Gastric perforation secondary to gastric balloon
Keywords:
gastric balloon, complications, treatment, obesity.Abstract
Introduction: The use of the gastric balloon is an alternative and minimally invasive treatment of morbid obesity, with specific indications. Although the insertion procedure is easy and well tolerated by most patients, complications can occur. A serious and uncommon complication is gastric perforation.
Objective:To present a patient with gastric perforation secondary to an intragastric balloon who underwent endoscopic treatment in two stages.
Clinical case: A 25-year-old patient with gastric perforation treated with a gastric balloon 6 months before going to the emergency department with severe abdominal pain is presented. Chest X-ray showed little right subdiaphragmatic pneumoperitoneum, so contrasted computed axial tomography of abdomen was performed, which showed signs suggestive of gastric perforation. Based on the tomographic findings, the patient underwent diagnostic laparoscopy. A plastron was observed in the epigastrium with a perforation of 0.5 mm. The purulent peritonitis was drained laparoscopically, with gastrorrhaphy and epiploplasty. An inflated balloon was palpated could not be accessed through the perforation orifice. The patient was then scheduled for an endoscope-guided gastric balloon removal, which was performed without complications.
Conclusions: Gastric perforation by intragastric balloon is an infrequent complication, but should be suspected in the event of severe abdominal pain. Contrasted computed tomography should be performed for diagnosis prior to treatment.
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References
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