Skip to main content

Advertisement

Log in

Gastric Necrosis: A Possible Complication of the Use of the Intragastric Balloon in a Patient Previously Submitted to Nissen Fundoplication

  • Case Report
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

The temporary use of the bioenterics intragastric balloon in morbid obesity is increasing worldwide. Generally, this is an effective procedure that helps bring about satisfactory weight loss and improvement in comorbidities after 6 months. However, in some cases, it causes complications such as acute abdomen due to gastric perforation and even death. We describe the case of a type II obese female (weight, 88 kg; body mass index, 35.2 kg/m2) who underwent emergency surgery for gastric necrosis caused by bioenterics intragastric balloon; the patient required total gastrectomy and intensive care.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg. 2003;13:329–30.

    Article  Google Scholar 

  2. World Health Organization. World health report 2006. Available at: https://doi.org/www.iotf.org. Accessed Nov 2008.

  3. Escudero A, Catalán I, Gonzalvo J, et al. Effectiveness, safety, and tolerability of intragastric balloon in association with low-calorie diet for the treatment of obese patients. Rev Esp Enferm Dig. 2008;100:349–54.

    Google Scholar 

  4. Nieben OG, Harboe H. Intragastric balloon as an artificial bezoar for treatment of obesity. Lancet. 1982;1:198–9.

    Article  CAS  Google Scholar 

  5. Bioenterics intragastric balloon system, catalog. Available at: https://doi.org/www.bioenterics.com. Accessed Nov 2008.

  6. Genco A, Bruni T, Doldi SB, et al. Bioenterics intragastric balloon: the Italian experience with 2,515 patients. Obes Surg. 2005;15:1161–4.

    Article  CAS  Google Scholar 

  7. Rodríguez-Hermosa JI, Ruiz-Feliú, Roig-García J, et al. Lethal intestinal perforation after foreign body ingestion in a superobese patient. Obes Surg 2009 (in press).

  8. Nijhof HW, Steenvoorde P, Tollenaar RA. Perforation of the esophagus caused by the insertion of an intragastric balloon for the treatment of obesity. Obes Surg. 2006;16:667–70.

    Article  CAS  Google Scholar 

  9. Juchems MJ, Uyak D, Ernst AS, et al. Monitoring gastric filling, satiety and gastric emptying in a patient with gastric balloon using functional magnetic resonance imaging–a feasibility report. Clinical Medicine: Case Reports. 2008;1:41–4.

    Google Scholar 

  10. Roman S, Napoléon B, Mion F, et al. Intragastric balloon for “non-morbid” obesity: a retrospective evaluation of tolerance and efficacy. Obes Surg. 2004;14:539–44.

    Article  Google Scholar 

  11. De Peppo F, Di Giorgio G, Germani M, et al. Bioenterics intragastric balloon for treatment of morbid obesity in Prader-Willi syndrome: specific risks and benefits. Obes Surg. 2008;18:1443–9.

    Article  Google Scholar 

  12. Totté E, Hendrickx L, Pauwels M, et al. Weight reduction by means of intragastric device: experience with the bioenterics intragastric balloon. Obes Surg. 2001;11:519–23.

    Article  Google Scholar 

  13. Rodríguez-Hermosa JI, Roig J, Sirvent JM, et al. Gastric perforations from abdominal trauma. Dig Surg. 2008;25:109–16.

    Article  Google Scholar 

  14. Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, et al. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Dis. 2008;10:701–7.

    Article  Google Scholar 

  15. Spyropoulos C, Katsakoulis E, Mead N, et al. Intragastric balloon for high-risk super-obese patients: a prospective analysis of efficacy. Surg Obes Relat Dis. 2007;3:78–83.

    Article  Google Scholar 

  16. Dumonceau JM. Evidence-based review of the bioenterics intragastric balloon for weight loss. Obes Surg 2008;18:1611–7.

    Article  Google Scholar 

  17. Ganesh R, Rao AD, Baladas HG, et al. The bioenterics intragastric balloon (BIB) as a treatment for obesity: poor results in Asian patients. Singapore Med J. 2007;48:227–31.

    CAS  PubMed  Google Scholar 

  18. Imaz I, Martínez-Cervell C, García-Álvarez EE, et al. Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis. Obes Surg. 2008;18:841–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to José Ignacio Rodríguez-Hermosa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rodríguez-Hermosa, J.I., Roig-García, J., Gironès-Vilà, J. et al. Gastric Necrosis: A Possible Complication of the Use of the Intragastric Balloon in a Patient Previously Submitted to Nissen Fundoplication. OBES SURG 19, 1456–1459 (2009). https://doi.org/10.1007/s11695-009-9855-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-009-9855-1

Keywords

Navigation