Are you struggling with excess weight and looking for a safe and effective solution without surgery? The Gastric Butterfly Procedure is one of the latest non-surgical methods to reduce stomach size. It helps you feel full faster and promotes gradual weight loss. article, we’ll cover the procedure’s benefits, possible complications, and top tips for achieving safe and fast results. Whether you want to know if the gastric butterfly is right for you or are interested in tracking your weight loss progress after the procedure, you’ll find all the essential details here.
The Gastric Butterfly procedure involves dividing the stomach into two parts using surgical staples:
Upper part (stomach pouch): Responsible for digesting food and making you feel full quickly.
Lower part: Allows food to continue its natural path through the intestines.
It’s called the “butterfly” because after stapling, the stomach takes the shape of a butterfly, hourglass, or tied bow.
The procedure itself is not painful.
You might feel mild cramps or nausea during the first 1–2 days.
Most symptoms disappear quickly with simple painkillers.
The procedure is very short, usually 10–30 minutes depending on the method (capsule or endoscopy).
No major surgery or general anesthesia is required, making it ideal for people afraid of traditional surgeries.
People with mild to moderate overweight (BMI 27–35).
Committed to following a healthy diet after the procedure.
No serious stomach issues like active ulcers or a major history of stomach surgery.
Feeling full starts from the first week.
Weight loss begins from the second week.
Best results appear after 2–6 months, depending on adherence to diet and lifestyle changes.
If the gastric butterfly is temporary, results last 6–12 months.
Following a healthy diet and exercise after removal helps maintain weight loss.
Yes, most gastric butterflies are temporary and can be easily removed via endoscopy without surgery.
This makes the procedure safe and flexible according to your needs.
The procedure is safe for women planning pregnancy after consulting the doctor.
It’s recommended to delay pregnancy until weight stabilizes and results are maintained.
Serious complications are very rare.
Possible minor issues include mild cramps, nausea, or acidity.
Most cases resolve quickly without medical intervention.
Yes, light walking can start a few days after the procedure.
Simple exercise helps boost weight loss and maintain results.
People with mild to moderate overweight
BMI between 27–35
Mild obesity or moderate weight gain
Those who cannot lose weight through diet and exercise alone
✅ The gastric butterfly is ideal here because it’s non-surgical and temporary.
Do you have health issues due to your weight, like high blood pressure or diabetes, but your weight isn’t very high?
✅ The Gastric Butterfly helps reduce appetite and gradually lose weight without major surgery.
The procedure is non-surgical—no incisions or general anesthesia.
Recovery time is very short.
✅ Ideal for people who are afraid of gastric sleeve or bypass surgeries.
The ideal candidate is committed to a healthy diet.
Ready to change their lifestyle.
Realistic expectations for gradual weight loss rather than rapid results.
Those with mild reflux or sensitive stomachs may undergo the butterfly after doctor evaluation.
❌ Not suitable for patients with active ulcers or a significant history of stomach surgery.
If the goal is quick weight loss without permanent surgery:
✅ A temporary gastric butterfly is an excellent option until the target weight is reached.
Simple and Non-Surgical
The procedure is modern, non-surgical, and requires no general anesthesia, making it perfect for those afraid of major surgeries like gastric sleeve.
Safe and Suitable for Many People
Being non-surgical makes the risk very low.
Ideal for people whose weight doesn’t reduce with diet or exercise alone.
Very Short Recovery Time
Patients can return to normal life quickly.
No large incisions or severe pain like traditional surgeries.
Significantly Reduces Appetite
Limits the amount of food the stomach can hold, helping you feel full faster and reduce daily calorie intake.
Gradual and Safe Weight Loss
Results appear over the first few months, and weight loss is gradual, which is healthier for the body long-term.
Easily Removable if Needed
Can be removed easily without surgery, unlike permanent procedures that permanently alter the stomach.
Lower Cost than Bariatric Surgeries
Generally cheaper than gastric sleeve or bypass surgeries, making it a middle ground between diet and surgery.
Suitable for Moderate Weight
Can be done for people with moderate weight who don’t need major surgical intervention.
All types reduce stomach volume without surgery, but they differ in shape, fixation method, and duration:
Concept: A butterfly device is placed inside the stomach to reduce capacity and is removed after 6–12 months.
Advantages: Non-surgical, removable, suitable for moderate weight or temporary solution.
Disadvantages: Effects are temporary, requires strong compliance after removal.
Concept: The device is fixed for a long period and is only removed if the patient requests or complications occur.
Advantages: Longer-lasting results, helps maintain weight for a long time.
Disadvantages: Requires ongoing monitoring, may cause discomfort over time.
Concept: Stomach reduction using the butterfly device via endoscopy instead of swallowing.
Advantages: Higher precision, stronger fixation, better weight loss.
Disadvantages: More expensive, requires a specialized endoscopist.
Concept: Made of soft, flexible materials, reduces stomach volume without strong pressure.
Advantages: More comfortable, fewer side effects.
Disadvantages: Weight loss may be slightly slower.
Concept: A larger-sized butterfly to more effectively reduce stomach capacity, designed for those with higher-than-average weight but not suitable for gastric sleeve candidates.
Before the procedure, the doctor performs:
Full physical examination
Blood tests
Sometimes ultrasound or endoscopy if needed
✅ This ensures the procedure is safe and suitable for your condition.
6–8 hours before the procedure:
No food or drink
Doctor gives instructions about the procedure
Medications may be prescribed for reflux or stomach issues
The procedure can be done in two ways depending on the butterfly type:
a) Swallowing the Capsule
The patient swallows a small capsule containing the butterfly device.
It reaches the stomach and opens automatically.
Duration: 10–15 minutes
b) Endoscopic Method
The doctor inserts an endoscope through the mouth.
The device is accurately fixed inside the stomach.
✅ In all cases: no incisions or general anesthesia
Once in place, the butterfly opens automatically and reduces stomach volume.
Feeling of fullness occurs faster.
Patients can walk after 2 hours and go home.
Initial symptoms may include:
Mild nausea
Slight abdominal discomfort
✅ Most symptoms disappear within a few days.
Starts in the first 2 weeks:
Appetite reduction
Faster feeling of fullness
Gradual weight loss over 3–6 months
The doctor provides a diet plan for optimal results.
Monthly or as per doctor’s instructions:
Check the device
Track weight
Adjust diet if needed
After 6–12 months, the device can be removed via endoscopy.
Follow-up ensures weight maintenance after removal.
First Week:
No significant weight loss yet.
Appetite slightly reduced, fullness occurs faster.
Week 2 to 1 Month:
Real weight loss begins: 2–4 kg per month, depending on diet adherence.
2–3 Months:
Noticeable weight loss and body measurements change.
Approximate loss: 4–6 kg per month with high compliance.
3–6 Months:
Peak results: most patients lose 40–60% of excess weight.
Appetite is very low, fullness occurs quickly.
After 6 Months:
Weight loss slows down naturally.
Measurements continue improving with healthy diet and exercise.
Weight & BMI Assessment
Suitable for BMI 27–35 (mild to moderate obesity).
Not suitable for severe obesity.
Medical History
Doctor evaluates:
Stomach or colon conditions
Acid reflux
Past ulcers or infections
Previous stomach surgeries
Regular medications
✅ Ensures the device can be safely placed.
Clinical Examination
Full abdominal exam and basic body function check
Identify any contraindications
Required Tests
Complete blood count
Liver & kidney function tests
Fasting glucose
Hormonal tests if necessary
Stomach Examination
Ultrasound or diagnostic endoscopy if severe reflux or previous stomach issues exist
Psychological & Commitment Assessment
Success depends on dietary and lifestyle compliance.
Doctor evaluates:
Patient readiness for lifestyle change
Realistic expectations
Final Doctor Decision
Suitable for butterfly ✅
Not suitable ❌ (alternative: balloon, sleeve, or medical diet)
Limited long-term studies
Technically demanding, requires precision
Slightly higher risk of leakage if not placed correctly
More expensive than traditional sleeve
Not available in all centers
May not suit severe reflux or esophageal issues
Slower weight loss for severe obesity or low compliance
Post-procedure imaging can be challenging
Weight may return long-term if diet not followed
Difficult to adjust or repair if failed
Lifestyle Modification
Calorie-controlled diet
Meal timing regulation
Treat reflux or bloating
Light daily exercise
Adjusting or Replacing the Butterfly
Change size, reposition, or replace with a more suitable device via endoscopy
Gastric Balloon
Non-surgical, gives stronger fullness for 6 months, better for higher BMI
Gastric Botox
Injecting stomach muscles to reduce movement, prolonging fullness
Endoscopic Sleeve Gastroplasty (ESG)
Non-surgical stomach tightening
Results similar to sleeve gastrectomy
Surgical Sleeve Gastrectomy
Suitable for severe obesity or failed prior procedures
Psychological and Nutritional Support
Nutritionist or therapist support prevents emotional eating and appetite disorders
Phase 1: First 2 Days
Only liquids: water, light tea, warm herbal drinks, clear soups, diluted juices
Avoid: coffee, soda, acidic juices, solid foods
Phase 2: Day 3 to End of Week 1
Full liquids + semi-soft foods: mashed vegetables, light yogurt, mashed potatoes, light jelly, diluted natural juice
Avoid: heavy foods, fried items, bread, pasta, meats
Phase 3: Week 2 – Soft Diet
Easy-to-chew foods: minced chicken, grilled fish, boiled eggs, cottage cheese, cooked vegetables, soft fruits
Rules: small portions, chew slowly, avoid eating 2 hours before bed
Phase 4: After 2 Weeks – Gradual Normal Diet
Boiled or grilled foods, low-fat, small portions
Excellent options: lean grilled meats, cooked vegetables, simple beans, light salads, oats, boiled rice
Avoid: fried food, sweets, soda, fast food, drinking large amounts during meals, coffee during first 2 weeks
Water Intake:
1.5–2 liters per day in small sips
Avoid drinking large amounts at once
Use a very small plate
Chew food thoroughly
Do not drink during meals
Stop eating when full
Walk 20–30 minutes daily
“It melts fat by itself” → False. It reduces appetite, weight loss comes from eating less.
“Results like gastric sleeve” → False. Sleeve is surgical and permanent; butterfly is temporary and non-surgical.
“No diet needed” → False. Following a diet is essential.
“It stays in the stomach forever” → Most are temporary (6–12 months). Permanent types are rare.
“Causes ulcers or holes” → Very safe. Only mild nausea or discomfort may occur for a few days.
“Suitable for any weight” → False. Only for BMI 27–35.
“Surgically implanted” → False. Non-surgical via swallowing capsule or endoscopy.
“No solution if it fails” → False. Options include gastric balloon, Botox, ESG, or sleeve gastrectomy.
“Causes severe weakness or wasting” → Only if protein intake is inadequate. With a proper diet, weight loss occurs safely.
“Can move inside the stomach easily” → Rare; device is designed to stay in place and can be corrected endoscopically if needed.
Stomach Protection (Antacids / PPIs)
Esomeprazole, Omeprazole, Pantoprazole
Duration: 1–4 weeks depending on the case
Mild Pain Relievers
Paracetamol, antispasmodics (e.g., Drotalin, Gradient)
Avoid NSAIDs (Ibuprofen, Ketoprofen, Voltaren)
Anti-Nausea Medications
Ondansetron (Zofran), Primperan
Vitamin Supplements
Sometimes needed: Vitamin B12, Iron, Calcium + Vitamin D
Stomach Relaxants (for cramps/spasms)
Domperidone (Motilium), Duspatalin
Electrolyte Fluids
Important to prevent dehydration, especially in the first week
Constipation Medications
Lactulose, fiber supplements safe for the stomach
⚠️ Medication Restrictions:
Avoid NSAIDs (Ibuprofen, Ketoprofen, Voltaren)
Avoid large capsules that are hard to swallow during the first week