title: Small bowel necrosis as a consequence of spontaneous deflation and migration of an air-filled intragastric balloon - a potentially life-threatening complication.
abstract: Intragastric balloon placement is a common method of treatment of obesity and is often used by non-surgical teams in endoscopy departments. The likelihood of spontaneous intragastric balloon damage is a well-known phenomenon. We describe a patient who was disqualified from surgical obesity treatment and in whom intragastric fluid-filled balloons had already been inserted twice and removed due to their intolerance. Therefore we qualified this patient for placement of the air-filled balloon Heliosphere BAG. Two months after the planned check-up, he arrived at the surgery department complaining of nausea and vomiting and due to symptoms of ileus diagnosed with an X-ray and ultrasound examination we qualified him for emergency surgery. We would like to emphasise the following issues: the necessity of air-filled balloon removal according to the producer's instructions and multidisciplinary specialist team care along with appropriate diagnostic tools in every case of intragastric balloon insertion.
authors.affiliation: Department of Internal Medicine, Military Institute of Aviation Medicine, Warsaw, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Drozdowski
authors.affiliation: Department of Surgery, Military Institute of Aviation Medicine, Warsaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Wyleżoł
authors.affiliation: Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Frączek
authors.affiliation: St. Anna's Hospital, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Hevelke
authors.affiliation: Department of Surgery, Military Institute of Aviation Medicine, Warsaw, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Giaro
authors.affiliation: Department of Surgery, Military Institute of Aviation Medicine, Warsaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Sobański
keywords: intragastric balloon; mechanical ileus; obesity; treatment
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