You swallow a capsule. You walk out of the office.
No anesthesia, no sedation, no endoscopy. You swallow a capsule in the office, and four months later the balloon empties itself and leaves on its own. No OR involved.
01 · What it is
The Allurion (also known as Elipse) is a gastric balloon placed by swallowing a capsule. The capsule comes attached to a thin catheter. Once in the stomach, a single radiograph confirms position and the balloon is filled with approximately 550 mL of sterile saline through the catheter. The catheter is then removed orally.
No anesthesia. No sedation. No endoscopy. The office visit takes approximately 15–20 minutes total (Ienca et al. EVALUATE 2022; ASMBS Position on Endoscopic Bariatric Therapies 2022).
At 16 weeks (~4 months) a timed-release valve inside the balloon opens, the balloon empties, and is naturally eliminated through the digestive tract. There is no removal procedure — this is what sets the Allurion apart from any other gastric balloon.
02 · Who it's for
These are the general indications. Real candidacy depends on your BMI, medical history, and your readiness for the dietary and behavioral change during the 4 months the balloon is in place.
Overweight to obesity. Typical candidate range for the Allurion based on published clinical studies (Ienca et al. EVALUATE multinational study 2022).
Patients who want a weight-loss intervention but won't accept anesthesia, sedation, endoscopy, or surgery. The Allurion is the least invasive option available.
Patients who prefer a shorter commitment: ~4 months with the balloon vs 8–12 months for the Spatz3, and where 4 months are sufficient to reach goal.
Without real commitment to dietary and behavioral change during the 4 months, the balloon does not work. If you're not ready for that change, we talk about it before — not after swallowing the capsule.
03 · The procedure
Medical assessment, clinical nutritional evaluation, and review of gastrointestinal history. We confirm there are no contraindications for intragastric balloon placement.
In the office, under direct observation, you swallow a capsule attached to a thin catheter (Ienca et al. EVALUATE 2022). No anesthesia, no sedation.
A single radiograph confirms the capsule is correctly positioned in the stomach. No endoscopy is used at any step of the procedure.
The balloon is filled with approximately 550 mL of sterile saline through the catheter. Once full, the catheter is detached and removed through the mouth. The full visit takes approximately 15–20 minutes.
During the following 16 weeks, the balloon occupies gastric volume and prolongs satiety. Structured nutritional support throughout. The first week is the heaviest adaptation — cramping or nausea in the vast majority of patients.
At ~16 weeks, a timed-release valve inside the balloon opens, the balloon empties, and is naturally eliminated through the digestive tract. No removal procedure required. Nutritional follow-up continues to maintain results.
04 · Outcomes
The balloon is a reversible intervention of lower magnitude than bariatric surgery. These are ranges supported by published clinical studies. Your real outcome depends on dietary and behavioral adherence during treatment.
%TWL (total weight loss) range reported at the end of the ~4-month treatment (Ienca et al. EVALUATE multinational study 2022; Ienca et al., Obesity Surgery 2020 (1,770 patients)).
Reported frequency of adaptive symptoms at the start of treatment, typically self-limited with medical management (Ienca et al. EVALUATE 2022).
Rate of patients who require balloon deflation before completing treatment due to symptoms that cannot be managed (Ienca et al. EVALUATE 2022).
Sources: Ienca et al. EVALUATE multinational study (2022); ASMBS Position on Endoscopic Bariatric Therapies (2022); Ienca et al., Obesity Surgery 2020 (1,770 patients). Additional risks: early deflation and severe vomiting requiring intervention exist but are rare per published series.
05 · Cost
Each case has a different profile: nutritional follow-up program, imaging services, medical conditions to manage. Publishing a single number would be dishonest — it would either undersell complex cases or overprice simple ones.
WhatsApp me your weight, height, and any medical conditions. I respond within 24 hours with a real quote and financing options if you need them.
06 · Allurion vs Spatz3
07 · Frequently asked
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