BACKGROUND: The Bioenterics Intragastric Balloon (BIB) has been a safe and effective method used in treatment of moderate obesity. Gastric perforation is a rare complication, and its possible sequelae are dangerous. METHODS: A 52-year-old women (BMI 37 kg/m(2)), with hiatal hernia, moderate hypertension and dyspnea, 1 year ago underwent laparoscopic fundoplication. She now underwent positioning of a BIB filled with 500 cc of saline. After 8 days, 6 kg weight loss occurred and her clinical condition was satisfactory. On day 11, severe abdominal pain and vomiting occurred, which spontaneously regressed in the following 6-8 hours. Ultrasound confirmed the correct position of the BIB, and showed widespread abdominal meteorism. On day 18, acute abdomen with paralytic ileus occurred. On admission, CT scan documented hydropneumoperitonitis. At operation, a large perforation of the lesser curvature was found, with undigested food in the abdomen. She underwent peritoneal lavage, removal of the BIB, and suture of the gastric laceration. RESULTS: She was discharged in good condition after 11 days. CONCLUSION: According to our experience, fundoplication represents an absolute contraindication to positioning of a BIB.
BACKGROUND: The Bioenterics Intragastric Balloon (BIB) has been a safe and effective method used in treatment of moderate obesity. Gastric perforation is a rare complication, and its possible sequelae are dangerous. METHODS: A 52-year-old women (BMI 37 kg/m(2)), with hiatal hernia, moderate hypertension and dyspnea, 1 year ago underwent laparoscopic fundoplication. She now underwent positioning of a BIB filled with 500 cc of saline. After 8 days, 6 kg weight loss occurred and her clinical condition was satisfactory. On day 11, severe abdominal pain and vomiting occurred, which spontaneously regressed in the following 6-8 hours. Ultrasound confirmed the correct position of the BIB, and showed widespread abdominal meteorism. On day 18, acute abdomen with paralytic ileus occurred. On admission, CT scan documented hydropneumoperitonitis. At operation, a large perforation of the lesser curvature was found, with undigested food in the abdomen. She underwent peritoneal lavage, removal of the BIB, and suture of the gastric laceration. RESULTS: She was discharged in good condition after 11 days. CONCLUSION: According to our experience, fundoplication represents an absolute contraindication to positioning of a BIB.
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 Journal: Obes Surg Date: 2016-05 Impact factor: 4.129
Authors: Pablo del Pozo; Benito Flores; Ramon Lirón; Bruno Andrés; Juan Gervasio Martin-Lorenzo; Silvia Chacón; Pilar Esteban; Jose Luis Aguayo-Albasini Journal: Obes Surg Date: 2009-05-30 Impact factor: 4.129
Authors: Khalid Al Kahtani; Mohammed Qaseem Khan; Ahmed Helmy; Hamad Al Ashgar; Mohammed Rezeig; Mohammed Al Quaiz; Ingvar Kagevi; Mohamed Al Sofayan; Mohammed Al Fadda Journal: Obes Surg Date: 2008-08-28 Impact factor: 4.129
Authors: Sérgio Alexandre Barrichello Junior; Igor Braga Ribeiro; Ricardo José Fittipaldi-Fernandez; Ana Carolina Hoff; Diogo Turiani Hourneaux de Moura; Mauricio Kazuyoshi Minata; Thiago Ferreira de Souza; Manoel Dos Passos Galvão Neto; Eduardo Guimarães Hourneaux de Moura Journal: Endosc Int Open Date: 2018-11-07