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Spontaneous Intragastric Balloon Hyperinflation: Two Cases and Outcomes
Duncan J Flynn1, Amin K Soltani2, Amandeep Singh3
1Department of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, MA, USA. duncanjflynn@gmail.com.
Obesity Surgery
|June 15, 2024
Summary
Spontaneous hyperinflation of intragastric balloons, a rare complication, is described in two cases. This highlights a previously underreported risk associated with endoscopic bariatric therapies for obesity management.
Area of Science:
- Gastroenterology
- Bariatric Endoscopy
- Medical Device Safety
Background:
- Endoscopic bariatric therapies offer alternatives for obesity management, especially for non-surgical candidates.
- These therapies can be used as standalone, combination, or serial treatments for obesity and related comorbidities.
- While intragastric balloons have known complications, spontaneous hyperinflation is infrequently reported.
Observation:
- Two distinct cases of spontaneous intragastric balloon hyperinflation were observed.
- These events occurred without apparent external cause or manipulation.
- Patient outcomes following the hyperinflation events were documented.
Findings:
- Spontaneous hyperinflation represents a previously underreported complication of intragastric balloons.
- The study details the clinical presentation and management of these rare events.
- Analysis of these cases provides insights into the potential risks of these devices.
Implications:
- Increased awareness of spontaneous hyperinflation is crucial for clinicians performing endoscopic bariatric procedures.
- This finding may influence patient selection, device monitoring, and emergency protocols.
- Further research into the mechanisms and prevention of intragastric balloon hyperinflation is warranted.
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