Small Intestinal Obstruction Secondary to Migrated Intragastric Balloon Retrieved Endoscopically from the Jejunum.

Area of Science:

• Gastroenterology
• Bariatric Surgery
• Medical Device Complications

Background:

• Intragastric balloons are endoscopic devices for temporary weight loss, widely used since the 1980s.
• Studies confirm their safety and effectiveness, but rare severe complications have been reported.
• Patient vigilance and regular follow-up are crucial for managing potential risks.

Purpose of the Study:

• To report a case of intestinal obstruction caused by a migrated intragastric balloon.
• To highlight the successful endoscopic retrieval of a jejunal intragastric balloon.
• To emphasize the importance of recognizing and managing intragastric balloon complications.

Main Methods:

• A contrast-enhanced abdominal CT scan was used to diagnose the complication.
• An emergency endoscopic procedure was performed for balloon retrieval.
• The procedure was conducted with surgical backup in a theater setting.

Main Results:

• A 33-year-old female presented with symptoms of intestinal obstruction.
• CT scan revealed a migrated, partially deflated intragastric balloon in the proximal jejunum.
• Successful endoscopic removal of the balloon was achieved without signs of perforation.

Conclusions:

• Intragastric balloon migration can lead to serious complications like intestinal obstruction.
• Endoscopic retrieval from the jejunum is a viable treatment option.
• Vigilance for signs of migration and prompt intervention are essential for patient safety.