Intragastric Balloon
A non-surgical, outpatient solution for effective weight loss
Non-Surgical Intragastric Balloon Procedure
The intragastric balloon is a non-surgical weight loss procedure that provides a safe, temporary way to help reduce appetite and portion size. It is ideal for patients who want to lose weight without undergoing surgery, or those preparing for more permanent interventions.
Both the Heliosphere® and Orbera® 365 balloons are placed endoscopically, via a thin camera inserted through the mouth into the stomach, under light sedation, and are typically completed as a day-case procedure. No cuts, no stitches, and no hospital stay are required. The balloon remains in the stomach for several months, occupying space and promoting a feeling of fullness with smaller meals.
We offer two balloon options tailored to your individual needs :
- Heliosphere® Balloon – air-filled, well-tolerated, and lightweight (6 months)
- Orbera® 365 Balloon – saline-filled, and long-acting (12 months)
Heliosphere® Intragastric Balloon
Lightweight. Air-filled. Comfortable.
The Heliosphere® Balloon represents the latest generation in intragastric balloon technology. Its air-filled design makes it significantly lighter than traditional saline balloons, leading to better overall tolerance and fewer side effects.
Key Features :
- Air-filled (not fluid-filled), weighing only 30g
- Constructed from biocompatible polyurethane
- Inserted and removed via gastroscopy under light sedation
- Remains in the stomach for up to 6 months
- Adjustable volume (500-700ml)
- Outpatient, same-day procedure
- Radiopaque marker allows for visibility on imaging
Benefits :
- Superior tolerance with fewer side effects such as nausea or bloating
- Minimal recovery time, making it ideal for working professionals
- Helps break cycles of overeating and encourages mindful eating
- Suitable for BMI 27–35 and those needing a structured, short-term intervention
- Useful for patients preparing for bariatric surgery or those who need preoperative weight loss for another condition
Orbera® 365 Intragastric Balloon
The Orbera® 365 is a well-established, saline-filled balloon designed to remain in the stomach for up to 12 months. It creates a sensation of fullness and assists in reducing overall food intake. Orbera is supported by structured lifestyle and dietary programmes for maximum success.
Key Features :
- Approved for up to 12 months in the stomach
- Saline-filled balloon with volume of 500ml
- Inserted and removed via endoscopy under sedation
- Backed by one of the most extensive clinical safety records worldwide
- Ideal for patients with BMI 30-40 seeking a non-surgical approach to weight loss
Tolerating the Balloon
Most patients adjust to the intragastric balloon within a few days, although some may experience initial side effects such as nausea, bloating, or abdominal cramping. These symptoms are typically mild and temporary, especially with air-filled balloons like Heliosphere®, which are significantly lighter and better tolerated. Medications to manage nausea or reflux are usually prescribed. The majority of patients are able to return to normal daily activities within 48-72 hours. Our team provides detailed post-placement instructions and support to help you adjust comfortably and confidently.
Diet After Balloon Placement
Following balloon insertion, you’ll follow a phased dietary programme designed to allow your stomach to adapt gradually while promoting effective weight loss. The first few days involve a clear liquid diet, followed by a progressive reintroduction of soft and pureed foods, and eventually a balanced, low-volume solid diet. The key is to eat slowly, chew thoroughly, and stop when full. Our dietitians will work closely with you to create a personalised nutrition plan, helping you make sustainable choices that support both short- and long-term goals.
Take the First Step
If you’re looking for a minimally invasive, effective tool to jump-start your weight loss journey, the intragastric balloon may be the right choice for you. With no surgery and minimal downtime, it offers a flexible, proven solution to help you regain control of your health.
Book your consultation at the Obesity Unit in Johannesburg to learn more about Heliosphere® and Orbera® 365, and find out which approach is best suited to your needs.
Which Balloon Is Right for You?
| Feature | Heliosphere® | Orbera® 365 |
|---|---|---|
| Type | Air-filled | Saline-filled |
| Weight | ~30g | ~400–500g |
| Duration | 6 months | 12 months |
| Insertion Method | Gastroscopy (outpatient) | Gastroscopy (outpatient) |
| Ideal BMI Range | 27-35 | 30-40 |
| Tolerance | Higher (less nausea/discomfort) | May cause early nausea/bloating |
Our team will guide you in selecting the most appropriate balloon based on your goals, medical history, and lifestyle preferences.