Acute Pancreatitis as a Complication of Intragastric Balloons: a Case Series

Alsohaibani, Fahad; AlKasab, Mohammed; Abufarhaneh, Ehab H; Peedikayil, Musthafa; Al-Dekhayel, Mosaed; Zayied, Marwa M; Alghamdi, Mesfer; Al-Suliman, Raed; Alghamdi, Mohammed; Almadi, Majid A

doi:10.1007/s11695-019-03796-6

Cited by 15 publications

(14 citation statements)

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“…Mortality rates were published. Of these papers, one was a case series, one cross‐sectional study, one prospective observational study, and six were retrospective audits 93–101 . Individual case reports were excluded.…”

Section: Resultsmentioning

confidence: 99%

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

et al. 2022

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Summary Saudi Arabia (SA) has a reported obesity prevalence greater than the global average. Here, we systematically review firstly the prevalence and associated factors (59 studies) and secondly the pharmacological, lifestyle, and surgical interventions for obesity (body mass index, >30 kg/m2) in SA (29 studies) between December 2020 and March 2021 in PubMed, Medline, Embase, PsycINFO, and Cochrane. Peer‐reviewed articles in Arabic and English on human adults (aged >18 years) were searched. Among the eight largest studies with sample sizes over 10,000 people, the maximum‐reported obesity prevalence was 35.6%, with notable variations in gender and geographic region. Diet, specifically the move towards Western diet and heavy consumption of sugary beverages, and high levels of inactivity are major contributing factors to obesity. The reported obesity‐risk polymorphisms are not specific. Bariatric surgery is underrepresented, and in general, there is a lack of nationally coordinated studies on weight loss interventions. In particular, the systematic review did not find a body of research on psychological interventions. There is no trial data for the use of GLP‐1 analogs in SA, despite their widespread use. These findings can help policymakers, and practitioners prioritize future research efforts to reduce obesity prevalence in SA.

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Section: Resultsmentioning

confidence: 99%

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

et al. 2022

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“…Patient A lost 17% of his total body weight after insertion of IGB for a seven-month period. Although it is unexpected for AP to present after seven months of IGB insertion, similar literature reported balloon-induced AP after eight months of IGB insertion, managed by IGB removal [ 9 ]. Other possibilities that might have triggered AP development, such as concurrent heavy meal intake that might have increased pancreatic compression, should be considered as well.…”

Section: Discussionmentioning

confidence: 99%

Acute Pancreatitis as a Complication of Intragastric Balloon

Ghadeer¹,

AlFuraikh²,

AlMusalmi³

et al. 2021

Cureus

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The intragastric balloon is a common minimally invasive procedure used prior to bariatric surgery for weight reduction. There are complications of this balloon with varying degrees of severity ranging from mild to severe life-threatening complications. Acute pancreatitis due to direct compression or catheter migration of the balloon should be considered in these patients. In the literature, there is little evidence that intragastric balloons could cause acute pancreatitis. We present two cases in which they had a history of IGB insertion complicated by acute pancreatitis. The diagnosis of acute pancreatitis due to the intragastric balloon was made after excluding other possible causes of acute pancreatitis. Both patients were hospitalized and managed conservatively.

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“…Despite performing a laparoscopic cholecystectomy, the patient did not improve symptomatically and eventually had the IGB removed. In another case series Alsohaibani et al (2019), reported that of the 10 patients with balloon pancreatitis, five were treated conservatively [ 40 ]. Moreover, patients were found to present with a mild course of pancreatitis, and the greatest severity reported as a Bedside Index for Severity in Acute Pancreatitis (BISAP) score was 2 [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…In another case series Alsohaibani et al (2019), reported that of the 10 patients with balloon pancreatitis, five were treated conservatively [ 40 ]. Moreover, patients were found to present with a mild course of pancreatitis, and the greatest severity reported as a Bedside Index for Severity in Acute Pancreatitis (BISAP) score was 2 [ 40 ]. The authors also reported that patients who developed this condition was found to be following Heliosphere air-filled balloon insertion [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, patients were found to present with a mild course of pancreatitis, and the greatest severity reported as a Bedside Index for Severity in Acute Pancreatitis (BISAP) score was 2 [ 40 ]. The authors also reported that patients who developed this condition was found to be following Heliosphere air-filled balloon insertion [ 40 ]. However, due to the limited number of reports on balloon pancreatitis due to an air-filled balloon system, it could be suggested that the underlying cause was related to direct physical pressure.…”

Section: Discussionmentioning

confidence: 99%

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Intragastric balloon insertion and pancreatitis: Case series

Alqabandi

Almutawa²,

AlTarrah

et al. 2020

International Journal of Surgery Case Reports

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Highlights Intra-Gastric Balloon use as non-operative strategy for bariatric patients. Rise of adverse life-threatening outcomes of Intra-Gastric Balloon. Pancreatitis could be secondary to pancreas compression by the Intra-Gastric Balloon. Need for the recognition of balloon pancreatitis as a complication of Intra-Gastric Balloon insertion.

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Acute Pancreatitis as a Complication of Intragastric Balloons: a Case Series

Cited by 15 publications

References 10 publications

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

Acute Pancreatitis as a Complication of Intragastric Balloon

Intragastric balloon insertion and pancreatitis: Case series

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