Département de chirurgie digestive, hôpital Saint-Antoine, AP-HP, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
Clin Res Hepatol Gastroenterol. 2012 Feb;36(1):e17-9. doi: 10.1016/j.clinre.2011.06.002. Epub 2011 Jul 23.
We describe the rare case of a 49-year-old man who had an air-filled intragastric balloon placed for weight control 11 months ago which had been lost of sight for follow-up and presented six months after the last radiologic control with acute small bowel obstruction. Computed tomography confirmed the migration of the deflated balloon in the small bowel. It was impacted in the ileum so an enterostomy-suture was performed for removal. Intragastric balloons are temporarily used to obtain weight reduction in the super-obese prior to bariatric surgery and in patients who are not fit for surgery. They were shown to be effective in restoring the metabolic syndrome as well. The use of fluid-filled balloons seems preferable for early migration diagnosis and management. If the intragastric balloon remains inside longer than recommended, it tends to deflate and is prone for migration and intestinal obstruction. Follow-up investigations (monthly X-rays) are mandatory for early migration diagnosis.
我们描述了一例罕见病例，一名 49 岁男性 11 个月前因体重控制而放置了一个充满空气的胃内气球，但此后一直未进行随访，最后一次影像学检查后 6 个月出现急性小肠梗阻。计算机断层扫描证实瘪气球已迁移至小肠。它在回肠处受阻，因此进行了肠造口缝合术以取出。胃内气球在肥胖症患者接受减重手术前和不适合手术的患者中，用于暂时减轻体重。它们还被证明可以有效恢复代谢综合征。使用充满液体的气球似乎更有利于早期迁移诊断和管理。如果胃内气球的使用时间超过推荐时间，它往往会瘪掉，容易迁移并导致肠梗阻。因此，必须进行随访检查（每月 X 射线）以进行早期迁移诊断。
