Gastric perforation by intragastric balloon: Laparoscopic gastric wedge resection can be a strategy?

Abstract

Highlights Gastric perforation caused by intragastric balloon represents a rare but life-threatening complication. There is a lack of information about perforation in the same day of surgery. An endoscopic and laparoscopic approach with a gastric wedge resection was performed.

Perforated gastric ulcer after unhealthy decisions in a patient with an intragastric balloon, a hangover you will regret

“…Gastric perforation due to an IGB is rare, but it can lead to severe morbidity and mortality when it occurs [ 10 , 11 ]. Ulcers and gastric erosions may occur if PPIs are not prescribed or not taken [ 12 , 13 ]. Other situations that may increase the risk of perforation are alcohol, NSAID consumption, tobacco, and food residues impacted between the gastric wall and the balloon, which can generate an ischemia zone, which might lead to perforation [ 9 , 14 ].…”

Gastropericardial Fistula as a Life-Threatening Complication after Intragastric Balloon Insertion

“…Complication management should also be as minimally invasive as possible. Several authors reported successful treatment of acute gastric perforation after IGB placement via a laparoscopic approach [6,8]. However, in all these cases a laparoscopic approach has been used for IGB placement while maintaining clinical follow-up visits [12,13].…”