Koutelidakis Ioannis, Dragoumis Dimitrios, Papaziogas Basilios, Patsas Aristidis, Katsougianopoulos Alexandros, Atmatzidis Stefanos, Atmatzidis Konstantinos
G.Gennimatas Hospital, 2nd Surgical Clinic, Aristotle University of Thessaloniki, Ethnikis Aminis, 41, P. O. Box 54635, Thessaloniki, Greece.
Obes Surg. 2009 Mar;19(3):393-6. doi: 10.1007/s11695-008-9706-5. Epub 2008 Oct 2.
We report a case of a patient who presented with an acute abdomen 2 days after the insertion of an intragastric balloon system and discuss in detail the advantages and drawbacks of these devices in the therapy of morbid obesity. A 43-year-old morbidly obese man was admitted to the department of surgery in shock with a 2-h history of severe diffuse abdominal pain and the initial diagnosis of visceral perforation. The patient had been subjected to intragastric placement of an inflatable balloon 48 h prior to his presentation. Abdominal exploration revealed the presence of a large linear perforation in the fundus of the stomach.
我们报告了一例在胃内气囊系统置入2天后出现急腹症的患者，并详细讨论了这些装置在病态肥胖治疗中的优缺点。一名43岁的病态肥胖男子因严重弥漫性腹痛2小时，以休克状态被收入外科，初步诊断为内脏穿孔。该患者在就诊前48小时接受了胃内充气气囊置入。腹部探查发现胃底有一个大的线性穿孔。
