Intragastric Balloon for Overweight and Obesity

What is Metabolic Syndrome?

Metabolic syndrome is a condition in which excess body fat has accumulated to such an extent that health may be negatively affected and life span is shortened. It is a group of diseases where increased abdominal girth (more than 90cm in males and more than 80 cm in females) generally is associated with increase BMI, diabetes, hyperlipidemia, hypertension, polycystic ovaries, sleep apnoea and non-alcoholic steato hepatitis (Fatty liver). Globaly 671 million people are affected by obesity.

Obesity occurs over a period of time when you eat more calories than you burn. The balance between calories-in and calories-out differs for each person. Factors that might tilt the balance include you genetic makeup, overeating, eating high – fat foods and not being physically active. Hormones in the gut like Ghrelin, GLP1 also play a role. Adipose tissue secretes adipokines and free fatty acids into blood which in-turn produce insulin resistance and thus lead to diabetes, high blood pressure, high cholesterol and other obesity related disease.

intragastric balloon

Overweight and Obesity causes major health risks. Intragastric balloon in time may avoid a surgical option later.


BMI chart

Problems of Metabolic Syndrome

Metabolic syndrome raises concern because of its implications on the health. It increases the risk of many diseases and health conditions. These include:

  • Type 2 diabetes
  • Coronary heart disease (Heart attack)
  • Hypertension (high blood pressure)
  • Cancers (endometrial , breast and colon)
  • Dyslipidemia (high total cholesterol and triglyceridemia)
  • Stroke
  • Liver and gallbladder disease
  • Sleep apnea and respiratory problems
  • Osteoarthritis
  • Mental disorders
  • Polycystic ovary disease & Infertility

Metabolic Syndrome can be treated effectively

Treating Metabolic Syndrome involves more than keeping to a certain diet or taking a tablet. It requires multidisciplinary assessment, which involves several specialists collaborating as a team. The team often comprises a dietician, psychologist, gastroenterologist, cardiologist, pulmonologist, diabetologist, surgeon, anesthesiologist and intensive care specialist.

Treatment can be adapted to the needs of the patient and may include: Psychological support, diet and exercise, medical treatment, endoscopic balloon placements and Metabolic Surgery.

Intragastric Balloon (IGB)

It is placing a deflated balloon in the stomach using endoscopy and then filling it to decrease the amount of intragastric space. It can be left in the stomach for a period of 6 months and results in average weight loss of 10-15 kg in half a year. It may be used in patients who are overweight and not coming to the category of sleeve gastrectomy.

If you suffer from Metabolic Syndrome and have tried various treatments without results, metabolic surgery may be indicated. At present, surgery combined with behavioral changes is the only documented method for achieving long lasting weight loss for patients with morbid obesity.

Intragastric Balloon

A silicon balloon is placed in the stomach, under endoscopic guidance. A gastric balloon aims to reduce feeling of hunger and helps to feel fullness of stomach. The intragastric balloon device is not considered a permanent weight loss procedure. There are different types and sizes of balloons in the market. All balloons are temporary and need to be removed after a period of time (6-12 months).


  • More than 30 BMI - obesity class I (BMI 27.5 – 32)
  • Class II obesity (BMI 32-37) in whom surgery is not possible due to medical conditions or patient’s dislike for surgery.
  • In Morbidly obese (BMI > 37) as a procedure before bariatric surgery to reduce surgical morbidity.
  • Any patient with an excess weight of 10 -20 kg (BMI 23-27.4), with failed dietary measures especially in cases with PCOD (Polycystic Ovarian Disease) and infertility.

Obesity class is based on guidelines for Asian population.

intragastric balloon

A silicon balloon is placed in the stomach, under endoscopic guidance.

Contact Details

Dr. R. Padmakumar
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Minimally Invasive Surgery Institute Internationale (MISII)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity, Diabetes Surgery, Endoscopic Thyroid Surgery,
Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kerala, Kochi, India
KIMS Kochi, Pathadipalam, Edapally, Kerala, Kochi, India
Lakeshore Hospital, Maradu, Kerala, Kochi, India

Consultant Surgeon
Starcare Hospital, Mawaleh, Seeb, Muscat, Oman (+968 24557200)
Medeor 24x7 Hospital, Dubai (+971 4 350 0600)
Venniyil Medical Center, Sharjah (+0971 (6) 56 82258)

Mobile: +919447230370, +919846320370 (India)
Mobile: 00971567581025 (UAE)


Other Details

National President - Indian Hernia Society
GC Member, Association of Surgeons of India
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal