Gastric perforation by intragastric balloon: Laparoscopic gastric wedge resection can be a strategy?. (2020)

• Record Type: Journal Article
• Authors: Lucido, Francesco Saverio; Scotti, Luigi; Scognamiglio, Giuseppe; Gambardella, Claudio; Brusciano, Luigi; del Genio, Gianmattia; Pizza, Francesco; Ruggiero, Roberto; Parmeggiani, Domenico; Nesta, Giusiana
• Is Part Of: International journal of surgery case reports. Volume 77(2020)Supplement
• Page Start: S88
• Page End: S91
• Publication Date: 2020
• Subjects: Gastric perforation -- Intragastric balloon -- IGB -- Gastric wedge resection; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.09.005
• Languages: English
• ISSNs: 2210-2612

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. Abstract: 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.