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Published in: Obesity Surgery 6/2014

01-06-2014 | Brief Communication

Is Conservative Management for Gastric Perforation Secondary to Intragastric Balloon Possible? Case Report and Review of Literature

Authors: Mohamed Bekheit, Wael Nabil Abdelsalam, Bruno Sgromo, Jean-Marc Catheline, Khaled Katri

Published in: Obesity Surgery | Issue 6/2014

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Abstract

Intragastric balloon (IGB) is one of the available options for the management of morbid obesity. The procedure is generally safe and of moderate efficacy in most of the cases. One of the reported complications of IGB is gastric perforation. The management of this complication is classically surgical. To our knowledge, conservative management for gastric perforation secondary to IGB has not been reported. A 27-year-old female patient presented with sudden abdominal pain in the left upper quadrant, 2 months after having an IGB placed. The provisional diagnosis was gastric perforation. Balloon extraction was performed and a conservative management of the gastric perforation was pursued successfully. We therefore propose that this sort of management might be adopted in carefully selected cases.
Literature
1.
go back to reference Bolen SD, Chang HY, Weiner JP, et al. Clinical outcomes after bariatric surgery: a five-year matched cohort analysis in seven US states. Obes Surg. 2012;22(5):749–63.PubMedCrossRef Bolen SD, Chang HY, Weiner JP, et al. Clinical outcomes after bariatric surgery: a five-year matched cohort analysis in seven US states. Obes Surg. 2012;22(5):749–63.PubMedCrossRef
2.
go back to reference Colquitt J, Clegg A, Loveman E, et al. Surgery for morbid obesity. Cochrane Database Syst Rev. 2005;4:CD003641.PubMed Colquitt J, Clegg A, Loveman E, et al. Surgery for morbid obesity. Cochrane Database Syst Rev. 2005;4:CD003641.PubMed
3.
go back to reference Deylgat B, D’Hondt M, Pottel H et al. Indications, safety, and feasibility of conversion of failed bariatric surgery to Roux-en-Y gastric bypass: a retrospective comparative study with primary laparoscopic Roux-en-Y gastric bypass. Surgical endoscopy. 2012. Epub 2012/01/20. Deylgat B, D’Hondt M, Pottel H et al. Indications, safety, and feasibility of conversion of failed bariatric surgery to Roux-en-Y gastric bypass: a retrospective comparative study with primary laparoscopic Roux-en-Y gastric bypass. Surgical endoscopy. 2012. Epub 2012/01/20.
4.
go back to reference Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142(4):621–32. discussion 32–5.PubMedCrossRef Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142(4):621–32. discussion 32–5.PubMedCrossRef
5.
go back to reference Genco A, Cipriano M, Bacci V, et al. BioEnterics IGB (BIB): a short-term, double-blind, randomised, controlled, crossover study on weight reduction in morbidly obese patients. Int J Obes (Lond). 2006;30(1):129–33.CrossRef Genco A, Cipriano M, Bacci V, et al. BioEnterics IGB (BIB): a short-term, double-blind, randomised, controlled, crossover study on weight reduction in morbidly obese patients. Int J Obes (Lond). 2006;30(1):129–33.CrossRef
6.
go back to reference Abdel-Salam WN, Bekheit M, Katri K, et al. Efficacy of IGB in obese Egyptian patients and the value of extended liquid diet period in mounting the weight loss. J Laparoendosc Adv Surg Tech Part A. 2013;23(3):220–4.CrossRef Abdel-Salam WN, Bekheit M, Katri K, et al. Efficacy of IGB in obese Egyptian patients and the value of extended liquid diet period in mounting the weight loss. J Laparoendosc Adv Surg Tech Part A. 2013;23(3):220–4.CrossRef
7.
go back to reference Genco A, Bruni T, Doldi SB, et al. BioEnterics IGB: the Italian experience with 2,515 patients. Obes Surg. 2005;15(8):1161–4.PubMedCrossRef Genco A, Bruni T, Doldi SB, et al. BioEnterics IGB: the Italian experience with 2,515 patients. Obes Surg. 2005;15(8):1161–4.PubMedCrossRef
8.
go back to reference Charalambous MP, Thompson J, Efthimiou E. Late gastric perforation after insertion of IGB for weight loss—video case report and literature review. Surg Obes Relat Dis Off J Am Soc Bariatric Surg. 2012;8(1):121–3.CrossRef Charalambous MP, Thompson J, Efthimiou E. Late gastric perforation after insertion of IGB for weight loss—video case report and literature review. Surg Obes Relat Dis Off J Am Soc Bariatric Surg. 2012;8(1):121–3.CrossRef
9.
go back to reference Pasquali R, Besteghi L, Casimirri F, et al. Mechanisms of action of the IGB in obesity: effects on hunger and satiety. Appetite. 1990;15(1):3–11.PubMedCrossRef Pasquali R, Besteghi L, Casimirri F, et al. Mechanisms of action of the IGB in obesity: effects on hunger and satiety. Appetite. 1990;15(1):3–11.PubMedCrossRef
10.
go back to reference Rahman MM, Islam MS, Flora S, et al. Mortality in perforated peptic ulcer patients after selective management of stratified poor risk cases. World J Surg. 2007;31(12):2341–4. discussion 5–6.PubMedCrossRef Rahman MM, Islam MS, Flora S, et al. Mortality in perforated peptic ulcer patients after selective management of stratified poor risk cases. World J Surg. 2007;31(12):2341–4. discussion 5–6.PubMedCrossRef
11.
go back to reference Thorsen K, Glomsaker TB, von Meer A, et al. Trends in diagnosis and surgical management of patients with perforated peptic ulcer. J Gastrointest Surg Off J Soc Surg Aliment Tract. 2011;15(8):1329–35.CrossRef Thorsen K, Glomsaker TB, von Meer A, et al. Trends in diagnosis and surgical management of patients with perforated peptic ulcer. J Gastrointest Surg Off J Soc Surg Aliment Tract. 2011;15(8):1329–35.CrossRef
12.
go back to reference Lunevicius R, Morkevicius M. Management strategies, early results, benefits, and risk factors of laparoscopic repair of perforated peptic ulcer. World J Surg. 2005;29(10):1299–310.PubMedCrossRef Lunevicius R, Morkevicius M. Management strategies, early results, benefits, and risk factors of laparoscopic repair of perforated peptic ulcer. World J Surg. 2005;29(10):1299–310.PubMedCrossRef
Metadata
Title
Is Conservative Management for Gastric Perforation Secondary to Intragastric Balloon Possible? Case Report and Review of Literature
Authors
Mohamed Bekheit
Wael Nabil Abdelsalam
Bruno Sgromo
Jean-Marc Catheline
Khaled Katri
Publication date
01-06-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1244-8

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