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Obesity Surgery
Published in: Obesity Surgery 5/2016

01-05-2016 | How I Do It

Gastric Perforation following Intragastric Balloon Insertion: Combined Endoscopic and Laparoscopic Approach for Management: Case Series and Review of Literature

Authors: Bassem M. Abou Hussein, Ali A. Khammas, Ali M. Al Ani, Abeer H. Swaleh, Sameer A. Al Awadhi, Yousif H. El Tayyeb, Alya S. Al-Mazrouei, Faisal M. Badri

Published in: Obesity Surgery | Issue 5/2016

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Abstract

Background

Obesity is a serious disease, with substantial morbidity and mortality. The endoscopic placement of an intragastric balloon (IGB) in association with a low-calorie diet is an option for the treatment of obesity. IGB complications include dislocation of the balloon causing intestinal obstruction, upper gastro-intestinal bleeding and perforation, especially during balloon insertion or removal. Our work aims at decreasing the morbidity of open laparotomy in the management of such gastric perforations.

Methods

We report three cases of gastric perforation following IGB insertion that needed surgical intervention. Decision was made to treat them with a minimally invasive combined endoscopic and laparoscopic approach to decrease postoperative morbidity.

Results

All patients were successfully treated by a minimally invasive approach with less morbidity than the conventional open laparotomy.

Conclusion

Gastric perforation should be suspected in any patient with IGB who presents with an acute abdomen. This can be managed with a minimal invasive approach.
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Metadata
Title
Gastric Perforation following Intragastric Balloon Insertion: Combined Endoscopic and Laparoscopic Approach for Management: Case Series and Review of Literature
Authors
Bassem M. Abou Hussein
Ali A. Khammas
Ali M. Al Ani
Abeer H. Swaleh
Sameer A. Al Awadhi
Yousif H. El Tayyeb
Alya S. Al-Mazrouei
Faisal M. Badri
Publication date
01-05-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2135-y

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