Tests & Procedures

At Minnesota Gastroenterology, we know that patients and families want to know as much as possible about the test and/or procedure that is being recommended by a healthcare provider.  Refer to the list below to find the information that is most helpful to you.  If you still have questions, please contact us through our website Quick Links or call (612) 871-1145 to make an office appointment.


Upper Endoscopy with Balloon Placement


Before your procedure:
Your doctor will prescribe a proton pump inhibitor that you will begin taking 2 weeks prior to your procedure. You should stay on this until your balloon is removed.

Purchase the following items:
Clear juice without pulp (apple, white cranberry, white grape)
Clear broth (chicken, beef, vegetable)
Sugar free Jell-O® (No red)
Sugar free popsicles (No red)
1 week supply of protein supplements

1 day before your procedure:
Stop eating solid foods at 11:45pm. Begin Clear Liquid Diet.

  • Examples of a Clear Liquid Diet: Clear juice without pulp(apple, white cranberry, white grape), clear broth or bouillon(chicken, beef, vegetable), Gatorade®, Pedialyte® or Powerade® (No red), sugar Free Jell-O® (No red), sugar free popsicles (No red)
  • The following are not allowed on a clear liquid diet: Red liquids, alcoholic beverages, coffee, dairy products, protein shakes, cream broths, juice with pulp and chewing tobacco.

You must arrange for a ride for the day of your procedure with a responsible adult. A taxi ride is not an option unless you are accompanied by a responsible adult. If you fail to arrange transportation with a responsible adult, your procedure will be cancelled and rescheduled.

12 hours before your procedure:

  • STOP consuming all liquids
  • Do not take anything by mouth during this time

Morning Medications: You may take all of your morning medications including blood pressure medications, blood thinners (if you have not been instructed to stop these by our office), methadone, anti-seizure medications with sips of water 3 hours prior to your procedure or earlier. Do not take insulin or vitamins prior to your procedure.

Cancel or reschedule your appointment:
If you must cancel or reschedule your appointment, please call 612-871-1145 as soon as possible.

Bring the following to your procedure:

  • Bring the completed Health History form included in this packet with you the day of your appointment.
  • Insurance Card / Photo ID
  • List of Current Medications
  • Bring your rescue inhaler if you currently use one to control asthma
  • Bring contact lenses supplies. You will be asked to remove contact lenses prior to the start of your procedure.
  • If you have an Advance Directive, please bring a copy of your Advance Directive with you to your endoscopy appointment. Advance Directives are not honored at MNGI facilities, and in the event of a life-threatening situation, life support measures will be instituted in every instance and our patients will be transported to a higher level of care facility (i.e., hospital). In the unlikely event that you require an emergency transfer to a higher level of care facility, your Advance Directive should accompany you to that facility.

What is ORBERA™ Intragastric Balloon?
The Orbera Intragastric Balloon is made to help you lose weight. Orbera is a balloon made of soft, smooth silicone rubber. The empty balloon is passed through your mouth, down your esophagus, and into your stomach. Once in place, it is filled with saline. It then becomes about the size of a grapefruit. The filled Orbera™ floats in your stomach and takes up space. See the Orbera website: https://www.orbera.com/how-it-works for additional details.

From the beginning and six months after Orbera is removed, you will follow a healthy diet and exercise program. While the balloon helps you get started with your weight loss, the habits you form during the program are the tools to keeping a healthy weight. You may not lose weight if you do not follow the program.

What happens during an ORBERA Intragastric Balloon placement?
The Orbera Intragastric Balloon is placed under endoscopy. Plan to spend up to 2 hours at the endoscopy center the day of your procedure. The procedure itself takes about 20-30 minutes to complete.

Before the procedure:
Your medical history will be reviewed with you by your health care team including a nurse, your gastroenterology physician and an anesthesia provider. An IV line will be placed.

During the procedure:
During your procedure, the anesthesia provider will administer medications and monitor vital signs which is a process known as Monitored Anesthesia Care (MAC). While most patients sleep through the procedure, some remain awake and aware. The anesthesiologist and/or certified registered nurse anesthetist (CRNA) will help determine the appropriate type of drug to be used during the procedure to keep you safe and comfortable.

What happens after the procedure?
The physician will talk with you about the initial results of your procedure. You may have some bloating after the procedure which is normal. Your throat may feel sore for a short time.

Following the procedure, you should only consume fluids (water, juice and broth) for the first day. Avoid alcohol until the next day. You may resume your regular activities the day after the procedure as tolerated. Walking and other light activities are allowed. More intensive activities should be delayed for 72 hours (3 days).

Are there possible complications from an upper endoscopy?
Although serious complications are rare, any medical procedure has the potential for risks. Risks from an upper endoscopy include perforation, or a tear, of the lining of the stomach or esophagus, bleeding from a biopsy site, reactions to medications, heart and lung problems, and dental or eye injuries.

Tips for Preparing for ORBERA Placement

Start preparing for placement today! Accomplishing just a few of the following suggested changes will make it easier to transition to new eating patterns after your balloon is placed.

  • Start taking a multivitamin plus iron and calcium plus vitamin D supplements before your procedure. This will help you get used to taking vitamins daily and improve your nutritional health.
  • Practice not drinking fluids with your meals.
  • Take small bites and chew very well. Use small plates and utensils and practice eating from these.
  • Reduce your caffeine intake, but do so slowly to avoid harsh withdrawal symptoms.
  • Reduce or give up carbonated beverages. Try to get down to only one carbonated beverage per day before the placement of the balloon.
  • Carry a beverage container with you at all times. This will help you get in the habit of drinking fluid throughout the day. Do not chug fluids. Practice taking small, frequent sips.
  • Identify your trigger foods. Trigger foods are different for everyone. These are foods you turn to when you have cravings, are stressed, bored, etc. Once identified, think of ways to help you handle your triggers better after placement.
  • Eat more vegetables, fruits, and whole grains to improve you overall health. Aim to have 1 to 2 cups of fruit, 2 to 3 cups of vegetables, and 3 servings of whole grains each day.
  • Practice eating 3 meals each day. Planning your meals ahead of time is the easiest way to help you change habits. Identify ways to help you avoid skipping meals or grazing between meals.
  • Keep a food record to help you identify ways to improve your current diet and prepare for after placement changes. Research shows people who write down what they eat and drink lose more weight! After the placement, a food record will help you keep track of how much protein and fluid you are consuming each day.
  • Go shopping. Purchase products you will need for the first couple weeks after your procedure.