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 Removal


You must have your balloon removed no later than six months after it is placed. The balloon can deflate if it is left in place longer than six months.

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 an upper endoscopy with balloon removal?
During the procedure, a doctor will deflate the balloon by inserting an instrument through the endoscope to the stomach to puncture the balloon. The deflated balloon will then be removed from the stomach and through the mouth via the endoscope.

What happens during an ORBERA™ Intragastric Balloon removal?
The ORBERA™ Intratgastric Balloon is removed under endoscopy. Plan to spend up to two hours at the endoscopy center the day of your procedure. The exam itself takes about 20-30 minutes to complete.

Before the exam:
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 exam:
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. The doctor will insert a flexible, hollow tube called an endoscope into your mouth and will advance it slowly through the esophagus into the stomach. If food is identified in the stomach the procedure will be postponed and will result in the need to reschedule the procedure.

What happens after the exam?
The physician will talk with you about the initial results of your procedure and will prepare a full report for the healthcare provider who referred you for your upper endoscopy. You may have some bloating after the procedure which is normal. Your throat may feel sore for a short time.

You may resume most of your regular activities the day after the procedure. However, medication given during the procedure will prohibit you from driving for the rest of the day. Walking and light activities are allowed. More intensive activities should be delayed for 72 hours (3 days). For the first 24 hours, follow a clear liquid diet (broth, gelatin, ice chips, water, apple juice, coffee, tea). Avoid alcohol until the next day after your procedure.

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.