Gastric balloons work by occupying space in the stomach to reduce portion size and slow the stomach emptying, helping you to feel satisfied for longer. The balloon does not change the size of your stomach, nor does the balloon change in size over time, however what does happen is your stomach adjusts to the presence of the balloon. After a few months, the body gets used to the balloon and you might find your appetite increases and you’re able to eat a bit more than initially.
The Spatz3 balloon has the longest placement time in the stomach – up to 1 year, and so very usefully has an adjustable feature. Once the body gets used to it, the balloon can be filled with extra fluid to regain some of the restriction. Balloon adjustments are not necessary, however the majority of people with a Spatz3 balloon will end up having one at some point to get the optimal effect from the balloon and enhance weight loss results.
The optimal time for an adjustment could be anywhere from 3-8 months after insertion, depending on a number of factors. Here are some of the things your Dietitian and Doctor will assess when considering a balloon adjustment:
1. Weight plateau
Plateaus are normal throughout your weight loss journey, but if you have been at the same weight for weeks or months and still have excess weight to lose, an adjustment might be of benefit. First though, we would look to assess your eating and exercise habits.
2. Diet quality and exercise
As we know, the balloon is a tool and works optimally when accompanied by healthy eating and exercise. Simply having a balloon in your stomach will not guarantee weight loss, so your care team will assess your diet quality, and food and exercise habits to see if changes are needed. For example, if you are consuming lots of processed and takeaway foods, and not exercising regularly, these are habits you should change first before planning an adjustment.
3. Increase in portion size without negative consequences
Portions will naturally increase gradually over the span of the gastric balloon placement. Once you notice you can eat significantly more, an adjustment can help to reduce portion size. However if you are eating larger amounts and experiencing consequences such as bloating, pain, reflux, burping or vomiting, it could be an indication you are still eating too much. Remember that ‘punishment’ symptoms after eating are not the goal!
To discuss your suitability for a gastric balloon adjustment, book an appointment with your Dietitian and Bariatric Physician.
