The Elipse (Allurion) balloon is a swallowable, non-surgical weight-loss device that sits in the stomach for approximately 4 months before deflating and passing naturally.
For patients travelling from the UK, US, Canada or Australia, having the Elipse balloon placed in Turkey (Istanbul) can offer a more affordable package compared with domestic pricing, though cost should always be weighed against clinical suitability and aftercare quality.
Throughout this page, the device is referred to as the “Elipse balloon.” Allurion Technologies manufactures it and markets it as the “Allurion balloon” in some regions.
Elipse Balloon: How the Swallowable Weight-Loss Device Works
The Elipse balloon is a swallowable, capsule-based gastric balloon designed to support weight loss without endoscopy or sedation. Here is a step-by-step look at how it works, what to expect during treatment, and what early research shows.
How the Elipse Balloon Is Placed
The device is compressed into a small capsule attached to a thin catheter. The patient swallows the capsule with water, much like taking a large pill. Once the capsule reaches the stomach, a clinician fills the balloon through the catheter with roughly 550 ml of sterile fluid, then removes the catheter.
The entire placement process typically takes about 15 to 20 minutes and does not require anaesthesia, an operating room, or an endoscope.
How the Balloon Helps With Weight Loss
Once filled, the balloon occupies a significant portion of the stomach. This may help patients feel full sooner, eat smaller portions, and reduce overall calorie intake.
According to Mayo Clinic guidance on intragastric balloons, they work by taking up space in the stomach, which can limit the amount of food consumed at each meal.
The balloon typically remains in place for about 16 weeks, consistent with a prospective multicentre Endoscopy study. During this time, patients are encouraged to follow a structured nutrition plan and build healthier eating habits that can last well beyond the treatment period.
How the Balloon Is Removed
No removal procedure is needed. After roughly 16 weeks, a built-in valve opens automatically. The balloon deflates and passes naturally through the digestive system, similar to normal waste.
What Does the Research Show?
A pilot study with 12-month outcomes by Raftopoulos and Giannakou, published in Surgery for Obesity and Related Diseases (2017), was among the first to report findings for the Elipse balloon.
In that small trial of 12 patients with a mean BMI of 35.9, participants achieved a mean total body weight loss of 14.6% by the time the balloon passed at around four months. Accommodative symptoms such as nausea were typically short-lived, and all balloons passed safely without serious adverse events.
Because this was a small pilot study, larger trials are needed to confirm these findings. Patients considering the Elipse balloon should discuss their individual suitability and expected outcomes with a qualified bariatric specialist.
Elipse vs Orbera and Spatz3: Key Differences
The Elipse balloon differs from endoscopy-based devices in 3 main ways.
- No endoscopy or anaesthesia required. Unlike standard gastric balloons, which typically require an endoscopic procedure for both placement and removal, the Elipse balloon is swallowed during a short outpatient appointment. This removes the need for sedation at either stage.
- Shorter residence time. The Elipse balloon remains in the stomach for approximately 4 months, compared with 6-12 months for some other devices. It then deflates and passes naturally, eliminating the need for a separate removal appointment.
- Self-excreting design. Because the balloon passes on its own, no second procedure is needed. However, in rare cases, an endoscopic or surgical intervention may be needed if the balloon does not pass as expected.
A large multicentre registry study of 1,770 consecutive Elipse balloon patients, published in Obesity Surgery in 2020, analysed outcomes across 19 international centres. The study reported a mean total body weight loss of 14.2% over 4 months, along with improvements in metabolic markers, including cholesterol, triglycerides, and HbA1c. Approximately 3.6% of participants did not complete the programme due to intolerance or other adverse effects.
Health Risks Linked to Obesity
Carrying excess weight is associated with a range of health conditions, including high blood pressure, type 2 diabetes, cardiovascular disease, hormonal imbalances and sleep apnoea.
The World Health Organisation notes that global obesity rates nearly tripled between 1975 and 2016, underscoring the need for accessible management options across a range of approaches, from lifestyle change through to medical and surgical interventions.
Candidacy: BMI Range, Screening and Follow-Up
Candidates for the Elipse balloon typically have a BMI between 27 and 40 and are aged 18 or above. General eligibility criteria include:
- BMI between 27 and 40. The device may be particularly suited to individuals who are moderately overweight and have not achieved their goals through diet and exercise alone.
- No previous gastrointestinal surgery. Candidates should generally not have a history of stomach, oesophageal or intestinal surgery.
- No significant chronic illness. Conditions such as severe liver or kidney disease may make the procedure unsuitable.
- Not pregnant or breastfeeding.
How Screening and Aftercare Typically Work
Before placement, a clinician typically reviews your medical history, current medications, BMI and any previous weight-loss attempts. Blood tests, imaging and a physical examination may be part of this assessment. The goal is to confirm that the device is appropriate and to identify any contraindications.
Once the balloon is placed, follow-up usually includes scheduled check-ins with a dietitian or clinician, either remotely or in person, during the 4-month balloon period.
These appointments help monitor side effects, adjust the diet plan and track progress. After the balloon passes, further follow-up sessions can support the transition to long-term eating and activity habits.
Contraindications
Certain conditions may make the Elipse balloon unsuitable:
- Hiatal hernia
- Bleeding disorders
- Severe gastrointestinal diseases (such as inflammatory bowel disease)
- Known allergies to balloon materials
- Current use of medications that significantly affect the gastrointestinal tract
- Active substance misuse
- Certain psychiatric conditions
A consultation with a qualified healthcare provider is essential to determine individual eligibility.
Lifestyle Tips During the 4-Month Balloon Period
Results are better when patients commit to the accompanying dietary and behavioural programme. The balloon is a tool, not a standalone solution.
- Timing matters. The Elipse balloon is often most effective for individuals who are moderately overweight rather than severely obese. Starting closer to your target weight may also reduce the intensity of early side effects such as nausea.
- Stay hydrated. Drinking plenty of water supports overall health and may help reduce constipation, which can occur during the adjustment period. If you experience severe abdominal discomfort or suspect a problem with the balloon, contact your clinic promptly.
- Focus on protein and fibre. Protein helps maintain fullness for longer, while fibre adds bulk to meals without adding significant calories.
- Keep moving. Gentle exercise, such as walking, swimming, or yoga, may support weight loss and improve well-being. Your clinician can advise on when and how to increase activity levels after placement.
Preparation: What to Do Before Placement Day
Patients are typically advised to prepare at least 1 week before the appointment:
- Discontinue aspirin and anti-inflammatory medications at least 1 week prior.
- Stop smoking at least 1 week before
- Fast from food and drink for a specified period (usually 12 hours) before the procedure.
- Arrive at least 30 minutes early on the day.
Placement Steps: How the Balloon Is Swallowed
The placement appointment usually takes 15-20 minutes:
- Swallowing the capsule. Under medical supervision, you swallow the capsule with water. An X-ray may be taken to confirm it has reached the stomach.
- Filling the balloon. The clinician fills it with approximately 550 ml of sterile fluid through the thin catheter.
- Detaching the catheter. The catheter is gently removed through the mouth.
- Confirmation imaging. A follow-up X-ray may be taken to verify correct placement and inflation.
No surgery, endoscopy or anaesthesia is involved.
Day-by-Day Timeline: Day 0 to Month 4
The full Elipse balloon cycle runs approximately 16 weeks from placement to natural passing.
- Day 0 (placement day). Swallow the capsule, confirm position by X-ray, inflate with 550 ml of fluid, and re-check imaging. Most patients leave the clinic within 1-2 hours.
- Days 1-3 (adjustment window). Nausea, cramping and discomfort are common. According to the Mayo Clinic, these early symptoms typically ease within a few days. Anti-nausea and acid-suppression medication may be prescribed. Clear, calorie-free liquids are usually recommended.
- Days 4-9 (soft foods). Most patients transition to yoghurt, pureed vegetables and soups. Symptoms tend to settle significantly.
- Day 10 to Week 4 (gradual return to normal meals). Patients typically introduce 3-5 small meals per day, focusing on protein-rich foods and soft vegetables. Light physical activity can usually resume. Vitamin supplements may be advised.
- Month 4, approximately Week 16 (deflation and passing). The balloon valve opens, the device empties, and the contents pass naturally. Most patients do not feel this happens. Contact your clinic if you notice sudden nausea, abdominal pain or difficulty passing stool around this time.
For international patients travelling to Istanbul, the placement appointment and first 2-3 days of recovery are the minimum recommended stay. Some clinics offer remote dietitian follow-up for the remainder of the 4-month programme.
Recovery: What to Expect After Placement
Because there is no incision, sedation or endoscopy, most patients can return to light daily activities within a few days. However, the first 1-3 days often involve nausea and reduced energy, so it is wise not to plan travel, work commitments or physical activity during this window. Recovery timelines vary; some individuals feel well within 24 hours, while others may need the better part of a week to adjust.
Keeping Weight Off After the Balloon Passes
In conference-reported programme data presented at ObesityWeek 2020, a 509-patient cohort maintained approximately 95% of their initial 4-month weight loss at 12 months when using ongoing support tools; outcomes vary by adherence, starting weight, and follow-up engagement.
Key elements of a maintenance plan typically include:
- Nutritional guidance. Working with a dietitian to develop a sustainable eating plan that continues beyond the balloon period.
- Behavioural support. Addressing eating habits, emotional triggers and routine through support groups, counselling or structured programmes.
- Regular physical activity. Building exercise into daily life, ideally with professional guidance.
- Follow-up consultations. Periodic check-ins with your healthcare provider to monitor progress and address challenges.
Ellipse Balloon Cost in Turkey vs the UK, U.S., and Australia
Turkey is one of the most affordable destinations for the Elipse balloon procedure. However, comparing prices across countries requires a closer look at what each quote includes.
How Much Does the Elipse Balloon Cost?
In Turkey, gastric balloon costs for the Elipse balloon typically range from $2,300 to $3,000. This is significantly lower than prices in other countries:
- UK: £4,000 to £6,000
- U.S.: $6,000 to $13,000
- Australia: Prices vary, but tend to fall closer to the U.S. range
Turkey prices generally reflect a package rather than a procedure-only fee, though inclusions vary by clinic. In this context, “package” refers to clinic-delivered services, including the initial assessment, imaging confirmation, balloon placement, early medication support, and follow-up appointments. Flights and accommodation are not typically included unless explicitly stated.
Why Price Comparisons Need Context
Headline prices are not directly comparable unless inclusions match. A lower price may cover fewer services, while a higher quote may bundle in extras such as extended aftercare or dietitian support.
Before committing, patients should ask each clinic for a clear breakdown of what is and is not included. Key questions to consider:
- Does the price cover pre-procedure assessments and imaging?
- Is follow-up care and dietitian guidance included?
- Are medications for the adjustment period part of the package?
- Are there any additional fees not listed in the headline price?
Taking the time to compare like-for-like can help patients make a more informed decision and avoid unexpected costs.
What a Turkey Package Typically Includes
- Initial clinical assessment and pre-procedure health checks
- Imaging confirmation (X-ray) before and after placement
- The balloon placement appointment itself
- First-week medication plan (anti-nausea and acid-suppression support)
- Diet plan and dietitian touchpoints during the balloon period
- Remote follow-up during the 4-month balloon period
- Aftercare contacts (clinic support line or messaging)
What Is Typically Not Included
- Flights and accommodation
- Additional laboratory tests, if required, beyond standard screening
- Treatment for complications (e.g., endoscopic removal if the balloon does not pass)
- Optional digital programme or app elements (where applicable)
Always request a written breakdown before booking.
Risks, Side Effects and Safety
No medical procedure is without potential complications, even when it is considered low-risk. The most commonly reported side effects occur within the first 1-3 days.
- Nausea and vomiting. Very common during the first 1-3 days. According to the Mayo Clinic, early nausea after intragastric balloon placement often settles within a few days. However, some patients may need anti-nausea medication for a longer period.
- Abdominal pain or discomfort. Usually mild and short-lived.
- Acid reflux. It may occur and can often be managed with acid-suppression medication.
- Bloating and gas.
- Balloon deflation. Rare. If it occurs, the deflated balloon usually passes on its own.
- Intestinal obstruction. Very rare but serious. In the Ienca et al. 2020 multicentre study of 1,770 patients, 3 cases of small bowel obstruction were reported, all occurring with an earlier balloon design and all managed laparoscopically.
- Gastric ulcers, irritation or erosion.
- Balloon migration.
Discuss all potential risks with your healthcare provider before proceeding.
When to Seek Urgent Medical Attention
While most side effects are mild and self-limiting, contact your clinic or seek urgent medical assessment if you experience:
- Persistent vomiting that does not improve with prescribed medication, or inability to keep fluids down for 24 hours or more
- Severe or worsening abdominal pain, particularly if sharp, localised or accompanied by a distended abdomen
- Signs that may suggest obstruction, such as complete inability to pass gas or stool, combined with cramping and vomiting
- Fever, blood in vomit or black/tarry stools
- Sudden onset of severe symptoms around the expected deflation time (approximately Week 16)
If in doubt, contact your clinical team early rather than wait. For international patients who have returned home, call the clinic’s aftercare line and, if necessary, attend your nearest emergency department. Bring documentation of your balloon placement to help local clinicians assess the situation.
Phased Diet Plan After Placement
A structured diet plan over 4 stages supports the body’s adjustment and helps maximise results.
- Stage 1 (Days 1-3). Clear, calorie-free liquids. Light activity, such as short walks.
- Stage 2 (Days 4-9). Soft foods: yoghurt, pureed vegetables, soups.
- Stage 3 (Day 10 to Month 4). Three to five small meals daily, focusing on protein-rich foods and soft vegetables. Vitamin supplements as advised. Gradual introduction of solid foods.
- Stage 4 (After the balloon passes). Transition to a balanced, sustainable diet under the guidance of your healthcare provider or dietitian. Caloric intake targets should reflect your ongoing weight-management goals.
frequently asked questions
Turkey packages typically cost $2,300-$3,000, compared with £4,000-£6,000 in the UK and $6,000-$13,000 in the U.S. Differences often reflect what is included rather than quality alone. Always compare inclusions such as imaging, dietitian sessions, medication and remote follow-up before choosing a provider.
You swallow a capsule with water during a 15-20-minute outpatient visit. The clinician confirms the capsule’s position by X-ray, inflates the balloon with 550 ml of fluid, and then removes the catheter. No endoscopy, sedation or incision is involved. Most patients leave the clinic within 1-2 hours.
Nausea and discomfort are common during the first 1-3 days and are managed with prescribed medication. Soft foods begin around Day 4. By Day 10, most patients gradually return to normal meals. Light activity can typically resume within the first week. The balloon deflates and passes naturally at approximately Week 16.
On 23 February 2026, the U.S. FDA notice confirmed approval of the premarket approval (PMA) application for the Allurion Gastric Balloon System. In the United States, it is indicated to promote short-term limited weight loss in adults aged 22-65 with obesity and a BMI between 30 and 40 who have had at least one unsuccessful attempt at a weight loss programme. Indications and availability vary by country, so confirm the exact device and follow-up programme in writing.
A standard package typically covers the clinical assessment, X-ray imaging, placement, first-week medication, a dietitian-led diet plan and remote follow-up. Flights, accommodation, additional lab tests and complication management are usually excluded. Request a written itemised breakdown before booking.
Contact your clinic or attend an emergency department if you experience vomiting for over 24 hours, inability to keep fluids down, severe abdominal pain, fever, blood in vomit or signs of obstruction. If you have returned home after treatment abroad, call the clinic’s aftercare line and bring your placement documentation.
Most clinics recommend staying in Istanbul for 2-3 days after placement to help manage the initial adjustment period. After that, flying is generally considered safe, though confirm with your clinician. Remote follow-up via video calls or messaging can often continue once you are home.
Published studies report a mean total body weight loss of roughly 10-15% during the 4-month balloon period. In the Ienca et al. 2020 study of 1,770 patients, the average was 14.2%. Individual results vary depending on starting weight, adherence to dietary guidance and activity levels. The balloon works best alongside sustained lifestyle changes.
Conclusion
The Elipse balloon offers international patients a non-surgical, swallowable approach to weight loss that avoids endoscopy and general anaesthesia.
Published data suggest a mean weight loss of approximately 10-15% of total body weight over 4 months. However, individual outcomes depend on dietary, behavioural and exercise commitment during and after the balloon period.
Turkey package pricing typically ranges from $2,300 to $3,000, but inclusions vary, so a written breakdown is essential before booking. To assess whether the Elipse balloon is suitable for your situation, consider scheduling a consultation with a qualified bariatric clinician.
