Gastric Perforation as a Complication after BioEnterics Intragastric Balloon Bariatric Treatment in Obese Patients—Synergy of Endoscopy and Videosurgery

Śmigielski, Jacek; Szewczyk, Tomasz; Modzelewski, Bogdan; Mandryka, Yuriy; Klimczak, Jerzy; Brocki, Marian

doi:10.1007/s11695-009-0010-9

Cited by 15 publications

(7 citation statements)

References 9 publications

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“…In the meaning time, some researches [ 29 – 31 ] were committed to improving these conditions by developing new balloons or new placement techniques as well as by associating with other treatment such as antiemetic. Although some serious complications such as gastric-intestinal perforation or intestinal obstruction were not reported in this review, it should be noted that there were some trials meeting these reactions [ 10 , 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Short-term effects of intragastric balloon in association with conservative therapy on weight loss: a meta-analysis

Zheng

Wang

et al. 2015

J Transl Med

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Obesity is an epidemic chronic disease which is a risk factor for a number of serious medical conditions. Intragastric balloon, as an alternative, non-surgical treatment approach for the management of obesity, was rejected in previous evidence-based reviews. The object of this review is updating the data and confirming the safety and efficacy of the procedure. In this review, systematic literature retrieve of MEDLINE, EMBASE, CENTRAL and other information sources was performed from inception to December 2014. The quality of selected studies was assessed and meta-analyses of weighted mean differences were made using the inverse variance method. Meta-analyses presented significant effect sizes of −8.9 kg, −3.1 kg/m2 and −21.0% for SMG as well as of −1.5 kg and −1.2 kg/m2 for LSG, favoring the intervention group. Safety analysis showed that minor complications occurred at a high rate in intervention group, however, no serious or fatal complication was reported in these studies. In conclusion, the current review presents that short-term efficacy for 6 months treatment of intragastric balloon in association with conservative therapy is clinically significant.Electronic supplementary materialThe online version of this article (doi:10.1186/s12967-015-0607-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Short-term effects of intragastric balloon in association with conservative therapy on weight loss: a meta-analysis

Zheng

Wang

et al. 2015

J Transl Med

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“…The research produced 16 articles 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 with 22 cases of gastric perforation: 13 case reports (14 cases) and three retrospective case series containing eight cases as follows: two cases out of 126 patients, one case out of 44 patients and five cases out of 2515 patients, respectively ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Life-threatening visceral complications after intragastric balloon insertion: Is the device, the patient or the doctor to blame?

2019

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Background and aim Intragastric balloon placement is established as a safe, relatively low-cost and well-tolerated minimally invasive procedure for weight loss, giving encouraging results under the strict prerequisite that the obese patient will enroll in a medically supervised weight loss program. This retrospective study reviews already published cases of severe visceral complications for the purpose of assigning responsibility to the device, the patient, or the doctor. Methods We reviewed PubMed and Scopus archived publications describing intragastric balloon (BIB/Orbera)-related severe visceral complications, i. e. perforations and obstructions. Results Twenty-two cases of gastric perforation, two cases of esophageal perforation and 10 cases of bowel obstruction were found. For the gastric perforation the endoscopist was responsible in nine cases, the patient in four, and the balloon itself in nine. For the two cases of esophageal perforation, the endoscopists were responsible, while for the 12 cases of bowel obstruction, the patient was responsible for seven and the device for the other five cases. Conclusion BIB/Orbera balloon insertion remains a safe procedure, with a minimum of complications related to hollow viscera. Mandatory education and accreditation of physicians dealing with bariatric endoscopy and strict supervision of the obese individuals, while living with the balloon, will eliminate such complications.

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“…The most common side effects were nausea (72%), abdominal pain (39%), vomiting (3%), gastric erosion (32%), flatulence (24%), gastric ulcer (5%), premature balloon deflation (8%), and esophagitis (1.5 %) [14]. There were reports of rare and serious complications such as gastric perforation [15], small intestinal obstruction [16,17], small bowel necrosis [18], and acute pancreatitis [19,20]. There were also descriptions of fatal complications in the course of intragastric balloon treatment [21,22,23].…”

Section: Discussionmentioning

confidence: 99%

Gastric Ulcer Hemorrhage - a Potential Life-Threatening Complication of Intragastric Balloon Treatment of Obesity

Mojkowska¹,

Gaździński²,

Frączek³

et al. 2017

Obes Facts

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Background: Some morbidly obese patients do not qualify for bariatric surgery due to general health contraindications. Intragastric balloon treatment might be a therapeutic option in the above-mentioned cases. It can prime super-obese patients with end-stage disease for bariatric surgery. As a neoadjuvant therapy before surgery, it leads to a downstage of the disease by preliminary weight reduction, to an improvement in general health and, in summary, to a reduction of the perioperative risk. It is generally considered to be a safe method. However, due to the wide range of possible complications and unusual symptoms after intragastric balloon treatment, an interdisciplinary, instead of only a surgical or endoscopic, treatment and follow-up might be recommended in these patients. Case Report: We here describe a potential life-threatening complication in the form of gastric bleeding as a consequence of intragastric balloon treatment and simultaneous aspirin taking and Helicobacter pylori infection. Conclusion: There have been reports of some complications of intragastric balloon treatment. However, to the best of our knowledge there were no reports concerning life-threatening hemorrhage from gastric ulcer.

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Gastric Perforation as a Complication after BioEnterics Intragastric Balloon Bariatric Treatment in Obese Patients—Synergy of Endoscopy and Videosurgery

Cited by 15 publications

References 9 publications

Short-term effects of intragastric balloon in association with conservative therapy on weight loss: a meta-analysis

Short-term effects of intragastric balloon in association with conservative therapy on weight loss: a meta-analysis

Life-threatening visceral complications after intragastric balloon insertion: Is the device, the patient or the doctor to blame?

Gastric Ulcer Hemorrhage - a Potential Life-Threatening Complication of Intragastric Balloon Treatment of Obesity

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