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Obesity Surgery

, Volume 19, Issue 12, pp 1727–1730 | Cite as

Small Bowel Obstruction Due to Air-Filled Intragastric Balloon

  • Zafer S. MatarEmail author
  • Abbas A. Mohamed
  • Muhammad Abukhater
  • Mobarak Hussien
  • Fawaz Emran
  • Nadeem A. Bhat
Case Report

Abstract

Intragastric balloons have gained popularity in the management of morbid obesity. Although the procedure of insertion is easy and is generally accepted by patients, a few complications can occur. We report a case of small bowel obstruction caused by spontaneous deflation and forced passage of an air-filled intragastric balloon into the small bowel.

Keywords

Intragastric balloon Morbid obesity 

References

  1. 1.
    Miller-Catchpole A. Diagnostic and therapeutic technology assessment: the Garren gastric bubble. JAMA. 1986;256:3282–4.CrossRefGoogle Scholar
  2. 2.
    McFarland AJ, Grundy A, Gazet JC, et al. The intragastric balloon: a novel idea proved ineffective. Br J Surg. 1987;74:137–9.CrossRefGoogle Scholar
  3. 3.
    Kirby DF, Mills PR, Kellum JM, et al. Incomplete small bowel obstruction by the Garrens–Edwards gastric bubble necessitating surgical intervention. Am J Gastroenterol. 1987;82:251–3.PubMedGoogle Scholar
  4. 4.
    Geliebter A, Westreich S, Kral JG, et al. Intragastric balloon reduces spontaneous food intake and induces weight loss (abstr). FedProc. 1983;42:664.Google Scholar
  5. 5.
    Edell SL, Wills JS, Garren LR, et al. Radiographic evaluation of the Garren gastric bubble. AIR. 1985;145:49–50.Google Scholar
  6. 6.
    Arterburn DE, Maciejewsk ML, Tsevat J. Impact of morbid obesity on medical expenditures in adults. Int J Obes. 2005;29:334–339. doi: 10.1038/sj.ijo.0802896.CrossRefGoogle Scholar
  7. 7.
    Frimberger E, Kunner W, Weingart J, et al. Intragastraler appetit-depresson-ballon. Munch Med Wschr. 1982;124(2):39–40.Google Scholar
  8. 8.
    Nieben OG, Harboe H. Intragastric balloon as an artificial bezoar for treatment of obesity. Lancet. 1982;1:198–9.CrossRefGoogle Scholar
  9. 9.
    Mathus-Vliegen EM, Tytgat GN. Intragastric balloon for treatment-resistant obesity: safety, tolerance, and efficacy of 1-year balloon treatment followed by a 1-year balloon-free follow-up. Gastrointest Endosc. 2005;61(1):19–27.CrossRefGoogle Scholar
  10. 10.
    Roman S, et al. Obes Surg. 2004;14(4):539–44.CrossRefGoogle Scholar
  11. 11.
    Medical Devices Bureau, Therapeutic Products Directorate, Health Canada. Medical devices active license listing. Ottawa: Medical Devices Bureau, Therapeutic Products Directorate, Health Canada; 2005. Available:https://doi.org/www.mdall.ca/.Google Scholar
  12. 12.
    Bernante P, Francini F, Zangrandi F, et al. Green urine after intragastric balloon placement for the treatment of morbid obesity. Obes Surg. 2003;13:951–3.CrossRefGoogle Scholar
  13. 13.
    Napoleon B, et al. Presentation at 10th World Congress of the International Federation for the Surgery of Obesity; 2005 Aug 31-Sep 3; Maastricht (Netherlands). Poster no 202.Google Scholar
  14. 14.
    Claudez H. Presentation at 13th United European Gastroenterology Week; 2005 Oct 15-19; Copenhagen. Poster no PS-03.Google Scholar
  15. 15.
    Garren M, Garren LA, Giordance F. The Garren gastric bubble: a treatment for the morbidly obese. Endosc Rev. 1984;2:57–60.Google Scholar
  16. 16.
    Stoftenberg PH, Piziak VK, Dietscher JE. Intragastric balloon therapy of obesity: a randomized double blind trail. Gastroenterology. 1987;92:1655.Google Scholar
  17. 17.
    Benjamin SB, Maher K, Ciarleglio C, et al. A double-blind cross-over study of the Garren–Edwards anti-obesity bubble (abstr). Gastrointest Endosc. 1987;33:168.Google Scholar
  18. 18.
    Obesity surgery. [Clinical policy bulletin no 0157]. Hartford (CT): Aetna; 2005 Apr 19. Available:https://doi.org/www.aetna.com/cpb/data/CPBA0157.html.
  19. 19.
    Subei Iyad M, Atef A, Ali B, et al. The effect of different types of intragastric balloons with and ithout a behavior modification program in morbid obesity. Saudi J Gastroenterol. 1996;2:63–8.Google Scholar
  20. 20.
    Boyle TM, Agus SG, Bauer JJ. Small intestinal obstruction secondary to obstruction by a Garren gastric bubble. Am J Gastroenterol. 1987;82:51–3.PubMedGoogle Scholar
  21. 21.
    Benjamin SB. Small bowel obstruction and the Garren–Edwards bubble: lessons to be learned? Gastrointest Endosc. 1987;33:183.Google Scholar
  22. 22.
    Doldi SB, Micheletto G, Perrini MN, et al. Treatment of morbid obesity with intragastric balloon in association with diet. Obes Surg. 2002;12(4):583–7.CrossRefGoogle Scholar
  23. 23.
    Herve J, Wahlen H, Schaeken A, et al. What becomes of patients one year after the intragastric balloon has been removed? Obes Surg. 2005;15(6):864–970.CrossRefGoogle Scholar
  24. 24.
    Roman S, Napoléon B, Mion F, et al. Intragastric balloon for “non-morbid” obesity: a retrospective evaluation of tolerance and efficacy. Obes Surg. 2004;14(4):539–544.CrossRefGoogle Scholar
  25. 25.
    Loffredo A, Cappucio M, De Luca M, et al. Three years experience with the new intragastric balloon, and a preoperative test for success with restrictive surgery. Obes Surg. 2001;11(3):330–3.CrossRefGoogle Scholar
  26. 26.
    Genco A, Bruni T, Doldi SB, et al. BioEnterics Intragastric Balloon: The Italian experience with 1,515 patients. Obes Surg. 2005;15(8):1161–4.CrossRefGoogle Scholar
  27. 27.
    Zeman RK, Benjamin SB, Cunningham MB, et al. Small bowel obstruction due to Garren gastric bubble: radiographic diagnosis. AJR Am J Roentgenol. 1988;150:581–582. doi:0361-803x/88/1503-0581.CrossRefGoogle Scholar
  28. 28.
    Francica G, Giardiello C, Iodice G. Ultrasound as the imaging method of choice for monitoring the intragastric balloon in obese patients: normal findings, pitfalls and diagnosis of complications. Obes Surg. 2004;14(6):833–7.CrossRefGoogle Scholar
  29. 29.
    Vanden Eynden F, Urbain P. Small intestine gastric balloon impaction treated by laparoscopic surgery. Obes Surg. 2001;11(5):646–8.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Zafer S. Matar
    • 1
    Email author
  • Abbas A. Mohamed
    • 1
  • Muhammad Abukhater
    • 1
  • Mobarak Hussien
    • 1
  • Fawaz Emran
    • 1
  • Nadeem A. Bhat
    • 1
  1. 1.King Khalid HospitalRiyadhSaudi Arabia

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