Case Report
Volume 8 Issue 2 - 2021
Hyperinflation-Unusual but Possible Complication with Intragastric Balloon
Cíntia Presser da Silva*
Gastroenterologist, Specialist in Endoscopy by SOBED, Hepatologist, São Leopoldo, Brazil
*Corresponding Author: Cíntia Presser da Silva, Gastroenterologist, Specialist in Endoscopy by SOBED, Hepatologist, São Leopoldo, Brazil..
Received: September 26, 2020; Published: January 30, 2021




Abstract

Introduction: Intragastric balloon is a know obesity treatment where a silicon device is implanted into the patient’s stomach. It is a minimally invasive option for endoscopic obesity treatment, acting as a space-occupying device that leads to weight loss since it increases the feeling of satiety. It helps patients lose weight enabling them to reach faster and better results than just dieting. In Brazil it has been a very common treatment for obesity and has been growing in popularity due to its safety profile and good weight loss results. The total weight loss average percentage found in the Brazilian Intragastric Balloon Consensus was 18,4.

Case Report: This case report is about a 41 years old, female, caucasian patient that came up with a specific complication with the balloon, the hyperinflation. In her eighth month with the balloon she started with nausea, abdominal pain and vomiting that did not cease after changes in her usual diets. An abdominal X-ray showed a big air-fluid level into the balloon.

Discussion: The overall reported of complications with the Intragastric Balloon is very low. However, when a complication does occur, it can be very serious. Hyperinflation is an uncommon complication as demonstrated in the Brazilian Intragastric Balloon Consensus Statement (BIBC) and its mechanism is still unknown. One possible explanation is a relation with fungus colonization or aerobics bacterias infection. Literature datas are still poor and don’t allow any conclusions but some possibilities could be: fluid contamination during the insertion, valve defect, porosity of the material or some intrinsic patient condition. Spontaneous hyperinflation causes abdominal swelling and pain, and/or vomiting. At the time that this complication occurs there’s only one possible treatment. The balloon must be removed to avoid more severe complications.

Conclusion: IGB is a very safe treatment for obesity. But, just like any other invasive treatment for obesity, it has its complications. Hyperinflation is one of them, but uncommon. There’s only one solution for this problem. The balloon must be removal.

Keywords: Obesity; Endoscopic Obesity Treatment; Intragastric Balloon; Hyperinflation; Complication

Citation: Cíntia Presser da Silva. “Hyperinflation-Unusual but Possible Complication with Intragastric Balloon”. EC Gastroenterology and Digestive System 8.2 (2021): 149-151.

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