Am I a good candidate for Orbera? I had hiatal hernia surgery 8 years ago.

Question

The procedure pulled down my esophagus and wrapped my stomach around it . I am 58 yrs old. Am I a candidate for Orbera surgery?

Babak Moeinolmolki, MD, FACS · Answer

Hello, 
Thank you for your question and congratulations on seeking proactive options to improve your health. While the intragastric balloons are not an option given your surgical history, gastric sleeve surgery might be an excellent option for you. 
I encourage you to schedule Skype appointment with a bariatric (obesity) surgeon to discuss the best options in light of your current health and surgical history.
Best regards,
Dr. Moein

Christopher E. McGowan, MD · Answer

Hi, 
Unfortunately, you would not be a candidate for an intragastric balloon (including Orbera, Obalon, and Reshape). A history of stomach surgery of any kind is an absolute contraindication. This includes Nissen Fundoplication, which sounds like the type of hiatal hernia surgery that you had. 
You would still be a candidate for other forms of endoscopic weight loss, including AspireAssist and Endoscopic Sleeve Gastroplasty (ESG), depending on your goals.

H. Joseph Naim, MD, FACS · Answer

Unfortunately currrently anyone with previous stomach surger, like Hiatal Hernia Repair or history of Lap-Band and or other Bariatric Surgery have contraindication and are not a candidate for Gastric Balloon. 
This is mainly due to increased chance of complications after such procedures.
Remember that the FDA guidelines are for BMI of between 30 to 40 for Orbera Gastric Balloon!

Michael F. Sedrak, MD - Account Suspended · Answer

The guidelines are clear that you would not be a candidate for gastric balloon. There is increased risk of stomach perforation if a balloon is placed in a stomach that had been operated on!There’s lots of other options to consider, including endoscopic, non operative, and of course surgery

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Am I a good candidate for Orbera? I had hiatal hernia surgery 8 years ago.

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