As our portions become larger and our conveniences greater, we are eating more and exercising less. The natural consequence of this trend is now seen in what many healthcare professionals call the obesity epidemic. With this epidemic, many countries now face a major healthcare crisis that is likely to worsen in the coming years. The link between obesity and serious health conditions, including death, is clear. Diabetes, heart disease, stroke, cancer and hypertension are all closely correlated with obesity and are also increasing, bstraining healthcare budgets.

Diet programs of all kinds are also on the rise. Although many of these programs have made large dents in our pocketbooks, they have not provided successful weight loss and long-term results. We continue to see the problem spiraling out of control. Practical, science-based solutions are needed. Such solutions must combine the best of today’s medical technology with proven principles for healthy lifestyle change.


The most common measurement for indicating whether a person is overweight is Body Mass Index (BMI). BMI classifications are based on the relationship that body weight has on disease and death. Although weight is only one of many factors used to predict health risks, studies show a strong correlation between higher BMI and many serious diseases.


We are faced with a seemingly infinite array of weight-loss choices. Ultra-low calorie diets, restricted food diets, hypnosis, extreme fitness programs and pills all compete for our attention. For those with severe obesity, even surgical procedures are now available to combat the problem.

Weight-Loss Medication


° Decrease appetite and/or reduce fat absorption

° Easy to administer treatment


° Potential for side-effects while taking drugs

° Dependency on drugs to maintain weight loss

° No program to address nutrition,

exercise and motivation

Special Foods or Liquid Diets


° Easy to begin/try these programs

° Planned meals to eliminate guesswork


° Dependence on special foods for success

° May be inconvenient with social or work schedules

° No program to address ongoing nutrition, exercise and motivation

Medically Supervised Ultra-Low Calorie Diets


° Good weight loss possible

° Medical supervision to ensure nutritional balance


° May be very difficult to complywith program

° No mechanism to reduce hunger

° May be inconvenient with social or work schedules

° No program to address nutrition, exercise and motivation

° Difficult to maintain long-term success

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The GASTRIC BALLOON AT THE IOI (International Obesity Institute) , by comparison, offers many distinct advantages over conventional diets GASTRIC BALLOON  and weight loss programs.

 With the GASTRIC BALLOON AT THE IOI you will:

° Have a feeling of satiety

° Lose more weight than with other diet programs

° Be supported by a team of medical experts

° Learn principles for long-term success

° Have the benefits of a non-surgical, non-pharmaceutical approach

BMI Weight Status

Under 25 Normal

25-29.9 Overweight

30-34.9 Obese

35-39.9 Severely Obese

40 or above Morbidly Obese

BMI Classifications

Source: National Center for Chronic Disease Prevention and

Health Promotion

Experts agree that successful weight-loss programs should not only help you lose weight, but keep the kilos off over time.

The GASTRIC BALLOON AT THE IOI-PROGRAM combines a clinically proven way to reduce hunger with your own personal team of experts.

The program is made up of three important parts:

The Team of Experts: Experienced weight-loss professionals such as physicians, nutritionists, psychologists and exercise therapists will consult with you and design a program to help you successfully reach and maintain your weight-loss goals. Your team will be there every step of the way with encouragement and support.

The Intragastric Balloon: The Gastric Balloon is a soft, silicone balloon that is inserted into the stomach and filled with sterile saline.

With the balloon you will have a feeling of satiety, or lack of hunger. The balloon will be removed after 6 months. With the help of the GASTRIC BALLOON , you can more easily adopt the lifestyle changes needed to lose weight.

The Education: During regularly scheduled meetings with your team, you will learn the principles needed to manage your weight and promote long-term health. Some of these include nutrition, exercise, eating behaviors, and psychological issues related to food. While learning, you will be motivated by your success and turn these principles into habits that will serve you the rest of your life.


Individuals participating in the GASTRIC BALLOON Program can expect to have significant weight loss in the first six months. The amount of weight you lose and how long you maintain that weight loss will depend on how well you adopt long-term lifestyle changes related to eating and exercise.  


Preparing for the Procedure

As an eligible GASTRIC BALLOON  candidate, you will begin your program by meeting with a physician to discuss the program in detail. Once you have scheduled a date for your procedure, you will begin meeting with your support team and learning the principles that will become the basis of your long-term success. Your support team may include the following:

° physician

° dietitian

° exercise therapist

° psychologist

° other specialists

You will then undergo a series of medical tests to evaluate your overall health. You will meet with your physician and nutritionist to review the pre- and postplacement expectations and instructions


“In the past I’ve tried to reach a normal weight and spent a fortune on weight loss powders and pills. I never had success. When the balloon was placed in my stomach I weighed 116 kilos. During the GASTRIC BALLOON  Program I never felt hungry. With the help of my nutritionist I learned to eat healthy. I feel much fitter now.”

Published Study Number of patients Average Weight Loss (Kilos)

Genco , Italy - 1151pts 21 kg

Herve , Belgium - 2320 15 kg

Scherpenisse, Netherlands3489 21kg

Weight Loss with the GASTRIC BALLOON  Program (Sample of published results)

1. Genco A, Bacci V, Basso MS. Intragastric Balloon for the Treatment of Obesity. Obesity Surgery 2002.

2. Herve J, Wahlen CH, Bastens B, et al. Bioenterics Intragastric Balloon: A nonaggressive solution for the treatment of the Obesity? Obesity Surgery 2001.

3. Scherpenisse J. Clinical Results with the GASTRIC BALLOON . Rotterdam Obesity Workshop Presentation 2002.


The Day of Placement

On the day of the procedure, your team will prepare you for the endoscopic placement of the balloon, which generally takes about 20-30 minutes. You will be sedated while the deflated balloon is inserted into your stomach through your mouth. After the balloon is placed and filled with saline, you will remain in the clinic for observation until the doctor discharges you into the custody of the person who will take you home.

Adjusting to the GASTRIC BALLOON

The first few days will be uncomfortable as the stomach gets used to the presence of the balloon. You may experience nausea, vomiting, bloating, diarrhea and cramping until your body adjusts. These conditions are normal and should be expected. Your physician will provide strict instructions for your hydration regimen during this period. It is critical that you drink plenty of water during the first few days and avoid eating any solid foods. You will be restricted to a liquid diet for the first three days, which might include the following:

° juices

° milk

° thin soups or broths

° gelatins

The following items should be avoided:

° coffee

° fizzy drinks

° fatty foods

° chocolate

° ice cream

Important Reminders

° Do not engage in any physical activity for the first 24 hours.

° Drink cold liquids in small amounts,

beginning with a teaspoon, and slowly increase the amount of the liquid as you are able. If liquid is taken in large amounts there is a higher risk of nausea and vomiting.

° A doctor will be on call the first 24 hours to handle any reactions or distress you may feel.

Transitioning to Solid Foods

After a few days on a liquid diet, you will be ready to begin the transition to solid foods. Prior to solid foods, you will graduate to semi-solids. How quickly you make this transition will depend on your progress and how well your body is tolerating the liquids. It is important to make the transition slowly and not try to rush the adjustment process.

Some of the foods your dietitian may prescribe at this point are:

° porridge

° thicker soups

° fruit purees

Beginning Your New Program

At this point you will begin regular meetings with your medical support team. Your physician, dietitian, and other experts will play important roles in evaluating your needs and counseling with you to create a customized program.

Your appointment schedule will be decided with your team, however it is critical that you attend all meetings. Your success with the GASTRIC BALLOON  Program will depend on how committed you are to learning from your support team and adopting the principles of good health into your daily life.

You will receive instructions on your initial solid-foods nutrition regimen with calorie restrictions. This initial prescription may be adjusted over time by you dietitian during subsequent meetings.

The Next Six Months

After the first two weeks, your body will have adjusted to the GASTRIC BALLOON AT THE IOI, you will be following a regular nutrition plan, and you will have resumed your normal activities.

Over the next six months it will be critical to meet with your doctor to measure your weight-loss progress and your support team for education and training. This period is important to prepare you for maintaining weight loss after the GASTRIC BALLOON  is removed.

Remember, the GASTRIC BALLOON  is only a “training tool,” like training wheels on a bicycle. The GASTRIC BALLOON  gives you a window of opportunity to adapt to the lifestyle changes you must make in order to maintain your ideal body weight.

The following guidelines will help you be more successful:

° Meet regularly with your medical team to stay motivated and committed to the program. Experience shows that those who attend the scheduled follow-up meetings have the best short- and long-term results.

° Keep a diary of what you eat and how much you exercise.

° Make your new nutrition plan a longterm

lifestyle change.

During the period the GASTRIC BALLOON  is implanted, be careful to observe and report any unusual changes in the way you feel. If you feel nauseated for a longer period of time than the initial few days, let yourdoctor know immediately.


After six months, the GASTRIC BALLOON AT THE IOI will be removed in a 20-minute procedure similar to that of the placement. During the removal procedure, you will be sedated, and your doctor will remove the saline from the balloon before removing the deflated balloon from your stomach.

Important Reminders:

° No solid food 24 hours prior to the procedure.

° No liquids 12 hours prior to the procedure.

° Arrange to have assistance when you return home from the treatment center.


After removal of the GASTRIC BALLOON , you will still be under the supervision of your support team. With their continued help, you’ll be on your way to successful and sustained weight loss.

The GASTRIC BALLOON  helps jump-start the process, but now you have new tools and a new outlook. You are successful and you know how to continue that success. The balloon may be gone but your desire to continue the life you now enjoy will motivate you to stay on the path to health and happiness, and never go back.


To qualify for the GASTRIC BALLOON  Program you must:

° Be at least 18 years old

° Be obese with a BMI at least 30*

° Be ready to comply with a serious medically supervised program In addition, there are certain medical reasons you may not be eligible for the GASTRIC BALLOON  Program. You may not be a candidate for the procedure if any of the following conditions are present:

° Previous history of GI surgery, obstruction, adhesive peritonitis or large hiatal hernia

° Severe renal, hepatic or pulmonary disease diagnosis

° Chronic, long-term steroid treatment

° Unwillingness to adopt the dietary habits critical to the success of


“My whole life I've had troubles with my weight. At one time, I managed to lose 15 kilograms . I was very proud of myself but now, a few years later, I weigh almost a hundred kilograms. What I lost then, I regained back double. The GASTRIC BALLOON Program was the answer to my weight problem. My life has changed. I can go shopping and buy normal clothes. I don't have to buy from a special store anymore. It’s wonderful! Everybody gives me compliments. Some people don't even recognize me at first!”

* Use of the GASTRIC BALLOON System is contraindicated for weight loss in patients with a BMI less than 30, unless accompanied by comorbidities associated with obesity that would be expected to improve with weight loss.

The therapy

° Drug or alcohol addiction in the last

12 months

° Pregnancy

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Mail :

As with all medical procedures, there are potential risks of unforeseen, unknown or adverse reactions to medications and the procedure itself. Please discuss your questions and expectations about the GASTRIC BALLOON Program with us at the IOI  and evaluate the benefits versus the possible risks.


Q: How much weight will I lose?

A: You can experience significant weight loss averaging between 15-20 kilos; however, your results will depend on how well you follow the program and adjust your eating habits.

Q: Will I be able to feel the balloon in my stomach?

A: There will be discomfort during the first few days. After that, the primary sensation of the GASTRIC BALLOON AT THE IOI is a feeling of satiety.

Q: Are there side-effects or complications with the GASTRIC BALLOON AT THE IOI?

A: The first three days will be very difficult. Cramping, nausea and vomiting are normal and should be expected. It is very important that you follow your doctor’s instructions and drink plenty of fuids. Medication may be available to help ease the discomfort.

Q: How long will it take to recover after the procedure?

A: You should plan at least three days of inactivity to recover from the procedure.

You will be able to resume normal activity sooner or later than this depending on how quickly your body adjusts to the GASTRIC BALLOON AT THE IOI.

Q: How will the weight-loss results compare with other diet programs?

A: You can expect to lose more weight with the GASTRIC BALLOON AT THE IOI. Because the GASTRIC BALLOON AT THE IOI gives you a feeling of satiety, you are better able to control your eating and make healthy changes in your habits.

Q: Does the GASTRIC BALLOON AT THE IOI require frequent visits to my doctor after the pocedure?

A: The follow-up program is critical to sccess with the GASTRIC BALLOON AT THE IOI and in learning new lifestyle skills. You will meet with your physician and support team at least monthly while the GASTRIC BALLOON AT THE IOI is in place.

During this time your progress will be evaluated and you will learn valuable principles of health, nutrition, and exercise that will provide you a foundation for long-term success.

Q: Does the GASTRIC BALLOON AT THE IOI limit activity?

A: The first week you should not plan any heavy activity. Once your body has adjusted to the GASTRIC BALLOON AT THE IOI, you can continue your normal activities. Starting a regular exercise program is highly recommended and will improve your success.

Q: What happens if the GASTRIC BALLOON AT THE IOI leaks?

A: If the GASTRIC BALLOON AT THE IOI leaks, you will notice a change in your urine color (it will be greenish). Although very uncommon, this can be a serious situation. If you notice a change in urine color, you must call your doctor immediately. If the GASTRIC BALLOON AT THE IOI deflates, it will likely pass through your body naturally, but in some cases it may need to be removed by your doctor.

Q: Can I drink alcohol?

A: Alcohol in moderation is fine.

Q: Can I eat anything I want? Are there any food restrictions?

A: You will not feel like eating as much as you used to. In addition, if you eat fatty foods or sweets, you may feel sick.

Excessive overeating while the GASTRIC BALLOON  is in place can be dangerous and can result in a serious medical condition.

Q: How is the GASTRIC BALLOON AT THE IOI removed?

A: The GASTRIC BALLOON AT THE IOI is removed through the mouth in the same manner it was inserted. The 20-minute procedure is performed under sedation.

Q: Must I participate in the follow-up visits to be successful?

A: The GASTRIC BALLOON AT THE IOI is not a magic pill, but a tool to change your lifestyle. Taking part in the program will give you the education and support to change your lifestyle habits and have a better chance for long-term success.

The Internetional Obesity Institute in Frankfurt (Germany) Gijon, Lugo and  Santander (Spain)
Is One of the First in the Region
to Offer Innovative Weight Loss Procedure


An innovative, safe, and effective weight loss program is now available at The Internetional Obesity Institute in Frankfurt (Germany) Gijon, Lugo and  Santander (Spain) for overweight individuals who have repeatedly failed more conservative weight reduction alternatives such as supervised diet, exercise, and behavior-modification programs. Doctor Blanco Engert and his Staff are  one of the first surgeons in the area to use the BioEnterics ® BIB® Program.

The BioEnterics â BIB â Program (INAMED Health, Santa Barbara, CA), combines a clinically tested way to reduce hunger with a team of experts.  The program is made up of three important parts:  A team of experienced weight loss professional such as physicians, nutritionists, psychologists and exercise therapists to consul with and design a program to help individuals successfully reach their weight loss goals.  Second,  the BIB is a soft, silicone intragastric balloon  that is inserted into the stomach and filled with sterile saline. With the balloon there is a feeling of satiety, or lack of hunger.  The balloon is removed after six months. Third there is education and training through regular scheduled meetings with the team.  The patient learns the principles needed to manage their weight and promote long-term health. To date, more than50,000 patients worldwide have participated in the BIB Program worldwide.


According to the World Health Organisation more than 1 billion people worldwide are overweight and at least 300 million of them are severely overweight or obese.  An estimated 115 million of these people will develop serious medical conditions including diabetes, heart disease, stroke, cancer and hypertension.  In addition, a recent study reported that obesity causes more deleterious effects on health than either smoking or problem drinking. The increase in chronic health conditions caused by obesity is comparable to that seen in 20 years of aging.


Given the aggressive increase in rate of obesity, experts predict that it will continue to escalate as a global health crisis. “The BIB Program offers a viable solution to safely treat overweight and obese individuals on a large scale,” stated Doctor Blanco   “This would significantly reduce or resolve the health conditions this patient group suffers from and drive down the massive costs of treating this epidemic.


For more information about the BIB Program, please call

Frankfurt : +49 69 95678128

Spain Offices +49 985 518832

Call us now for more information or send e-mail to: Phone +49 69 95632674  Mail :

Chirurgische Praxis am Dornbusch