Year 2022 / Volume 114 / Number 4
Letter
Perforation of a decubitus gastric ulcer during intragastric balloon retrieval after surreptitious withdrawal of omeprazole

247-258

DOI: 10.17235/reed.2022.8543/2021

Andrés José del Pozo-García, Teresa Valdeés-Lacasa, Diana Fresneda-Cuesta, Fernando Sánchez-Gómez, Santiago Tamames Gómez,

Abstract
Male, 24 yo, obesity class 1. We place him a 6 month intragastric balloon. He keeps asymptomatic while taking PPIs, having lost 13 kg in 4 months. He starts on month 5 with epigastric pain, just after abandoning omeprazole on his own. The pain worsens in spite of restarting PPIs and we schedule an urgent retrieval of the balloon. Gastric ulcer perforation occurs during balloon removal and the patient is operated.
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References
1. Moura D, Oliveira J, De Moura EG, et al. Effectiveness of intragastric balloon for obesity: A systematic review and meta-analysis based on randomized control trials. Surg Obes Relat Dis. 2016 Feb;12(2):420-9. doi: 10.1016/j.soard.2015.10.077. Epub 2015 Oct 20. PMID: 26968503.
2. Trang J, Lee SS, Miller A, Cruz Pico CX, et al. Incidence of nausea and vomiting after intragastric balloon placement in bariatric patients - A systematic review and meta-analysis. Int J Surg. 2018 Sep;57:22-29. doi: 10.1016/j.ijsu.2018.06.038. Epub 2018 Jul 20. PMID: 30031839.
3. Stavrou G, Tsaousi G, Kotzampassi K. Life-threatening visceral complications after intragastric balloon insertion: Is the device, the patient or the doctor to blame? Endosc Int Open. 2019 Feb;7(2):E122-E129. doi: 10.1055/a-0809-4994. Epub 2019 Jan 22. PMID: 30705942; PMCID: PMC6342679.
4. Neto MG, Silva LB, Grecco E, et al. Brazilian Intragastric Balloon Consensus Statement (BIBC): practical guidelines based on experience of over 40,000 cases. Surg Obes Relat Dis. 2018 Feb;14(2):151-9. doi: 10.1016/j.soard.2017.09.528. Epub 2017 Sep 28. PMID: 29108896.
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del Pozo-García A, Valdeés-Lacasa T, Fresneda-Cuesta D, Sánchez-Gómez F, Tamames Gómez S. Perforation of a decubitus gastric ulcer during intragastric balloon retrieval after surreptitious withdrawal of omeprazole. 8543/2021


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Publication history

Received: 22/12/2021

Accepted: 27/12/2021

Online First: 10/01/2022

Published: 07/04/2022

Article Online First time: 19 days

Article editing time: 106 days


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