STOMACH BALLOON AND BOTOX

STOMACH BALLOON
• Obese patients, especially those at risk of surgery.

• Obese people with reservations for surgery.

• Emergency situations where rapid weight loss is required.

• Conditions that require temporary obesity treatment.

• It is a suitable obesity treatment method to reduce the surgical risks of super obese patients before bariatric surgery.
Who is the Gastric Balloon Applied to?
• Obese people with a body mass index of 30-40 and therefore at risk of developing serious medical problems.

• In patients with type 2 diabetes who cannot be treated due to excess weight

• Patients with a BMI above 40 or between 35 and 40 who cannot tolerate debilitating surgery because they have serious medical problems, or patients who do not want to undergo surgical intervention even though they have these characteristics.

• It is suitable for use in patients who need surgical treatment for any reason, but cannot be treated due to the surgical risk of obesity and whose body weight needs to be reduced to a level suitable for surgical intervention.
Things to Know About Gastric Balloon
• It is used in the temporary treatment of obesity.

• It provides maximum benefit to the patient in significantly reducing the risks of other diseases related to obesity (Type II diabetes-vascular diseases-joint diseases-etc.).

• It helps to lose weight and maintain the lost weight.

• Before obesity surgery, it helps to reduce surgical risks by weakening the patients who will undergo surgery before surgery.

• It helps to maintain the weight loss of the obese person with the modified diet program after it is taken back.

• It is used in the treatment of obesity of 5-year-old obese people who did not get results from diet, sports and drug treatment.

• It is placed endoscopically and retrieved endoscopically.

• The BIB System, which is placed into the stomach endoscopically, is filled with 500-700 cc saline. It enables the obese person to lose weight by reducing their food intake with the help of diet.

• It stays in the stomach for 6 months. It should not be left for more than 6 months.

• It should definitely be applied by surgeons and gastroenterologists with experience in endoscopy and the patient should be followed carefully.

• It enables the obese person to lose 20-25% of weight within 6 months.

• After regaining, it ensures that the lost weight is maintained for one year with a soft diet program.

• It is an important condition for the success of the treatment that the patients to be applied are compliant people with good expectations.

Situations in which Gastric Balloon will not be Applied
• Alcoholics, drug addicts obese.

• Those with mental disorders (3 months under the supervision of a psychiatrist)

• Obese people using NISAID, Anticoagulants and systemic corticosteroids.

• Obese patients with previous laparotomy

• Obese people with previous major laparoscopic surgery.

• Obese people with infectious bowel disease.

• Obese people with gastrointestinal problems such as esophagitis and ulcers.

• Obese people who do not meet the BMI criteria.
STOMACH BOTOX
What is stomach botox?
Botulinum toxin (botox) application to the stomach is a relatively new weight loss method based on the endoscopic method of injecting Botulinum toxin into certain parts of the stomach. In this method, the contraction of the stomach muscles is limited and the gastric emptying time is delayed and the patient loses appetite.

Who is Stomach Botox suitable for?
Stomach botox can actually be applied to anyone who wants to lose weight. This procedure is not an operation. However, patient selection is important. It should be said that stomach botox will not be very useful in patients with a body mass index above 40 and who can achieve success with surgery. At this point, patients who are overweight but not obese enough to be operated on and who want to lose weight constitute the ideal patient group. In patients with stomach ulcers or gastritis, stomach botox can be applied after the appropriate treatment of these diseases.

Does stomach botox have side effects?
Botox is widely used mainly to reduce wrinkles on the skin and no dangerous side effects are known. Since gastric botox application is a standard endoscopic procedure, there are no significant side effects reported in the literature. The procedure is not suitable for people who have muscle disease and who are allergic to botox.

Does stomach botox have a weight loss guarantee?
No method, including stomach botox, is guaranteed to lose weight. It is not right to treat stomach botox as a miraculous cure. Although it is known that stomach botox has an appetite-reducing effect and helps diet, there is a possibility of failure in patients fed with high carbohydrate after botox application.

How long is the stomach botox procedure, is it necessary to stay in the hospital?
Stomach botox is not a surgery. It is a completely endoscopic procedure performed through the mouth. There is no incision. The procedure takes an average of 20 minutes. During the procedure, patients are put to sleep accompanied by an anesthesiologist. It is not necessary to stay in the hospital. 1-2 hours of observation is usually sufficient after the procedure.

Does stomach botox cause permanent damage to the stomach?
It is known that the entire effect of the drug used in stomach botox is completely erased from the body within 4-6 months. Therefore, there is no possibility of permanent damage.

My intestines are already lazy, will I experience more bloating with botox?
Stomach botox is applied only to the smooth muscles of the stomach, it has no effect on nerve cells and the movement of the intestines. Therefore, it does not have an effect on increasing intestinal laziness. In the diet that will be prepared specially for you after stomach botox, (indicate this situation to your dietitian), an improvement in intestinal laziness can be seen by adding foods for the operation of the intestines to the diet.

Will Botox disperse into my body?
In the studies, systemic spread was not shown after the stomach botox procedure, and it was observed that it completely blocked the nerve conduction locally and thus delayed hunger.

Can it be applied to pregnant and lactating women?
Adequate studies have not been conducted on its use in pregnant and lactating women.

What is the expectation from stomach botox application?
Patients are expected to lose 10-15% of their total weight within 3-6 months. The amount of weight given; It may differ from person to person according to age, metabolic rate and frequency of exercise.

What should be considered after stomach botox?
Consuming fast foods such as fast food and acidic beverages are harmful. Botox applied patients get hungry later, feel full with less portions, and feel full earlier.

How is it different from a gastric balloon?
Gastric balloon is one of the endoscopic interventions for weight loss. However, the volume of the gastric balloon needs to be adjusted from time to time according to the patient, which requires endoscopy each time. Stomach botox provides an effective loss of appetite for 3-6 months with a single application. The presence of a foreign body in the stomach in the gastric balloon rarely causes nausea. In addition, many patients complain that their appetite is suddenly reopened after the gastric balloon is removed. Since the effect of stomach botox passes slowly, there is no sudden increase in appetite in this way, the appetite gradually returns to normal.