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Published on: March 5, 2018
Deflated intragastric balloon-induced small bowel obstruction
David Moszkowicz1, Jérémie H Lefevre
1Département de chirurgie digestive, hôpital Saint-Antoine, AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
A lost intragastric balloon caused a rare small bowel obstruction in a weight loss patient. Monthly X-rays are crucial for detecting early balloon migration and preventing complications.
Area of Science:
- Gastroenterology
- Bariatric Surgery
Background:
- Intragastric balloons are used for weight reduction in super-obese patients or those unfit for surgery.
- They can help restore metabolic syndrome, but carry risks if not monitored.
Observation:
- A 49-year-old man experienced acute small bowel obstruction 11 months after placement of an air-filled intragastric balloon.
- The deflated balloon had migrated and become impacted in the ileum, requiring surgical removal via enterostomy.
Findings:
- This case highlights the risk of intestinal obstruction due to delayed migration of intragastric balloons.
- Fluid-filled balloons may offer advantages for early diagnosis and management of migration.
Implications:
- Regular radiological follow-up (e.g., monthly X-rays) is mandatory to ensure patient safety.
- Prompt diagnosis and management of intragastric balloon migration are essential to prevent serious complications like bowel obstruction.
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