 12 months. After the first week it is advisable to organize visits to both a dietitian and an exercise physiologist to optimize life style.

This review article is available free from Google scholar and provides comprehensive information on the historical development, progress and results of recent studies.
“Intragastric Balloon Therapy in the Management of Obesity: Why the Bad Wrap?”
Joshua Evans et al, Journal of Parenteral and Enteral Nutrition
Volume 35: Number 1
January 2011 25-31

Download Article