Can you be over BMI 40 to safely get the Orbera Balloon?

It would not be unsafe to place an Orbera gastric balloon in someone with a BMI of 40, but you should consider other options, including bariatric surgery such as a laparoscopic sleeve gastrectomy or gastric bypass.  If you don't want surgery or your health insurance won't cover it, You can also consider the ESG (endoscopic sleeve gastroplasty) which I believe provides better results than the gastric balloon procedures. It involves suturing a significant portion of the stomach closed but it's all done endoscopically, so without surgery.  It's a great procedure, but not too many people are doing it around the country yet.  

Safety is best viewed as what is the anesthetic risk. The balloon itself has no increased risk when used in a higher BMI individual. The procedure is performed under monitored anesthesia care, not general anesthesia, the same as a colonoscopy. If you have other medical issues that make this form of anesthesia risky such as significant lung or heart related conditions, any procedure would be considered higher risk. The other thing to consider is will a balloon meet your goals. Some individuals are not looking for a normal BMI at the end. If you do not have obesity related health issues, it is absolutely your choice as to what your goal weight is.In my experience I usually offer intragastric balloons to patients who want to lose 30-50 pounds during the 6-8 months the balloon is in. The majority of our patients continue to lose weight after the balloon is removed if they desire as all our patients have 2 years with our nutritionist to ensure durable results.

Yes, you can be over BMI 40 to safely get the Orbera Balloon. The Orbera Balloon is a type of intragastric balloon that is used to help people with obesity lose weight. It is a safe and effective treatment for people with a BMI of 27 or higher, including those with a BMI of 40 or higher.
Here are some of the benefits of the Orbera Balloon:
It is a non-surgical procedure, which means that there are no incisions or scars.It is a minimally invasive procedure, which means that the recovery time is short.It is an effective way to lose weight, with an average weight loss of 25 pounds in six months.It is a safe procedure, with very few side effects.Here are some of the risks of the Orbera Balloon:
Nausea and vomiting are the most common side effects of the Orbera Balloon. These side effects are usually temporary and go away within a few weeks.Abdominal pain is another common side effect of the Orbera Balloon. This pain is usually mild and goes away within a few weeks.Infection is a rare but serious complication of the Orbera Balloon. This can occur if the balloon leaks or if bacteria enter the stomach through the insertion site.Perforation is another rare but serious complication of the Orbera Balloon. This occurs when the balloon punctures the stomach wall.If you are considering having an Orbera Balloon placed, it is important to talk to your doctor about the risks and benefits. They will be able to assess your individual circumstances and determine if an Orbera Balloon is right for you.
Here are some things to keep in mind if you are considering having an Orbera Balloon placed:
Be sure to choose a doctor who is experienced in placing Orbera Balloons.Tell your doctor about all of your medical conditions and any medications you are taking.Follow your doctor's instructions carefully after having an Orbera Balloon placed.With proper care and monitoring, Orbera Balloons can be a safe and effective way to help people with obesity lose weight.