Endoscopicweight loss.

Intragastric balloons and endoscopic sleeve gastroplasty (ESG) — performed under sedation through the mouth, with no incisions and same-week recovery.

Overview

Endoscopic procedures are performed by our consultant gastroenterologist, with full bariatric multidisciplinary support: dietitian, behavioural health, and exercise physiology. Recovery is days, not weeks; outcomes are weeks, not minutes.

dr Suka
Lead Surgeon

dr. I Made Suka Adnyana

dr. SpBP-RE (K) · ISAPS Member
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The consultation

Initial sixty-minute consult with the gastroenterologist and dietitian: medical history, weight history, BMI assessment, and pathway selection. We require a minimum BMI threshold and a stable mental-health history before proceeding.

Our approach

Intragastric balloon for patients with BMI 27–35 looking for a shorter-term intervention; endoscopic sleeve gastroplasty for patients with BMI 30–40 who want longer-lasting volumetric restriction without surgery. All procedures include twelve months of multidisciplinary follow-up.

Recovery

Same-day discharge. Three to five days of liquid then soft diet at home; back to normal activity within a week. We require seven nights on the island for follow-up imaging and the first dietitian review.

Treatments

The full list, with our typical price-from. Tap any treatment to expand details. Final quote is tailored after consultation.

Saline-filled silicone balloon placed in the stomach via endoscopy under sedation. Stays in for six months, then removed by the same technique. Significantly reduces stomach capacity and meal volumes.

Duration

30 minutes · sedation · day case

Recovery

3–5 days liquid/soft diet; 7 nights on-island

What's included
  • Pre-op consultation and bloods
  • Endoscopic balloon placement
  • Six months of dietitian support
  • Removal procedure at six months
  • Twelve-month behavioural programme

Adjustable saline balloon — placement is the same as Orbera but the device allows volume adjustment after three months if you've adapted. Twelve-month duration. Best for patients seeking longer non-surgical pathway.

Duration

30 minutes · sedation · day case

Recovery

3–5 days liquid/soft diet; 7 nights on-island

What's included
  • Pre-op consultation and bloods
  • Endoscopic balloon placement
  • Twelve months of dietitian support
  • One volume adjustment (if indicated)
  • Removal at twelve months

Endoscopic sutures placed to fold the stomach into a tube, reducing capacity by 70–80%. Performed under general anaesthetic via endoscopy — no abdominal incisions. More durable than a balloon; less invasive than surgery.

Duration

90 minutes · general anaesthetic · day case

Recovery

1 week soft diet; 10 nights on-island

What's included
  • Pre-op consultation and bloods
  • Endoscopic procedure
  • Overnight observation
  • 5 nights private villa
  • Twelve months of follow-up
  • Dietitian programme

For patients with prior balloon or ESG who have regained weight, we offer endoscopic revision — either re-balloon or additional sutures depending on anatomy. Outcomes are typically less than primary procedure but meaningful.

Duration

60–90 minutes · sedation · day case

Recovery

1 week soft diet; 7 nights on-island

What's included
  • Pre-op consultation and bloods
  • Endoscopic procedure
  • 5 nights private villa
  • Six months of dietitian support
  • Programme tailored to revision context

Frequently asked

Six months for Orbera, twelve months for Spatz. Removed endoscopically with the same procedure used to place it.
Partially — the gastroplasty sutures dissolve over time, and the stomach can stretch back. It is more durable than a balloon (5+ years) but less permanent than surgery.
Average is 12–18% of body weight over the first year. Outcomes plateau after 12–18 months without ongoing protocol support.
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