Milone M, Maietta P, Bianco P, Pisapia A, Gaudioso D, Coretti G, Milone F, Musella M
G Chir. 2014 Mar-Apr;35(3-4):73-4.
Although intragastric balloons have been in use for several years to achieve weight reduction in obese patients, acute renal failure after gastric balloon positioning is reported in few studies
A 32-year-old white infertile woman undergone Bioenterics Intragastric Balloon (BIB) positioning in an attempt to weight loss and improve her fertility status. After only six days of persisting vomiting acute renal failure was found. A complete recovery of renal function was obtained after 14 days.
Acute renal failure was due to persistent vomiting leading to dehydration. Physicians involved in BIB patients management must consider the possibility of major complications in all hyperemetic subjects. BIB removal, with a concomitant intravenous fluid replacement and minerals or vitamins supplementation has to be taken into account as an emergency procedure.
尽管胃内球囊已应用数年以帮助肥胖患者减重,但仅有少数研究报道了胃内球囊置入后出现急性肾衰竭的情况。
一名32岁的白人不孕女性接受了Bioenterics胃内球囊(BIB)置入术,以期减重并改善其生育状况。仅在持续呕吐六天后便发现了急性肾衰竭。14天后肾功能完全恢复。
急性肾衰竭是由持续呕吐导致脱水引起的。参与BIB患者管理的医生必须考虑到所有剧烈呕吐患者出现严重并发症的可能性。必须将取出BIB并同时进行静脉补液以及补充矿物质或维生素作为紧急处理措施。