Gastric Balloon for Weight Loss - guide 2025

The gastric balloon is a non-surgical weight loss intervention gaining popularity among individuals struggling with obesity. This minimally invasive procedure involves placing a soft, expandable balloon in the stomach to create a feeling of fullness, thus reducing food intake. As we move into 2025, advancements in gastric balloon technology have made the procedure safer, more comfortable, and increasingly effective for those seeking alternatives to traditional weight loss surgery. This comprehensive guide explores everything you need to know about gastric balloons as a weight loss solution.

Gastric Balloon for Weight Loss - guide 2025

What Is A Gastric Balloon For Weight Loss?

A gastric balloon is a temporary weight loss device designed to help overweight or obese individuals lose weight when diet and exercise alone haven’t been effective. The balloon occupies space in the stomach, limiting food intake and slowing digestion, which helps patients feel fuller faster and for longer periods. Unlike bariatric surgeries such as gastric bypass or sleeve gastrectomy, the gastric balloon procedure is reversible and doesn’t permanently alter the digestive system’s anatomy. The procedure is typically recommended for patients with a Body Mass Index (BMI) between 30 and 40, particularly those who haven’t responded well to conventional weight loss methods but don’t qualify for or prefer not to undergo more invasive bariatric surgeries.

How Is The Gastric Balloon Inserted And Removed?

The gastric balloon procedure is minimally invasive and performed on an outpatient basis, typically taking 20-30 minutes. During insertion, a deflated balloon is placed into the stomach via the esophagus using an endoscope—a thin, flexible tube with a camera. Once positioned correctly in the stomach, the balloon is filled with a sterile saline solution, sometimes mixed with a dye (usually methylene blue). This dye serves as a warning system—if the balloon leaks, the patient’s urine will turn blue, signaling the need for immediate medical attention.

Removal follows a similar process but in reverse. After the designated treatment period (usually 6-12 months), the balloon is deflated by extracting the saline solution through a catheter. The deflated balloon is then retrieved from the stomach using an endoscope. Both insertion and removal procedures require only light sedation or mild anesthesia, allowing patients to return home the same day with minimal recovery time.

How Long Does A Gastric Balloon Last?

The duration of gastric balloon treatment varies depending on the specific type of balloon used. Traditional single balloons like Orbera typically remain in the stomach for six months. However, newer models like Spatz3 can be adjusted and may stay in place for up to 12 months. The Obalon balloon system, which uses multiple smaller balloons, is designed for a six-month treatment period. The Elipse balloon, a newer innovation, naturally dissolves after approximately four months and passes through the digestive system without requiring endoscopic removal.

Medical professionals determine the optimal duration based on individual weight loss goals, tolerance of the device, and overall health considerations. Extended periods beyond the recommended timeframe significantly increase risks of balloon deterioration, leakage, or intestinal obstruction. After balloon removal, patients typically enter a transition phase focused on maintaining their weight loss through continued dietary changes and physical activity.

Is Gastric Balloon Safe?

Gastric balloon procedures have demonstrated a good safety profile when performed by qualified specialists on properly selected patients. The non-surgical nature of the treatment eliminates risks associated with traditional weight loss surgeries such as infection, bleeding, or extended hospital stays. However, like all medical interventions, gastric balloons carry certain risks and potential side effects.

Most patients experience nausea, vomiting, and abdominal discomfort during the first few days after insertion as the body adjusts to the foreign object in the stomach. These symptoms typically resolve within a week with appropriate medication. More serious complications, though rare, include balloon deflation, intestinal obstruction, gastric perforation, or esophageal injury. The risk of major complications is estimated at less than 1%.

Safety considerations have improved significantly with each new generation of gastric balloons. Modern designs incorporate safeguards like the methylene blue indicator for leakage detection and improved materials that resist deterioration in stomach acid. Strict patient selection criteria further enhance safety profiles by excluding individuals with conditions that might increase complication risks, such as previous gastrointestinal surgery, hiatal hernia, or active ulcers.

How Many Kg Can You Lose With A Gastric Balloon?

Weight loss results with gastric balloons vary significantly depending on individual factors, but clinical studies and real-world evidence provide some general expectations. On average, patients lose between 10-15% of their total body weight during the treatment period. For someone weighing 100kg, this translates to approximately 10-15kg weight loss over 6-12 months.

The most significant factors affecting weight loss outcomes include:

  1. Commitment to dietary and lifestyle changes

  2. Regular follow-up with healthcare providers

  3. Participation in supervised physical activity

  4. Adherence to nutritional counseling guidance

The most successful patients view the gastric balloon as a tool rather than a solution in itself. Those who implement and maintain significant lifestyle modifications typically achieve better results and sustain weight loss after balloon removal. Research indicates that approximately 50% of patients maintain most of their weight loss one year after balloon removal when following recommended post-procedure guidelines.

Gastric Balloon Options And Cost Comparison

The gastric balloon market has expanded significantly, offering patients various options with different features, treatment durations, and price points. Understanding these differences helps in making an informed decision about which system might best suit individual needs.


Balloon Type Average Duration Features Estimated Cost (INR)
Orbera 6 months Single silicone balloon, well-established safety record 2,50,000 - 3,50,000
Spatz3 Up to 12 months Adjustable volume, longer duration 3,00,000 - 4,00,000
Obalon 6 months Multiple swallowable balloons, progressive filling 3,50,000 - 4,50,000
Elipse 4 months No endoscopy for removal, passes naturally 2,75,000 - 3,75,000
ReShape Duo 6 months Dual balloon design for better safety 3,00,000 - 4,00,000

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.

The total expense typically includes the device itself, insertion and removal procedures, follow-up consultations, dietary counseling, and any required medications. Some facilities offer comprehensive packages that include all these components, while others may charge separately for each service. Insurance coverage for gastric balloons varies significantly, with many plans classifying it as an elective procedure with limited or no coverage.

Weight loss with gastric balloons offers a middle-ground approach between lifestyle interventions and surgical procedures. For suitable candidates, it provides a relatively safe, reversible option with meaningful weight loss potential when combined with appropriate lifestyle changes. As with any weight management approach, long-term success depends on sustainable dietary and exercise habits that continue well beyond the treatment period.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.