Related Experiment Video
Updated: Mar 24, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Late Intragastric Balloon Induced Gastric Perforation
Danit Dayan1, Boaz Sagie2, Sigal Fishman3
1Department of General Surgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv University, Tel-Aviv, Israel. danitd.75@gmail.com.
Late gastric perforation is a rare complication of intragastric balloons (IGB) for weight loss. A 20-year-old patient experienced this 10 months after Spatz IGB insertion, requiring endoscopic retrieval and surgery.
Area of Science:
- Gastroenterology
- Bariatric Surgery
Background:
- Intragastric balloons (IGB) are used for weight reduction.
- IGBs include nonadjustable and adjustable systems like the Spatz adjustable balloon system.
Observation:
- A 20-year-old patient presented with acute abdominal pain 10 months post-Spatz IGB insertion.
- This indicated a rare, late complication of gastric perforation.
Findings:
- The patient underwent successful endoscopic IGB retrieval.
- Laparoscopic exploration and abdominal lavage were performed.
Implications:
- This case highlights the risk of late gastric perforation with adjustable IGBs.
- Timely endoscopic intervention can be effective for managing this complication.
More Related Videos
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Peptic Ulcer
Gastritis-II: Pathophysiology
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...

