Do you need a BMI over 30 to qualify for the gastric balloon, or for any bariatric procedure for that matter?

Question

I'm a healthy 34-year-old, 5'3" and 140lb doctor who is "skinny fat" - very pudgy but not large. I am willing to pay out of pocket for the gastric balloon. I have tried every diet on the planet and know what NOT to eat (I have a MSc in Nutrition), but have a very hard time eating healthily. My weight has skyrocketed 4-5 times, usually after a stressful event. When I eat normally, I weigh 115lbs. I have tried everything(been in therapy for years) and am so discouraged and desperate. Please help

Shim Ching, MD · Answer

The recommended range for patient BMI is 30 to 40.  There are patients with lower and higher BMI that could be good candidates for the procedure.  It's best to contact an Orbera provider in your area who can advise whether Orbera is appropriate for you.

Christopher E. McGowan, MD · Answer

The intragastric balloons are only FDA approved for individuals with a BMI between 30 and 40. However, there are certainly patients who would benefit from this type of procedure but fall outside of the FDA indicated range. This is considered "off-label" use but is not a contraindication. Based on your history, an intragastric balloon would likely help you achieve your goals, though it would be important to review the risks, expectations, and potential complications of these procedures, particularly if it is used off-label. Obalon, the swallowed balloon system, would be worth considering if you have a bit less weight to lose, as it tends to have fewer early side effects after placement. 
Hope that helps!

Darrien Gaston, MD, FACP, FACG · Answer

Hello, 
The indication for the intragastric balloon is between 30 and 40. Anything over 40 and below 30 would be considered off label, but you can lose weight with the balloon, if you are willing or able to dedicate the time to lose the weight and maintain. I hope this helps.
Take care,

Angel Caban, MD · Answer

The FDA "recommendation" is BMI 30-40 for the gastric balloon. This procedure can still be done for lower BMI but it will be consider "off label" use... Im sure you could find a surgeon to place a balloon on you... Having said that, it will be a very high price to pay to lose 15-20 lbs. The balloon is going to cost you at least 7-8K dollars.

Shawn Garber, MD, FACS, FASMBS · Answer

Dear Mexy,The FDA approval for both the Reshape and Orbera gastric balloon requires a BMI between 30 - 40.  The balloon is always out of pocket and is not covered by insurance.  We offer various non surgical weight loss programs through our practice.  You need a BMI of 40 with no medical problem for surgery or a BMI of at least 30 with one medical problem related to obesity for the Lap-Band and BMI of 35 with at least on medical problem for sleeve gastrectomy. Feel free to contact our office to learn more about your options.

Do you need a BMI over 30 to qualify for the gastric balloon, or for any bariatric procedure for that matter?

Answers (6)

Answer: Balloon for lower BMI

Answer: Balloon for lower BMI

Answer: Candidate for Gastric Balloon

Answer: Candidate for Gastric Balloon

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Everything you need to know about Orbera Gastric Balloon

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Do you need a BMI over 30 to qualify for the gastric balloon, or for any bariatric procedure for that matter?

Answers (6)

Answer: Balloon for lower BMI

Answer: Balloon for lower BMI

Answer: Candidate for Gastric Balloon

Answer: Candidate for Gastric Balloon

Browse related questions

Recommended reading

Everything you need to know about Orbera Gastric Balloon

Our mission is to create a world where every investment in modern beauty is Worth It.