Orbera Gastric Balloon Consent Form

Orbera is a minimally invasive weight loss intervention that utilises a pliant silicone balloon to limit the gastric capacity and restrict food intake. Patients consenting to the Orbera Gastric Balloon procedure are required to sign a formal document outlining the potential risks, benefits, and alternatives associated with the intervention.


The Orbera Gastric Balloon consent form generally comprises a comprehensive account of the patient's medical past, present medications, and any allergies or medical conditions that may bear an impact on the procedure's safety and efficacy. Additionally, the document elucidates the sequence of the Orbera procedure, encompassing the insertion of the balloon within the stomach and its subsequent removal after six months. Furthermore, it highlights the potential side effects and complications that may arise from the treatment, including but not limited to nausea, vomiting, and abdominal pain.


By signing the Orbera Gastric Balloon consent form, the patient acknowledges that they have read and understand the risks and benefits of the procedure and that they consent to undergo the treatment. The form also serves as a legal record of the patient's informed consent and protects the healthcare provider against any potential legal claims. In addition, the patient may also be required to follow a specific diet and exercise program to maximise the benefits of the procedure and maintain their weight loss after the balloon is removed.


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