Obesity surgery · 2016
Gastric Perforation following Intragastric Balloon Insertion: Combined Endoscopic and Laparoscopic Approach for Management: Case Series and Review of Literature.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Abou Hussein Bassem M, Khammas Ali A, Al Ani Ali M, Swaleh Abeer H, Al Awadhi Sameer A, El Tayyeb Yousif H, Al-Mazrouei Alya S, Badri Faisal M
Аннотация
BACKGROUND: Obesity is a serious disease, with substantial morbidity and mortality. The endoscopic placement of an intragastric balloon (IGB) in association with a low-calorie diet is an option for the treatment of obesity. IGB complications include dislocation of the balloon causing intestinal obstruction, upper gastro-intestinal bleeding and perforation, especially during balloon insertion or removal. Our work aims at decreasing the morbidity of open laparotomy in the management of such gastric perforations.
METHODS: We report three cases of gastric perforation following IGB insertion that needed surgical intervention. Decision was made to treat them with a minimally invasive combined endoscopic and laparoscopic approach to decrease postoperative morbidity.
RESULTS: All patients were successfully treated by a minimally invasive approach with less morbidity than the conventional open laparotomy.
CONCLUSION: Gastric perforation should be suspected in any patient with IGB who presents with an acute abdomen. This can be managed with a minimal invasive approach.
METHODS: We report three cases of gastric perforation following IGB insertion that needed surgical intervention. Decision was made to treat them with a minimally invasive combined endoscopic and laparoscopic approach to decrease postoperative morbidity.
RESULTS: All patients were successfully treated by a minimally invasive approach with less morbidity than the conventional open laparotomy.
CONCLUSION: Gastric perforation should be suspected in any patient with IGB who presents with an acute abdomen. This can be managed with a minimal invasive approach.