Frequently Asked Questions

Q: Do patients eat more to compensate for Aspirated calories?

There is no evidence in our clinical studies of patients using the device as an excuse to eat more, or eating more to compensate for aspirated calories. In fact, clinical data indicate that patients exhibit better self-restraint, less disinhibition, and no tendency to binge eat. These results suggest that many obese people eat excess calories because of environmental influences (stress, social activities, desire to taste specific foods etc.), rather than a signal from their bodies to eat a certain amount of calories every day.

Q: Is the AspireAssist permanent?

Lifestyle Therapy is given in conjunction with the AspireAssist so patients can gradually learn healthy eating and exercise behaviors while they are losing weight. For those patients who are successful in modifying their lifestyle sufficiently, the tube can be removed without re-gaining weight. Our trials show that most patients who start this therapy elect to continue it to ensure that weight loss is maintained. However, if the AspireAssist is needed to maintain weight loss, it is likely weight regain will occur if therapy is stopped.

Q: Do patients get enough nutrients while using the AspireAssist?

Aspiration only removes about a third of the ingested meal, and food removal is uniform. It effectively provides “portion control” without deprivation, so it’s similar to being compliant with a reduced calorie diet. Therefore, most patients do not need to take additional supplements. Most doctors will also recommend a multivitamin, as with any weight loss regimen including dieting. Additionally, patients are monitored carefully for nutrient or electrolyte imbalance, and to ensure that weight loss occurs at a healthy rate.

Q: Why doe the system only remove 30% of the calories?

After a “complete” aspiration (when food stops draining), about 70% of the calories are still left in the stomach or intestines. This happens for several reasons: 1) some food has already been passed to the small intestine for absorption; 2) the tube sits mostly in the upper portion of the stomach so food in the bottom portion of the stomach is not aspirated; and 3) some food may not fit through the tube. Our studies have shown that patients attempting to completely empty a meal can remove about 30% of the calories on average.

 Q: Are infections a problem?

In clinical studies, we have seen no major infections, but have seen occasional minor infections which were resolved with conservative treatment. As with PEG tubes, the body “heals” around the implanted tube, reducing susceptibility to infection. Patients are instructed to regularly inspect their site for redness and inflammation and contact their doctor if they notice any change.

 Q: Can patients do normal activities, like take a bath or swim, with the AspireAssist?

Yes, once the body has healed around the tube, people with the AspireAssist can swim, exercise, or engage in other activities that are part of normal daily life!

Q: How is this different from bulimia?

Bulimia is a psychological illness characterized by excessive and uncontrolled binging episodes followed by purging. Bulimia is medically unsupervised, while the AspireAssist is used under the control of a physician and electrolytes and metabolites are carefully monitored. The AspireAssist does not cause bulimia. Successful aspiration requires careful chewing and slower eating, which is quite opposite from an uncontrolled binging episode. One of the primary dangers of bulimia is the damage to the teeth and esophagus due to stomach acid; the AspireAssist poses no such risk. 

Additionally, there is little overlap between people with bulimia and obesity. Patients who wish to begin therapy with the AspireAssist will undergo screening for bulimia and other psychological illnesses to make sure they are eligible for therapy.

Q: I already had bariatric surgery. Am I still eligible for AspireAssist? 

It depends on the type of surgery you had and your personal health factors, so you will need to discuss this with an AspireAssist-trained doctor. If you’ve had a permanent procedure (for example, gastric bypass), there may not be enough space in the stomach for the tube, so you may not be a candidate for the AspireAssist. Patients who have had a Gastric Band may be eligible for the AspireAssist, but should speak to a doctor directly. Only a physician can determine if the AspireAssist is appropriate for you.

Endoscopic Sleeve Surgery Frequently Asked Questions


Q: How is the endoscopic sleeve gastroplasty carried out? 

A: The ESG is carried out via endoscopy, which means that it’s done through your mouth and down your throat. Everything is done from the inside of your stomach, rather than the outside of it.

Q: Does this mean that it’s not an actual surgery? 

A: Technically, yes! An endoscopy is non-surgical. No incisions are made whatsoever. 

Q: Will I be in pain after the procedure? 

A: Yes, you are likely to have some discomfort for a couple of days. However, in comparison to other weight loss surgeries, the level of discomfort is far lower. We will provide you with safe pain-relief measures if needed.

Q: How soon can I be back to work? 

A: The recovery from an ESG procedure is extremely fast, compared to other weight loss procedures. You should be capable of returning to working within only a couple of days.

Q: What about scarring, following the surgery? 

A: As the ESG is carried out via endoscopy, there is no scarring! No incisions or wounds are made through this procedure. 

Q: How soon can I drive, following my procedure? 

A: The procedure is carried out under general anaesthetic, so we would advise no driving for 24 hours afterwards. Have someone ready to provide you with a ride immediately following the surgery.

Q: Will I need to take vitamin supplements? 

A: The ESG doesn’t change the absorption of nutrients from food, as your intestines remain unchanged. However, you will be eating allot less food. Therefore, we advise to take a daily multivitamin. 

Q: What about physical activity following my procedure? 

A: Exercise and physical activity is very much encouraged, following your procedure. The ESG limits you in no way with this, whether you decide to walk for 5 minutes or run a marathon! 

Q: What results can I expect? 

A: In general we’ve tracked 15% of total body weight loss in the first six months; 18% total body weight loss in the first 12 months; and 24% total body weight loss in the first 24 months. This type of sustained weight loss is better than overly rapid weight loss because it allows the body and skin to adjust better to the change. Many people lose much more than the initial 18%. The level of success is highly dependent of the level of commitment ot a healthy lifestyle and portion control.

Frequently Asked Questions

Q: How is ORBERA different from other gastric balloons?

A: Over the past 20 years, ORBERA has become the #1 weight loss balloon in NYC and worldwide. ORBERA is the only gastric weight-loss recognized by the ASGE for its safety and effectiveness. No other FDA-approved, non-surgical gastric balloon showed higher weight-loss results during reported US clinical studies.

Q: How much weight can I lose with the ORBERA balloon?

A: The ORBERA balloon helps to effectively aid in weight loss and must be used in conjunction with diet, exercise, and a behavior modification program for the best results. The amount of weight lost and maintained depends on how closely each patient follows their diet, and adopts long-term lifestyle changes. While ORBERA clinical studies show that weight loss varies from person to person, patients can lose up to 70 lbs with ORBERA. On average patients lost 3.1 times the weight of those on a diet and exercise programs alone.

Q: How do I know if I am a candidate for ORBERA?

A: ORBERA is for adults 18 and older with a body mass index (BMI) of 30 to 40. Individuals should be willing to take part in a medically supervised program. ORBERA is a proven and successful way to lose weight. Make your appointment today to learn if you qualify for ORBERA.

Q: What does the ORBERA procedure involve?

A: Doctors perform the simple procedure in 20-30 minutes. The ORBERA non-surgical procedure is performed under light sedation. Dr. Steven Batash places an expandable, soft silicone balloon intragastrically. Next, the balloon is inflated using sterile saline water. Most patients return home a few hours after the procedure. Our office will follow up during the next few days to ensure patients are comfortable.

Q: What side effects can occur from ORBERA?

A: In the first few days after placement, patients may experience nausea or vomiting. In some patients side effects may last up to one to two weeks. Batash Medical will work with you to prescribe medication that will proactively manage these symptoms and help you adjust to the balloon. 

Q: How often will I see a nutritional coach?

A: The Batash Medical staff including Dr. Steven Batash, a nutritional coach and exercise coach, work to guide patients through the process of developing a customized diet and exercise program that facilitates healthy lifestyle choices. Patients are expected to see our nutritional coach every 4-6 weeks to assess your weight loss progress and help you learn new eating habits. During this time, nutritional coaches will perform metabolic tests to access how many calories the individual requires to lose weight. If needed, Batash medical will recommend nutritional supplements and protein shakes. Patients can opt to buy these supplements in our office or order them online.

Q: Can the ORBERA balloon leak or deflate?

A: An ORBERA balloon deflation or leak is a very rare, but not impossible. Should the balloon spontaneously deflate, you may no longer feel full after meals. If a patient suspects this may be the case, notify us immediately. A simple abdominal X-ray will determine whether either has occurred. In the event that of damage, our office will arrange to remove deflated balloon. 


Q: Will I gain weight back after the balloon is removed?

A: Patients who adopt this new healthy lifestyle will succeed at maintaining weight-loss. Published clinical studies of ORBERA show that patients who adhere to the prescribed diet and exercise program can maintain weight loss through dieting post gastric balloon removal.

Q: Will I feel the gastric balloon? 

A: No. You should not feel the ORBERA gastric balloon.

Q: How much does ORBERA cost?

A: The initial ORBERA consultation is $50.00. Should a patient decide that ORBERA is their ideal weight-loss method, the cost of the initial consultation will be applied towards the cost of the procedure. The placement and removal procedures, the full 12 months of nutritional coaching, facility fee and sedation will cost $6,000.

Q: Is ORBERA covered by insurance or can I finance the weight-loss procedure?

A: The ORBERA managed weight-loss system is not covered by health insurance; however, we offer financing options through Care Credit or Prosper Financing. Our office staff will assist you with obtaining financing, provide complete instructions for the procedure, and help patients with the medications they may need before and after the procedure. 

Q: What areas does Batash Medical serve? 

A: Batash Medical offers ORBERA to individuals in Brooklyn and Queens, New York as well as other surrounding areas near you including Great Neck, Floral Park, North New Hyde Park, Elmont, New Hyde Park, North Valley Stream, Franklin Square, Port Washington, Valley Stream, Mineola, NY West Hempstead, Garden City, Woodmere, Lynbrook, and Eastchester, NY.

For more information contact Batash Medical at 1.718.830.0004 today!