Air-Filled Intragastric Balloon Implant

The Heliosphere® intragastric balloon (IGB) (Helioscopie Medical Implants, Vienne, France) was licensed for use in Canada in 2004 but has not been approved in the USA yet. Studies show that the air-filled balloon is efficient and well tolerated and carries a weight loss similar to other types of balloons. The indication is the same as that for liquid-filled balloons: Overweight or obese patients who do not meet the criteria for bariatric surgery or who refuse a permanent intervention. The placement and removal procedures have some particularities and should be carried out by a qualified endoscopist in an adequately equipped environment. Adverse events from the air-filled balloon may arise, but serious complications are rare.