Gastric Perforation Caused by an Intragastric Balloon: Endoscopic Findings

Clinical Endoscopy
In Kyung YooYoon Tae Jeen

Abstract

Intragastric balloon (IGB) insertion has been most frequently used in the West as an effective endoscopic treatment for morbid obesity, in practice. Recently, there is a growing number of cases requiring IGB deployment for obesity treatment in Korea. One of the reported complications of IGB use is gastric perforation. A 47-year-old woman was admitted to the hospital with mild symptoms, 7 weeks after having an IGB placed. Esophagogastroduodenoscopy was performed and gastric ulcer perforation was observed in the ulcer base, where food particles were impacted. Laparoscopic primary repair was done successfully. This was a case of gastric perforation, secondary to poor compliance with a proton-pump inhibitor (PPI). PPI and Helicobacter pylori eradication are important for ulcer prevention following IGB deployment.

References

Sep 5, 2001·The British Journal of Surgery·J D Evans, M H Scott
Mar 1, 2012·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Eduardo Espinet-CollAntonio Juan-Creix-Comamala
Apr 2, 2015·Gastrointestinal Endoscopy·UNKNOWN ASGE Bariatric Endoscopy Task ForceSubhas Banerjee
Dec 10, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Hiba Hassan El Hage ChehadeHoussam Khodor Abtar

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Citations

Nov 10, 2018·Endoscopy International Open·Sérgio Alexandre Barrichello JuniorEduardo Guimarães Hourneaux de Moura
Sep 29, 2018·Clinical Endoscopy·Hang Lak Lee
Nov 25, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Guillermo Pérez-AguadoLucía Jiménez-Ruano
Aug 2, 2021·The Medical Journal of Australia·Dominic A StaudenmannAdrian Sartoretto

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