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Frequently Asked Questions

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If we haven’t covered your particular question on this FAQ page, you’re welcome to contact us directly for additional assistance.

The Balloon

How is the Trissa balloon different than other gastric balloons?
The Trissa is a unique, high-quality injection molded balloon that has several advantages.

  1. It is adjustable, which means it is dynamic and can be changed as your needs and appetite changes.

  2. It has been proven safe enough to remain in the stomach for 12 full months.


This is the first balloon world-wide with regulatory approval to offer both of these advantages.
How long does the Trissa balloon stay in the stomach?
The Trissa balloon can be placed in the stomach for up to 12 months. That’s twice as long as other balloons. The benefit of this longer implantation time is that it allows you more time to not only change your eating habits but to also make the behavioural changes needed for long-term weight maintenance.
Will I be able to feel the balloon in my stomach?
Once in place and properly adjusted, you cannot physically feel the balloon, however, it will give you a sensation of fullness so you won’t want to eat as much as you used to.

The Procedure

How is the Trissa balloon procedure performed?
The deflated silicone balloon is inserted through the mouth (down through the esophagus) and into the stomach. Once inside the stomach, the balloon is filled with sterile saline through a small filling tube attached to the balloon. Placement of the balloon, and adjustment procedures, generally take about 15-20 minutes during which you will be lightly sedated. Following the procedure, you will remain in the clinic for observation until the doctor discharges you.
How long will it take to recover after the procedure?
Although you can go home on the same day as your procedure, you should plan for three days of rest to recover and get used to the balloon in your stomach. Most people return to their normal routine after this time, however, you should still take it easy and avoid any strenuous activity during the first week.
Where is the procedure performed?
We currently perform our procedures at regulated clinics across the GTA. Due to the current demand for the procedure will soon be expanding to the Ottawa area as well as Western Canada.
How will the Trissa balloon be adjusted or removed?
The Trissa balloon can be adjusted or removed in much the same way it was placed, via the esophagus and mouth using endoscopy under sedation.
Do I need to follow a special diet in the weeks immediately following the procedure?
During your recovery, you will be on a special diet that transitions from clear fluids and broths to cream soups, purées and finally semi-solid foods such as oatmeal or scrambled eggs. At each stage, you will try to add new foods to your diet and if you are tolerating these well, you can continue expanding the types of foods you can consume. After approximately 12 days, you can begin the transition to more solid foods. It is important to take each transition slowly and to not rush the process.

Adjustments

How often will my balloon volume be adjusted?
When you feel less balloon effect (resumption of appetite) or when weight loss diminishes, you can have your balloon volume increased. The effect of a typical gastric balloon diminishes after 2 to 4 months, which is when you can expect to have your first Trissa balloon adjustment. It can be done as often as needed with a simple endoscopy procedure.
Why does the balloon need to be adjusted?
Published studies report that the balloon effect diminishes on average after the first 3 months, and patients can start to regain weight at the 4th-5th month with non-adjustable balloons. Periodic adjustments or ‘Plateau-Busters’ (as like to call them) rejuvenate the Trissa balloon to prevent weight regain and yield additional weight loss. No other gastric balloon can do that.
Can the volume of the balloon be adjusted downwards?
After the initial placement, despite real determination, some patients are just unable to manage the nausea while their body adjusts to the balloon. In cases with non-adjustable balloons, approximately 14%-22% have to be removed. Only with the Trissa balloon can the physician extract some fluid from the balloon to make it more comfortable, allowing the treatment to continue and saving you from the disappointment and wasted investment of having the balloon removed prematurely.

Support

Does the Trissa System require frequent visits to my doctor after the procedure?
The follow-up program is critical to the success of the Trissa system as it helps build confidence and sets the foundation for long-term weight maintenance after the balloon is removed. Over the course of the program, you will have scheduled appointments with your physician, and receive face-to-face (in-person or video) support sessions with your nutrition counsellor, kinesiologist, and naturopathic doctor. Together, they will develop personalized, ongoing nutrition, exercise and lifestyle plans based on your progress, and provide the support and motivation you need to keep you on track and accountable.
Can I eat anything I want? Are there any food or alcohol restrictions?
Since the Trissa balloon takes up space where food would normally be, you will find that you will not feel like eating as much as you used to. This allows you to eat your regular foods — just in smaller portions. Over the course of the program, working together with your nutrition councillor, we will help you make those smaller meals a little bit healthier. It is important to remember that excessive overeating while the balloon is in place can prove dangerous. Once you have received clearance from your physician, alcohol in moderation is allowed.
I have bad eating habits. Will the Trissa balloon work for me?
One of the keys to losing weight is learning to swap poor eating habits with good ones (or at least better ones). Think of the Trissa balloon as a temporary weight loss training aid. It’s there to provide the physical control and support for your body so you’re freed up to develop the mental ‘weight loss habits’ that lead to successful outcomes.
Will people close to me know I have the balloon?
The Trissa procedure is different than bariatric surgery – your stomach isn’t surgically made smaller or constricted by a gastric Lap-band. There are no visible scars or marks and it’s completely discrete. No one will know unless you tell them.

Results

How much weight can I lose with the gastric balloon?
The Trissa balloon is designed to aid weight loss as part of a complete system that includes diet, exercise and a behaviour modification program. The amount of weight you lose and maintain will depend on how closely you follow the system and adopt long-term lifestyle changes. Average weight losses of 35 lbs over 6 month periods have been reported with the Trissa balloon and our clinical trials have shown an additional 11-22 lbs weight loss following balloon volume adjustments for total average weight loss of 55 lbs at 1 year.
How quickly will I lose the weight?
The speed of weight loss will vary from person to person and depend on how well they adapt to the program and make changes to their eating habits, however, a significant amount of weight loss typically occurs during the first 3 months of treatment and following any Plateau-Buster balloon adjustment.
How will my weight loss results compare with other diet programs?
You can expect to lose up to 8 x more weight with the 12 month Trissa balloon system than with dieting alone. https://jamanetwork.com/journals/jama/fullarticle/200094
Will I regain the weight after the Trissa balloon is removed?
Published studies report weight maintenance is achieved even 2 years after the Trissa balloon removal. This is in part due to the 12 month placement period that only the Trissa balloon can provide. Those extra months create an opportunity for increased weight loss as well as allowing enough time to adopt the necessary dietary and lifestyle changes needed for long-term weight maintenance.

Other

Am I a candidate for the Trissa balloon procedure?
  • Are at least 18 years of age

  • Have a history of demonstrated failure in maintaining weight loss with traditional weight loss methods

  • Have a BMI greater than 30

  • Are not currently pregnant and have no intention of becoming pregnant in the 14 months following the Trissa balloon placement

  • Have not had previous stomach surgery (including bariatric procedures) and do not have a history of intestinal obstruction
How does the Trissa balloon procedure differ from other surgical weight loss options?
Bariatric surgery procedures change the shape or size of the stomach and typically include gastric banding (Lap-Band®), sleeve gastrectomy, or gastric bypass. They can be effective for people who qualify, but they do carry risks associated with surgery and they are usually permanent in nature. The Trissa balloon is an excellent alternative for people seeking a solution that is more effective than diet and exercise alone, but who are not interested in (or don’t qualify for) bariatric surgery. The Trissa system is different to surgery – your stomach isn’t permanently changed, and the Trissa balloon is placed through the mouth into the stomach, so there are no cuts, stitches or scars. After 12 months the balloon is removed leaving no lasting after effects.
Does the Government offer assistance for this procedure?
The government does not currently offer assistance for the Trissa procedure or system, however, your insurance may cover a portion of the fees and tax credits are available in some Provinces. We encourage you to contact us to learn more about the procedure costs and our affordable payment plans.
How much does the Trissa Balloon System cost?
The full cost of treatment, including the high-quality injection molded Trissa adjustable balloon, screening tests, follow-up physician visits, nutritional and behaviour modification plans that form part of the program, monthly face-to-face meetings (in-person or via video conferencing), optional Plateau-Buster adjustments and balloon removal, typically range from $115 to $139 per week for the duration of the program. Individual pricing may vary based on the physicians within your area, length of program, and number of adjustments performed.
What are the possible side effects or complications?
It is very likely that for the few days after placement, the presence of the balloon in the stomach will cause nausea, vomiting, cramping and abdominal pain. Your physician will prescribe medication to help ease the discomfort. There exists the possibility that you will lose only a small amount of weight or lose no weight at all while using the balloon. Of course, your commitment to dietary and behavioural changes will determine your level of success. There is also a chance that unhealthy, uncontrolled weight loss will occur and create adverse health consequences. Weight, age, and medical history determine your specific risks. Be sure to speak with your physician to see if the Trissa balloon system is a practical option for you.

IMPORTANT SAFETY INFORMATION

The Spatz3 Adjustable Balloon System (hereinafter referred to as Trissa™) is indicated for temporary use in weight-loss therapy for adults with a Body Mass Index (BMI) of 30 kg/m2 and above with one or more weight-related comorbid conditions who have failed to lose weight through diet and exercise alone.

The maximum placement period for the Trissa™ Adjustable Balloon System is 12 months, and it must be removed at that time or earlier.

The Trissa™ Adjustable Balloon System is to be used in conjunction with a long-term supervised diet and behaviour modification program designed to increase the possibility of long term weight-loss maintenance.

The Trissa™ Adjustable Balloon System is not recommended for patients who have undergone previous weight loss surgery, or have conditions that may increase the risk of poor results (e.g., inflammatory or cardiopulmonary diseases, GI conditions), who are unwilling or unable to comply with the required dietary program, who have alcohol or drug addictions, or who currently are or may become pregnant within the next 12 months.

Caution: Inflation volumes greater than 700 ml are not recommended. Placement of the Trissa™ Adjustable Balloon System requires an endoscopic procedure with sedation. All surgery carries some risk. Weight, age and medical history determine your specific risks. Check with your doctor to see if the Trissa™ Adjustable Balloon System is a practical option for you.