What to Expect Before, During, and After ORBERA®: A Comprehensive Guide

By: Dr. Christopher McGowan

The ORBERA® Managed Weight Loss System is a non-surgical, fully reversible weight loss procedure designed to reduce stomach capacity and food intake, helping to treat obesity and related conditions. An ORBERA® intragastric balloon is placed endoscopically into the stomach to promote fullness and decrease hunger. This safe, effective outpatient procedure requires mild sedation and takes less than 20 minutes. The balloon is removed six months after placement, leaving no permanent or long-term effects.

Dr. Christopher
DR. CHRISTOPHER MCGOWN

Dr. Christopher McGowan, MD, a leader in endobariatrics, specializes in non-surgical obesity treatments and is triple-board-certified in Internal Medicine, Gastroenterology, and Obesity Medicine. Renowned for pioneering endoscopic sleeve gastroplasty (ESG) with over 2,000 procedures, his global influence and research contributions define him as a top expert.

Ideal Candidates for ORBERA®

Weight loss balloons are an excellent option for patients who are:

  • Over 21 years old
  • Moderately overweight, with a body mass index (BMI) between 30 and 40
  • Unable to lose weight through diet and exercise alone
  • Looking to lose between 30 and 50 pounds
  • Seeking a fully reversible procedure

ORBERA® is also ideal for patients who have gained weight due to life events, such as pregnancy or injury and want to restart their journey to their goal weight. For those who have plateaued after significant weight loss through lifestyle changes, a gastric balloon can be a very effective tool.

While gastric balloons are safe and effective, they are not a cure for obesity. For individuals needing to lose more than 50 pounds or those with a history of weight regain after dieting, ORBERA® may not be the best option. True You Weight Loss offers other non-surgical treatments, such as endoscopic sleeve gastroplasty (ESG), for these patients. Your provider will help you determine the best choice for your weight loss goals.

Preparing for ORBERA®

Before deciding if ORBERA® is right for you, consult an experienced obesity medicine provider to discuss your goals, medical history, and any questions. Your care team will evaluate your options and check your eligibility based on FDA-approved criteria.

Preparation Steps:

  • Basic laboratory testing and additional evaluations based on your health history.
  • Fasting for a minimum of 12 hours before the procedure.
  • Prescribed medications to manage early recovery symptoms.

ORBERA® Balloon Placement

During the procedure, your gastroenterologist will insert an endoscope into your mouth, down your throat, and into your stomach. The deflated gastric balloon is then placed and filled with saline to the size of a grapefruit. This balloon reduces stomach capacity, promoting satiety. The entire process takes less than 20 minutes under mild sedation, with no incisions required.

Recovery and Success with ORBERA® Balloon

Post-Procedure Diet Plan:

  • Clear liquids: 2 days
  • Full liquid diet (protein shakes, water, tea): 2 weeks
  • Pureed foods: 1 week
  • Soft foods: 1-3 weeks

Most patients experience rapid weight loss after balloon placement. At True You Weight Loss, patients lose an average of 30 to 50 pounds, with some achieving up to 110 pounds of weight loss. Adjustments to portion size, nutritional density, and increased exercise are crucial for long-term success.

Common Side Effects:

  • Nausea, vomiting, mild discomfort, abdominal pain, acid reflux, heartburn, cramping, and bloating. These symptoms typically subside within a week and can be managed with medication. Consult your doctor if discomfort persists.

Six months post-procedure, the ORBERA® balloon is removed endoscopically in a quick outpatient procedure under sedation.

Tips for Post-Procedure Recovery

  • Expect Some Discomfort: The first few days post-procedure involve an adjustment period. Symptoms like cramping, nausea, and vomiting typically subside after about 36 hours. Our team is available 24/7 to assist and provide medications to manage symptoms.
  • Work Closely with Your Care Team: Regular follow-ups with your physician and dietitian are key to meeting weight loss goals. True You Weight Loss offers lifelong follow-up and 24/7 direct access to your physician for ongoing support.

At True You Weight Loss, our team of triple-board-certified physicians, including Dr. Christopher McGowan, Dr. Daniel Maselli, and Dr. Lauren Donnangelo, are industry leaders in endobariatric techniques. We are the highest volume weight loss center in the country, committed to providing the highest level of concierge care to ensure your weight loss journey is successful.

For more information about the ORBERA® Managed Weight Loss System, request a free consultation today.

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