eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2014
vol. 9
 
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abstract:
Case report

Small bowel necrosis as a consequence of spontaneous deflation and migration of an air-filled intragastric balloon – a potentially life-threatening complication

Robert Drozdowski
,
Mariusz Wyleżoł
,
Mariusz Frączek
,
Piotr Hevelke
,
Marcin Giaro
,
Paweł Sobański

Videosurgery Miniinv 2014; 9 (2): 292–296
Online publish date: 2013/10/11
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Intragastric balloon placement is a common method of treatment of obesity and is often used by non-surgical teams in endoscopy departments. The likelihood of spontaneous intragastric balloon damage is a well-known phenomenon. We describe a patient who was disqualified from surgical obesity treatment and in whom intragastric fluid-filled balloons had already been inserted twice and removed due to their intolerance. Therefore we qualified this patient for placement of the air-filled balloon Heliosphere BAG. Two months after the planned check-up, he arrived at the surgery department complaining of nausea and vomiting and due to symptoms of ileus diagnosed with an X-ray and ultrasound examination we qualified him for emergency surgery. We would like to emphasise the following issues: the necessity of air-filled balloon removal according to the producer’s instructions and multidisciplinary specialist team care along with appropriate diagnostic tools in every case of intragastric balloon insertion.
keywords:

mechanical ileus, intragastric balloon, obesity, treatment

  
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