The BioEnterics® Intragastric Balloon (BIB®) System is a non-surgical, non-pharmaceutical alternative for the treatment of obesity. The BIB® System is designed to provide short-term weight loss therapy to reduce health risks related to obesity or risks prior to vital surgery, or as part of a supervised weight loss program.
Endoscopically placed and inflated with saline, the BIB® System balloon partially fills the stomach to induce the feeling of fullness. The balloon induces weight loss in patients by reducing food intake. It is used in conjunction with a supervised diet and behaviour modification program to help maintain weight loss over time after removal of the device, which is also performed endoscopically.
What Is the BIB® System?
The BIB® System consists of a soft, expandable balloon, the placement tube and a filling system so a physician can orally insert the weight loss aid.
Once inserted in the stomach, the balloon is filled with sterile saline. When filled, the balloon is too large to pass into the bowel and will float freely in the stomach.
How Does the BIB® System Work?
The BIB® System is designed to make compliance with a supervised diet and behaviour modification program easier. The balloon partially fills the stomach and patients report that they have a feeling of fullness.
How Is the BIB® System Balloon Placed in the Stomach?
The balloon is introduced into the stomach through the mouth without the need for surgery. The doctor conducts an initial examination of the stomach using an endoscopic camera. If no abnormalities are observed, the doctor proceeds with placement of the balloon through the mouth and down the oesophagus into the stomach.
The balloon is made of a soft and pliable silicone material and is inserted while in its deflated form. The swallowing process is made easier with the help of anaesthetics applied topically to numb the throat area. Muscle relaxing medications may also used.
Once the balloon is inside the stomach, it is immediately filled with sterile saline through a small filling tube (catheter) attached to the balloon. Once filled, the doctor removes the catheter by gently pulling on the external end. The balloon has a self-sealing valve, and at this point the balloon will float freely within the stomach.
Placement times vary but it will usually take approximately 45 minutes, after which you will be monitored by the doctor for a short time and then you may return home.
Who Can Benefit From The BIB® Weight Loss Programme?
The BIB® System weight loss programme is designed to assist with weight loss in people who are significantly above their ideal weight and those who have failed to obtain prolonged weight loss with other weight control programs.
The BIB® System may be particularly useful for people considered too overweight or at increased risk for vital surgery. The use of the BIB® System to successfully reduce weight prior to surgery may help reduce the risks associated with surgical procedures on overweight patients.
How Long Is the BIB® System Balloon Used?
The balloon currently can be used for six months. Longer periods of use are not recommended. Over time the acidic content of the stomach will weaken the balloon material and cause the balloon to deflate. Should the doctor recommend use of the balloon for longer than six months, it is necessary that the balloon be replaced with a new one when the six-month interval has been met.
While you are using the balloon, Dr. Dutta may prescribe a course of oral medication to reduce your stomach acid (this may reduce the possibility of stomach irritation and damage to the balloon).
What Happens if the BIB® System Balloon Deflates?
If the balloon deflates before a scheduled removal you may or may not be aware that it has occurred. Dr. Dutta will place a coloured dye inside the balloon in order to help you clearly identify early deflation by a change in the colour of your urine.
The balloon is small enough that it may pass through the intestines and leave the body naturally, but there have been some cases in which it has had to be removed from the bowel surgically. If you suspect a deflation, you must notify Dr. Dutta immediately.
How is the BIB® System Balloon Removed?
The balloon is normally removed in the same way it was placed, via the oesophagus and mouth. Prior to removal, you will be given a muscle relaxant and a topical anaesthetic will be applied to numb the throat. Using an endoscopic camera, the doctor will introduce a catheter through the mouth and into the stomach. The balloon will then be punctured and deflated. Once the balloon is deflated it can be grasped and removed.
How Much Weight Will I Lose with the BIB® System?
It is important that you understand that the BIB® System is an aid to weight loss and must be used in conjunction with a prescribed diet and behaviour modification program. Therefore, the amount of weight you lose will depend on how closely you follow your diet. How long you maintain weight loss will depend on how completely you adopt long-term lifestyle changes involving eating behaviour and exercise.
Will I Regain My Weight after the BIB® System Balloon Is Removed?
Because the balloon in the stomach creates a feeling of fullness, it acts as an aid to weight reduction and may help you to adhere to a prescribed diet. You will have a much greater chance of maintaining your weight loss after balloon removal if you maintain and improve the diet and behavioural changes you made while using the balloon.
What Unpleasant Effects Are Possible with the BIB® System?
It is very likely that the presence of the balloon in the stomach will cause nausea or vomiting for a few days after placement. Dr Dutta may prescribe medication to alleviate these potential effects.
There exists the possibility that you will lose only a small amount of weight or lose no weight at all while using the balloon. Of course, as stated earlier, your commitment to dietary and behavioural changes is a pivotal factor in the treatment outcome.
There is also the chance that unhealthy, uncontrolled weight loss will occur and create adverse health consequences. This will be discussed with you at consultation.
Qualified doctors/nurses will discuss the procedure before any treatment, to find out if the BIB® system of weight loss management could work for you and explaining any possible side effects.