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Gastric perforation by intragastric balloon: Laparoscopic gastric wedge resection can be a strategy?
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2020
-
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.<br />Introduction IGB (Intragastric Balloon) is acknowledged to be a safe and secure device, whose outcomes in terms of weight loss are widely discussed. Bariatric community has soon noted tolerance and benefit of this tool, considered a first and easy step before bariatric surgery. Nevertheless, some authors have described a series of complications that, although rare, could be life threatening and hard to manage, as a gastric perforation. Presentation of case We reported a case of a 55-year-old obese woman, undergone placement of IGB device heisting in a gastric perforation. In the same day of surgery, we performed an emergency, applying a combined endoscopic and laparoscopic approach, to remove the balloon and to close perforation by a gastric resection. Discussion. Short term outcome was satisfactory, and the patient had a successful further follow up and weight loss. Conclusion IGB is a valuable tool among bariatric procedure, nevertheless the surgeon has to consider the possible and life-threatening complications and to provide a multidisciplinary equip to face this occurrence.
- Subjects :
- Gastric wedge resection
medicine.medical_specialty
Intragastric balloon
business.industry
digestive, oral, and skin physiology
Perforation (oil well)
Case Report
Balloon
Gastric perforation
Surgery
03 medical and health sciences
0302 clinical medicine
Weight loss
030220 oncology & carcinogenesis
medicine
030211 gastroenterology & hepatology
Presentation (obstetrics)
medicine.symptom
business
Gastric resection
IGB
Wedge resection (lung)
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....b6083fa417e1b20608e423e804101606