Gastric Perforation by Intragastric Balloon: Laparoscopic Gastric Wedge Resection Can Be a Strategy?

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2020 Oct 12

PMID 33041259

Citations 1

Authors

Francesco Saverio Lucido

Luigi Scotti

Giuseppe Scognamiglio

Claudio Gambardella

Luigi Brusciano

Gianmattia Del Genio

Francesco Pizza

Roberto Ruggiero

Domenico Parmeggiani

Giusiana Nesta

Affiliations

Soon will be listed here.

Abstract

Introduction: IGB (Intragastric Balloon) is acknowledged to be a safe and secure device, whose outcomes in terms of weight loss are widely discussed. Bariatric community has soon noted tolerance and benefit of this tool, considered a first and easy step before bariatric surgery. Nevertheless, some authors have described a series of complications that, although rare, could be life threatening and hard to manage, as a gastric perforation.

Presentation Of Case: We reported a case of a 55-year-old obese woman, undergone placement of IGB device heisting in a gastric perforation. In the same day of surgery, we performed an emergency, applying a combined endoscopic and laparoscopic approach, to remove the balloon and to close perforation by a gastric resection.

Discussion: Short term outcome was satisfactory, and the patient had a successful further follow up and weight loss.

Conclusion: IGB is a valuable tool among bariatric procedure, nevertheless the surgeon has to consider the possible and life-threatening complications and to provide a multidisciplinary equip to face this occurrence.

Citing Articles

Perforated gastric ulcer after unhealthy decisions in a patient with an intragastric balloon, a hangover you will regret.

Molina G, Rojas C, Aguayo W, Vivar C, Guzman J Surg Case Rep. 2023; 9(1):47.

PMID: 36971911 PMC: 10043066. DOI: 10.1186/s40792-023-01627-6.

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