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Obesity - Weight Management Clinic

BIB - Bioenteric Intragastric Balloon system

Bioenteric Intragastric Balloon system
BIB or the Gastric balloon System as it is popularly called is a non-surgical, temporary means of achieving weight loss. The procedure takes no more than 20 minutes to perform and in most cases is a 'day-only' procedure where the patient can be escorted home within two hours. The procedure involves inserting a silicon balloon into the stomach endoscopically and does not require any incisions or surgery.

To see if this procedure is suitable for you or someone you know read Eligibility.

Overview of the procedure

The basic idea behind the BIB procedure is to use the balloon to fill a large portion of the stomach, and therefore reduce the capacity of the stomach. By doing so it creates a feeling of fullness for the patient and does not allow for overeating. In time the body adjusts and the patient can effectively diet without feeling continuously hungry.


Eligibility for BibThe BIB system is designed to assist with weight loss in people who are overweight or obese and are at least 15 to 20 kg above their ideal weight; the procedure is also effective on those who have failed to obtain prolonged weight loss with other weight control programs. It has proven to be especially effective on people who have failed to achieve weight loss through diet and exercise. BIB is also particularly useful for people considered super super obese, medically unfit or considered high risk for vital surgery. The BIB system can be used to successfully reduce weight prior to surgery and help reduce the risks associated with surgical intervention on such patients.


Will I be able to feel the balloon in my stomach?

There will be slight discomfort, nausea or vomiting for the first 2-3 days after which the primary sensation of the BIB is a feeling of satiety.

Are there any food restrictions post-procedure?

To begin with you will not feel like eating as much as you used to. In addition, if you eat fatty foods or sweets, you may feel nauseous. Overeating while the BIB is in place is not advisable.

Will I experience any side effects or complications?

Side effects are extremely unlikely and rare. However most patients do mention a feeling of cramping, nausea and vomiting in the first 2-3 days. It is important to follow a doctor's instructions and drink plenty of fluids.

Do I need to be admitted in the hospital for this procedure?

The BIB is an endoscopic procedure hence a patient can go home immediately after the procedure. There is no need for admission in the hospital.

How often will I need to visit the doctor after the procedure?

It is important to see the doctor once a month in order to monitor the progress. The follow up program is critical to success with the BIB and in learning new lifestyle skills.

Does the procedure limit physical activity?

For the first week after the procedure it is advisable to avoid any strenuous activities like weight lifting etc. Once the body has adjusted to the BIB, you may continue everyday activities. Starting a regular exercise program is highly recommended and will improve your success.

What happens if the balloon leaks?

If the Intra-Gastric balloon leaks you may no longer have a feeling of satiety. You will also begin to pass blue colored urine temporarily. If the BIB deflates, it will most likely pass through your body naturally, but in some cases it may need to be removed by your doctor. It is important to stay calm, as there is no possible damage that can be incurred.

How is the BIB removed?

The BIB is removed endoscopically after 6 months through the mouth in the same manner it was inserted. The 10 minute procedure is performed under sedation and doesn't require admission to a hospital.

Should I discontinue oral contraception before BIB insertion?

No, instead you must be more cautious as the chances of conceiving improve considerably with weight loss.