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mobieusKnow Endoscopic options: balloon and endoscopic sleeve History #847

Revision #847

Approved
All revisions
Author
Patrick Bass
Submitted
Sep 2, 2026 12:05pm
Summary
Bariatric and medical weight management: the procedures, preparing for surgery, the staged diet, protein and fluid, supplements, activity, dumping, alcohol, pregnancy, labs, weight recurrence, the non-surgical routes and the medical-information policy
'''Two procedures done through an endoscope rather than through the abdominal wall.''' Loopa has a track for both.
== Intragastric balloon ==
A soft balloon placed in the stomach and filled, then removed after a set period. Nothing is cut and nothing is rerouted.
'''The removal date is the part that matters most''', and Loopa counts down to it. What happens after removal is what decides how the weight goes, which is why the track hands you straight into maintenance rather than ending.
== Endoscopic sleeve gastroplasty ==
The stomach is reshaped with sutures placed from the inside, narrowing it without removing anything.
== Coming back to food ==
+ The same staged shape as after surgery — clear liquids, protein liquids, soft food, ordinary textures — over a shorter run. '''The windows are your team's, and Loopa's are a reference until theirs arrives.'''
− The same staged shape as after surgery (clear liquids, protein liquids, soft food, ordinary textures) over a shorter run. '''The windows are your team's, and Loopa's are a reference until theirs arrives.'''
+ While you are on liquids, the protein and fluid targets are the ones that apply everywhere in this section: at least 60 g of protein a day and more than 1.5 litres of fluid (Mechanick JI et al., ''Obesity'', 2013 — [https://doi.org/10.1002/oby.20461 doi:10.1002/oby.20461]).
− On liquids, the protein and fluid targets are the ones that apply everywhere in this section: at least 60 g of protein a day and more than 1.5 liters of fluid (Mechanick JI et al., ''Obesity'', 2013 · [https://doi.org/10.1002/oby.20461 doi:10.1002/oby.20461]).
== Supplements ==
These procedures do not create the malabsorption that a bypass or a duodenal switch does, so they do not carry the post-surgical supplement schedule. What you take is a conversation with your clinician.
== Honest limits of this page ==
+ '''We could not obtain the text of the relevant society position statement''', so this page carries no society-sourced claim about these procedures specifically — no weight-loss figure, no eligibility range, no complication rate. What is here is the general post-procedure nutrition guidance, which does apply, and the shape of the tracking.
− '''We could not obtain the text of the relevant society position statement''', so this page carries no society-sourced claim about these procedures specifically: no weight-loss figure, no eligibility range, no complication rate. What is here is the general post-procedure nutrition guidance, which does apply, and the shape of the tracking.
Your team is the source for the rest, and this page will be updated when the statement is available to quote.
== Related ==
* [[the-staged-diet-after-surgery|The staged diet after surgery]]
* [[non-surgical-medical-weight-management|Non-surgical medical weight management]]
* [[loopas-medical-information-policy|Loopa's medical-information policy]]
== Where this comes from ==
+ Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
− Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. The full list, with a link to every original, is at [https://loopahealth.app/sources/ loopahealth.app/sources]. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.

'''Two procedures done through an endoscope rather than through the abdominal wall.''' Loopa has a track for both.

== Intragastric balloon ==

A soft balloon placed in the stomach and filled, then removed after a set period. Nothing is cut and nothing is rerouted.

'''The removal date is the part that matters most''', and Loopa counts down to it. What happens after removal is what decides how the weight goes, which is why the track hands you straight into maintenance rather than ending.

== Endoscopic sleeve gastroplasty ==

The stomach is reshaped with sutures placed from the inside, narrowing it without removing anything.

== Coming back to food ==

The same staged shape as after surgery — clear liquids, protein liquids, soft food, ordinary textures — over a shorter run. '''The windows are your team's, and Loopa's are a reference until theirs arrives.'''

While you are on liquids, the protein and fluid targets are the ones that apply everywhere in this section: at least 60 g of protein a day and more than 1.5 litres of fluid (Mechanick JI et al., ''Obesity'', 2013 — [https://doi.org/10.1002/oby.20461 doi:10.1002/oby.20461]).

== Supplements ==

These procedures do not create the malabsorption that a bypass or a duodenal switch does, so they do not carry the post-surgical supplement schedule. What you take is a conversation with your clinician.

== Honest limits of this page ==

'''We could not obtain the text of the relevant society position statement''', so this page carries no society-sourced claim about these procedures specifically — no weight-loss figure, no eligibility range, no complication rate. What is here is the general post-procedure nutrition guidance, which does apply, and the shape of the tracking.

Your team is the source for the rest, and this page will be updated when the statement is available to quote.

== Related ==

  • [[the-staged-diet-after-surgery|The staged diet after surgery]]
  • [[non-surgical-medical-weight-management|Non-surgical medical weight management]]
  • [[loopas-medical-information-policy|Loopa's medical-information policy]]

== Where this comes from ==

Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.

'''Two procedures done through an endoscope rather than through the abdominal wall.''' Loopa has a track for both.

== Intragastric balloon ==

A soft balloon placed in the stomach and filled, then removed after a set period. Nothing is cut and nothing is rerouted.

'''The removal date is the part that matters most''', and Loopa counts down to it. What happens after removal is what decides how the weight goes, which is why the track hands you straight into maintenance rather than ending.

== Endoscopic sleeve gastroplasty ==

The stomach is reshaped with sutures placed from the inside, narrowing it without removing anything.

== Coming back to food ==

The same staged shape as after surgery — clear liquids, protein liquids, soft food, ordinary textures — over a shorter run. '''The windows are your team's, and Loopa's are a reference until theirs arrives.'''

While you are on liquids, the protein and fluid targets are the ones that apply everywhere in this section: at least 60 g of protein a day and more than 1.5 litres of fluid (Mechanick JI et al., ''Obesity'', 2013 — [https://doi.org/10.1002/oby.20461 doi:10.1002/oby.20461]).

== Supplements ==

These procedures do not create the malabsorption that a bypass or a duodenal switch does, so they do not carry the post-surgical supplement schedule. What you take is a conversation with your clinician.

== Honest limits of this page ==

'''We could not obtain the text of the relevant society position statement''', so this page carries no society-sourced claim about these procedures specifically — no weight-loss figure, no eligibility range, no complication rate. What is here is the general post-procedure nutrition guidance, which does apply, and the shape of the tracking.

Your team is the source for the rest, and this page will be updated when the statement is available to quote.

== Related ==

* [[the-staged-diet-after-surgery|The staged diet after surgery]]
* [[non-surgical-medical-weight-management|Non-surgical medical weight management]]
* [[loopas-medical-information-policy|Loopa's medical-information policy]]

== Where this comes from ==

Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.