A rare case of gastric perforation by a 5-year-old Intra-gastric Balloon in situ: Case report and review of literature
•5-Year-old Intra-gastric Balloon.•Gastric perforation.•Acute abdomen.•Bariatric surgery. Insertion of an Intra gastric Balloon (IGB) has widely been used as a minimally invasive procedure for the treatment of obesity. Gastric balloons are usually inserted for a period of six months only. They have...
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| Veröffentlicht in: | International journal of surgery case reports 2020-01, Vol.76, p.480-483 |
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| creator | Vinod, Vijay Chander Younis, Muhammad Umar Mubarik, Humera Rivas, Homero |
| description | •5-Year-old Intra-gastric Balloon.•Gastric perforation.•Acute abdomen.•Bariatric surgery.
Insertion of an Intra gastric Balloon (IGB) has widely been used as a minimally invasive procedure for the treatment of obesity. Gastric balloons are usually inserted for a period of six months only. They have a high safety profile and one of their rare, reported, serious complications include gastric or esophageal perforation, which are usually early and require immediate operative management.
We report a 26-year-old lady who presented to the ED with signs and symptoms of acute abdomen and five-year history of endoscopic placement of Intra-gastric Balloon. Emergent endoscopic removal of the balloon revealed a large pressure ulcer at gastric incisura with central necrosis. Laparoscopy confirmed gastric perforation along lesser curvature with extensive soilage of peritoneal cavity. Extensive irrigation and drainage and Graham omental patch repair were carried out laparoscopically, and the perforation sealed satisfactorily. She recovered well from surgery and within days she was tolerating a diet. Broad spectrum IV antibiotics were given for 10 days.
Gastric perforation is a rare complication reported in 0.1% of patients undergoing IGB insertion. It can ensue as early as days after placement or late at weeks to months. In our review of literature, we found the maximum time frame in which a patient presented with an IGB induced gastric perforation was at 22 months. This makes our case unique as the patient was able to tolerate it for 5 years (60 months) before presenting to the emergency with this sinister complication.
Very late Gastric perforations in patients with IGB placement are rare. An upper gastrointestinal endoscopy should be arranged as soon as possible to remove the balloon and assess the stomach visualize the perforation followed by a laparoscopic approach to repair the defect if expertise is available. |
| doi_str_mv | 10.1016/j.ijscr.2020.10.028 |
| format | Article |
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Insertion of an Intra gastric Balloon (IGB) has widely been used as a minimally invasive procedure for the treatment of obesity. Gastric balloons are usually inserted for a period of six months only. They have a high safety profile and one of their rare, reported, serious complications include gastric or esophageal perforation, which are usually early and require immediate operative management.
We report a 26-year-old lady who presented to the ED with signs and symptoms of acute abdomen and five-year history of endoscopic placement of Intra-gastric Balloon. Emergent endoscopic removal of the balloon revealed a large pressure ulcer at gastric incisura with central necrosis. Laparoscopy confirmed gastric perforation along lesser curvature with extensive soilage of peritoneal cavity. Extensive irrigation and drainage and Graham omental patch repair were carried out laparoscopically, and the perforation sealed satisfactorily. She recovered well from surgery and within days she was tolerating a diet. Broad spectrum IV antibiotics were given for 10 days.
Gastric perforation is a rare complication reported in 0.1% of patients undergoing IGB insertion. It can ensue as early as days after placement or late at weeks to months. In our review of literature, we found the maximum time frame in which a patient presented with an IGB induced gastric perforation was at 22 months. This makes our case unique as the patient was able to tolerate it for 5 years (60 months) before presenting to the emergency with this sinister complication.
Very late Gastric perforations in patients with IGB placement are rare. An upper gastrointestinal endoscopy should be arranged as soon as possible to remove the balloon and assess the stomach visualize the perforation followed by a laparoscopic approach to repair the defect if expertise is available.</description><identifier>ISSN: 2210-2612</identifier><identifier>EISSN: 2210-2612</identifier><identifier>DOI: 10.1016/j.ijscr.2020.10.028</identifier><identifier>PMID: 33207414</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Acute abdomen ; Bariatric surgery ; Case Report ; Gastric perforation ; Intragastric balloon</subject><ispartof>International journal of surgery case reports, 2020-01, Vol.76, p.480-483</ispartof><rights>2020 The Author(s)</rights><rights>Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.</rights><rights>2020 The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-6694a5046bf500ab1c01f2ecbdaee45f97ac4e6b88be5d716f7d2c72205abd03</citedby><cites>FETCH-LOGICAL-c426t-6694a5046bf500ab1c01f2ecbdaee45f97ac4e6b88be5d716f7d2c72205abd03</cites><orcidid>0000-0002-3202-3667 ; 0000-0002-0986-138X ; 0000-0001-6366-6991</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586043/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijscr.2020.10.028$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3550,27924,27925,45995,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33207414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vinod, Vijay Chander</creatorcontrib><creatorcontrib>Younis, Muhammad Umar</creatorcontrib><creatorcontrib>Mubarik, Humera</creatorcontrib><creatorcontrib>Rivas, Homero</creatorcontrib><title>A rare case of gastric perforation by a 5-year-old Intra-gastric Balloon in situ: Case report and review of literature</title><title>International journal of surgery case reports</title><addtitle>Int J Surg Case Rep</addtitle><description>•5-Year-old Intra-gastric Balloon.•Gastric perforation.•Acute abdomen.•Bariatric surgery.
Insertion of an Intra gastric Balloon (IGB) has widely been used as a minimally invasive procedure for the treatment of obesity. Gastric balloons are usually inserted for a period of six months only. They have a high safety profile and one of their rare, reported, serious complications include gastric or esophageal perforation, which are usually early and require immediate operative management.
We report a 26-year-old lady who presented to the ED with signs and symptoms of acute abdomen and five-year history of endoscopic placement of Intra-gastric Balloon. Emergent endoscopic removal of the balloon revealed a large pressure ulcer at gastric incisura with central necrosis. Laparoscopy confirmed gastric perforation along lesser curvature with extensive soilage of peritoneal cavity. Extensive irrigation and drainage and Graham omental patch repair were carried out laparoscopically, and the perforation sealed satisfactorily. She recovered well from surgery and within days she was tolerating a diet. Broad spectrum IV antibiotics were given for 10 days.
Gastric perforation is a rare complication reported in 0.1% of patients undergoing IGB insertion. It can ensue as early as days after placement or late at weeks to months. In our review of literature, we found the maximum time frame in which a patient presented with an IGB induced gastric perforation was at 22 months. This makes our case unique as the patient was able to tolerate it for 5 years (60 months) before presenting to the emergency with this sinister complication.
Very late Gastric perforations in patients with IGB placement are rare. An upper gastrointestinal endoscopy should be arranged as soon as possible to remove the balloon and assess the stomach visualize the perforation followed by a laparoscopic approach to repair the defect if expertise is available.</description><subject>Acute abdomen</subject><subject>Bariatric surgery</subject><subject>Case Report</subject><subject>Gastric perforation</subject><subject>Intragastric balloon</subject><issn>2210-2612</issn><issn>2210-2612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kd1KxDAQhYMoKrpPIEheoGuStmkVFHTxDwRv9j5Mk6lmqc0y6a7s25u6KnpjbjJMznwzmcPYiRRTKaQ-W0z9IlqaKqHGzFSoeocdKiVFprRUu7_iAzaJcSHSyVWtldpnB3muRFXI4pCtrzkBIbcQkYeWv0AcyFu-RGoDweBDz5sNB15mGwTKQuf4Yz8QZN_KG-i6kFS-59EPqws-G1GEy0ADh96lcO3xfYR3fsDEXBEes70WuoiTr_uIze9u57OH7On5_nF2_ZTZQukh0_q8gFIUumlLIaCRVshWoW0cIBZle16BLVA3dd1g6Sqp28opWyklSmicyI_Y1Ra7XDVv6CyOk3dmSf4NaGMCePP3pfev5iWsTVXWWhR5AuRbgKUQI2H7UyuFGY0wC_NphBmNGJPJiFR1-rvtT8332pPgcivA9Pe0HTLReuwtOk9oB-OC_7fBB1_pnSk</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Vinod, Vijay Chander</creator><creator>Younis, Muhammad Umar</creator><creator>Mubarik, Humera</creator><creator>Rivas, Homero</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3202-3667</orcidid><orcidid>https://orcid.org/0000-0002-0986-138X</orcidid><orcidid>https://orcid.org/0000-0001-6366-6991</orcidid></search><sort><creationdate>20200101</creationdate><title>A rare case of gastric perforation by a 5-year-old Intra-gastric Balloon in situ: Case report and review of literature</title><author>Vinod, Vijay Chander ; Younis, Muhammad Umar ; Mubarik, Humera ; Rivas, Homero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-6694a5046bf500ab1c01f2ecbdaee45f97ac4e6b88be5d716f7d2c72205abd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute abdomen</topic><topic>Bariatric surgery</topic><topic>Case Report</topic><topic>Gastric perforation</topic><topic>Intragastric balloon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vinod, Vijay Chander</creatorcontrib><creatorcontrib>Younis, Muhammad Umar</creatorcontrib><creatorcontrib>Mubarik, Humera</creatorcontrib><creatorcontrib>Rivas, Homero</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of surgery case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vinod, Vijay Chander</au><au>Younis, Muhammad Umar</au><au>Mubarik, Humera</au><au>Rivas, Homero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A rare case of gastric perforation by a 5-year-old Intra-gastric Balloon in situ: Case report and review of literature</atitle><jtitle>International journal of surgery case reports</jtitle><addtitle>Int J Surg Case Rep</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>76</volume><spage>480</spage><epage>483</epage><pages>480-483</pages><issn>2210-2612</issn><eissn>2210-2612</eissn><abstract>•5-Year-old Intra-gastric Balloon.•Gastric perforation.•Acute abdomen.•Bariatric surgery.
Insertion of an Intra gastric Balloon (IGB) has widely been used as a minimally invasive procedure for the treatment of obesity. Gastric balloons are usually inserted for a period of six months only. They have a high safety profile and one of their rare, reported, serious complications include gastric or esophageal perforation, which are usually early and require immediate operative management.
We report a 26-year-old lady who presented to the ED with signs and symptoms of acute abdomen and five-year history of endoscopic placement of Intra-gastric Balloon. Emergent endoscopic removal of the balloon revealed a large pressure ulcer at gastric incisura with central necrosis. Laparoscopy confirmed gastric perforation along lesser curvature with extensive soilage of peritoneal cavity. Extensive irrigation and drainage and Graham omental patch repair were carried out laparoscopically, and the perforation sealed satisfactorily. She recovered well from surgery and within days she was tolerating a diet. Broad spectrum IV antibiotics were given for 10 days.
Gastric perforation is a rare complication reported in 0.1% of patients undergoing IGB insertion. It can ensue as early as days after placement or late at weeks to months. In our review of literature, we found the maximum time frame in which a patient presented with an IGB induced gastric perforation was at 22 months. This makes our case unique as the patient was able to tolerate it for 5 years (60 months) before presenting to the emergency with this sinister complication.
Very late Gastric perforations in patients with IGB placement are rare. An upper gastrointestinal endoscopy should be arranged as soon as possible to remove the balloon and assess the stomach visualize the perforation followed by a laparoscopic approach to repair the defect if expertise is available.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>33207414</pmid><doi>10.1016/j.ijscr.2020.10.028</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-3202-3667</orcidid><orcidid>https://orcid.org/0000-0002-0986-138X</orcidid><orcidid>https://orcid.org/0000-0001-6366-6991</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acute abdomen Bariatric surgery Case Report Gastric perforation Intragastric balloon |
| title | A rare case of gastric perforation by a 5-year-old Intra-gastric Balloon in situ: Case report and review of literature |
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