Acute pancreatitis as a late complication of intra-gastric balloon insertion

Abdulghaffar, Shareefa; Badrawi, Noor; Gowda, Swaroop Keshe; Albastaki, Usama; AlNuaimi, Dana

doi:10.1093/jscr/rjab139

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…One of the main public health issues facing modern society, which is also a huge global concern, is obesity. It is a known risk factor for many life-threatening diseases, including metabolic syndrome [ 1 ]. The most common way to lose weight is through bariatric surgery, although some people need non-surgical methods because of their contraindications to surgery.…”

Section: Introductionmentioning

confidence: 99%

Acute pancreatitis after intragastric balloon insertion: case report

Alkhathami

Ahmed

Alkhushayl

et al. 2023

Journal of Surgical Case Reports

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The intragastric balloon (IGB) is a relatively recent non-surgical weight loss technique that is now widely used in the world to treat obesity. However, IGB causes a wide range of adverse effects that range from minor ones, such as nausea, stomach pain and gastroesophageal reflux, to serious ones, such as ulceration, perforation, intestinal blockage and compression of adjusting structures. A 22-year-old Saudi woman presented to the emergency department (ED) with a history of upper abdominal pain that started 1 day before admission. The patient’s surgical background was unremarkable, and no other obvious pancreatitis risk factors were present. The patient underwent a minimally invasive treatment after being diagnosed with obesity (class 1), in which an IGB was inserted one and a half months prior to her ED presentation. She consequently began to lose weight (around 3 kg). The hypothesis states that pancreatitis following IGB insertion can be caused either by stomach distention and pancreatic compression at the tail or body or by ampulla obstruction due to balloon catheter migration at the duodenum. Heavy meal consumption, which may cause an increase in pancreatic compression, is another potential cause of pancreatitis in such patients. We believe that the IGB-induced compression of the pancreas at its tail or body was the likely cause of pancreatitis in our case. This case was reported because it is the first one from our city as far as we know. A few cases from Saudi Arabia have also been reported, and reporting them will help to improve doctors’ awareness of this complication, which can cause pancreatitis symptoms to be mistaken for something else because of the balloon-related effects on gastric distention.

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Section: Introductionmentioning

confidence: 99%

Acute pancreatitis after intragastric balloon insertion: case report

Alkhathami

Ahmed

Alkhushayl

et al. 2023

Journal of Surgical Case Reports

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“…While many of these cases were managed conservatively without the removal of the balloon, some of them required the removal of the balloon with or without other management strategies, along with standard inpatient management of acute pancreatitis. The prognosis has been generally excellent in all reported cases [9][10][11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Acute Necrotizing Pancreatitis Following Intragastric Balloon Insertion

Das,

Bondok,

Jafri

et al. 2024

Cureus

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Obesity has become a widespread global issue, particularly in the developed world. One popular weight loss technique is the intragastric balloon placement due to its simplicity of insertion and safe nature. While some side effects have been linked to its use, most are benign. However, severe complications do occur in some cases. One such rare complication is pancreatitis due to compression of the pancreas or the pancreatic duct. We encountered an interesting case of necrotizing pancreatitis following gastric balloon insertion, about which scarce data is available in the literature; its incidence is also unknown currently. Our patient was a 22-year-old male with a gastric balloon inserted for obesity eight months before his presentation. The mechanism of the inflammation, the age of the patient, and the progression to necrosis are the compelling aspects of this case.

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“…En los pacientes portadores de balón intragástrico, la compresión mecánica sobre el cuerpo y cola de páncreas se postuló como la principal condición precipitante de pancreatitis, que puede ser evaluada de mejor manera en estudios de imagen transversal. Clínicamente es indistinguible de cualquier otra etiología de pancreatitis, aunque se ha descrito un llamativo incremento de los reactantes de fase aguda (leucocitosis y PCR) (11) .…”

Section: Discussionunclassified

Pancreatitis aguda asociada a balón intragástrico

Vega

Cabrera-Hinojosa

2023

Rev Gastroenterol Peru

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Presentamos el caso de una mujer joven con el hábito de dormir en posición decúbito ventral, quien refiere que, tras la colocación de balón intragástrico, inició cuadros repetitivos de dolor abdominal en epigastrio, de aparición nocturna. El más reciente se caracterizó por dolor abdominal súbito e intenso, elevación de enzimas pancreáticas y hallazgos imagenológicos compatibles con pancreatitis aguda. Tras realizar un estudio etiológico sistemático, se descartan otras causas, retirándose el balón intragástrico con inmediato cese de los dolores nocturnos. Se atribuyó la etiología a fenómenos de compresión mecánica provocados por el balón sobre el cuerpo pancreático durante el descanso en decúbito prono. Hacemos notar que el hábito de reposo en la posición decúbito ventral constituiría un potencial factor de riesgo para pancreatitis post-colocación de balón intragástrico, por lo que este factor debe ser tomado en cuenta en la orientación de los candidatos a esta técnica.

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Acute pancreatitis as a late complication of intra-gastric balloon insertion

Cited by 6 publications

References 7 publications

Acute pancreatitis after intragastric balloon insertion: case report

Acute pancreatitis after intragastric balloon insertion: case report

Acute Necrotizing Pancreatitis Following Intragastric Balloon Insertion

Pancreatitis aguda asociada a balón intragástrico

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