Spontaneous Hyperinflation of an Intragastric Balloon Causing Gastric Outlet Obstruction

Bomman, Shivanand; Sanders, David J.; Larsen, Michael

doi:10.7759/cureus.15962

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…Bomman et al described a case of a patient who did not present to follow-up for IGB removal after 6 months of placement due to the COVID-19 pandemic restrictions. 8 Basile et al reported a case of GOO 6 months after placement of an IGB which had spontaneously doubled its size 9 and De Quadros et al described an acute abdomen with GOO due to IGB hyperinflation 3 months after placement. 7 In contrast to our case, these cases occurred with IGBs which required endoscopic retrieval after 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…Bomman et al. described a case of a patient who did not present to follow‐up for IGB removal after 6 months of placement due to the COVID‐19 pandemic restrictions 8 . Basile et al.…”

Section: Discussionmentioning

confidence: 99%

“…Unplanned endoscopic intervention or early removal of the IGB is necessary in less than 3% of cases 1,5 . Few cases of spontaneous IGB hyperinflation causing gastric outlet obstruction (GOO) have been reported 3,7–9 …”

Section: Introductionmentioning

confidence: 99%

“… 1 , 5 Few cases of spontaneous IGB hyperinflation causing gastric outlet obstruction (GOO) have been reported. 3 , 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

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Gastric outlet obstruction due to an intragastric balloon in a patient returning from the Caribbean

Martins,

De la Hoz Gomez,

Manivannan

et al. 2024

Clinical Case Reports

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Key Clinical MessageGastric outlet obstruction can be a dangerous complication of intragastric balloons, as it can result in severe metabolic alkalosis. As weight loss procedures and medical tourism become more popular, physicians should have a high index of suspicion for complications of invasive procedures, particularly in returning travelers.AbstractIntragastric balloons for weight loss have decreased in frequency in the United States. However, they are still frequent in low‐ and middle‐income countries. Severe complications occur in less than 3% of patients who undergo this procedure. Herein, we present a case of gastric outlet obstruction, severe metabolic alkalosis, and refeeding syndrome in a patient returning from the Dominican Republic. She presented with 2 weeks of emesis and obstipation, followed by a pre‐syncope and altered mental status. An intragastric mass was observed on computerized tomography, which was characterized as an intragastric balloon and retrieved endoscopically. All metabolic derangements were corrected, and the patient improved without sequelae. As weight loss procedures and medical tourism become more popular, physicians should have a high index of suspicion for complications of invasive procedures, particularly in returning travelers.

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Section: Discussionmentioning

confidence: 99%

“…Bomman et al. described a case of a patient who did not present to follow‐up for IGB removal after 6 months of placement due to the COVID‐19 pandemic restrictions 8 . Basile et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 1 , 5 Few cases of spontaneous IGB hyperinflation causing gastric outlet obstruction (GOO) have been reported. 3 , 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gastric outlet obstruction due to an intragastric balloon in a patient returning from the Caribbean

Martins,

De la Hoz Gomez,

Manivannan

et al. 2024

Clinical Case Reports

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show abstract

“…The underlying mechanism is yet to be identified, although balloon permeability or gas-producing infectious microorganisms [ 11 ] have been evoked in some cases. Hyperinflated balloons can be discovered incidentally at the time of the scheduled balloon removal if asymptomatic [ 10 ] or can present with gastric outlet obstruction [ 12 ]. If left in place, gastric volvulus [ 13 ] or necrosis [ 14 ] may result.…”

Section: Discussionmentioning

confidence: 99%

Acute Pancreatitis as a Complication of an Intragastric Balloon

Akiki¹,

Alomary²

2023

Cureus

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The use of intragastric balloons (IGBs) for weight loss has increased in popularity over the past three decades. While they are generally considered effective and safe, there have been reports of various complications ranging from mild to severe. Acute pancreatitis is a rare complication following IGB insertion. In this case report, we describe the occurrence of acute pancreatitis in a patient six months after IGB insertion (ORBERA, Apollo Endosurgery, Texas, USA). The balloon was found to be in the appropriate position and was removed endoscopically, leading to rapid clinical and biological improvement.

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Small Bowel Obstruction Following Dislodgement of an Intragastric Balloon: A Case Report

Brizuela,

Samarah,

Cardona

2024

Cureus

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Obesity remains a significant health burden worldwide, requiring diverse and effective treatment strategies. The intragastric balloon (IGB), developed in the 1980s, offers a non-surgical option for weight management. Despite a decrease in usage, the IGB procedure continues to be an option for patients both domestically and abroad. In this article, we present the case involving a 30-year-old female who presented with severe abdominal complications 18 months after IGB placement in the Dominican Republic, well beyond the recommended six-month period for removal. This case highlights the critical risks associated with delayed IGB removal, including balloon rupture, migration, and symptoms indicative of gastric outlet obstruction. The literature supports increased complication rates with prolonged balloon retention, including risks such as gastric perforation, ulceration, and small bowel obstruction, emphasizing the importance of adhering to removal schedules. Furthermore, the case stresses the need for psychosocial evaluations before weight loss procedures and the necessity of alternative methods like laparoscopic removal when endoscopic extraction is unsuccessful. As obesity management evolves with new treatments like glucagon-like peptide-1 (GLP-1) analogs, ongoing research to understand their interaction with IGBs is crucial. This case underlines the importance of rigorous follow-up care, educating patients about procedural timelines, and conducting comprehensive evaluations to ensure the safety and effectiveness of IGB therapy.

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Spontaneous Hyperinflation of an Intragastric Balloon Causing Gastric Outlet Obstruction

Cited by 3 publications

References 13 publications

Gastric outlet obstruction due to an intragastric balloon in a patient returning from the Caribbean

Gastric outlet obstruction due to an intragastric balloon in a patient returning from the Caribbean

Acute Pancreatitis as a Complication of an Intragastric Balloon

Small Bowel Obstruction Following Dislodgement of an Intragastric Balloon: A Case Report

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