Clin Endosc.  2017 Nov;50(6):602-604. 10.5946/ce.2017.015.

Gastric Perforation Caused by an Intragastric Balloon: Endoscopic Findings

• Yoo IK
• Chun HJ
• Jeen YT

• KMID: 2398313
• DOI: http://doi.org/10.5946/ce.2017.015

Abstract

Intragastric balloon (IGB) insertion has been most frequently used in the West as an effective endoscopic treatment for morbid obesity, in practice. Recently, there is a growing number of cases requiring IGB deployment for obesity treatment in Korea. One of the reported complications of IGB use is gastric perforation. A 47-year-old woman was admitted to the hospital with mild symptoms, 7 weeks after having an IGB placed. Esophagogastroduodenoscopy was performed and gastric ulcer perforation was observed in the ulcer base, where food particles were impacted. Laparoscopic primary repair was done successfully. This was a case of gastric perforation, secondary to poor compliance with a proton-pump inhibitor (PPI). PPI and Helicobacter pylori eradication are important for ulcer prevention following IGB deployment.

Keyword

Intragastric balloon; Perforation; Obesity

MeSH Terms

Compliance
Endoscopy, Digestive System
Female
Helicobacter pylori
Humans
Korea
Middle Aged
Obesity
Obesity, Morbid
Stomach Ulcer
Ulcer

Figure

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  Fig. 1. (A) A small amount of free air was seen on chest radiography (arrow). (B) Computed tomography demonstrating gastric perforation (white arrow) caused by an intragastric balloon (black arrow).

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  Fig. 2. (A) A gastric ulcer was noted on the anterior wall of the lower gastric body. (B) Definite perforation was observed at the ulcer base after food particles were removed.

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  Fig. 3. The follow-up endoscopy showed the repaired perforation.

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