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晚期胃内球囊导致胃穿孔。

Late Intragastric Balloon Induced Gastric Perforation.

作者信息

Dayan Danit, Sagie Boaz, Fishman Sigal

机构信息

Department of General Surgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv University, Tel-Aviv, Israel.

Department of Gastroenterology, Tel-Aviv Sourasky Medical Center, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

Obes Surg. 2016 May;26(5):1138-40. doi: 10.1007/s11695-015-2034-7.

DOI:10.1007/s11695-015-2034-7
PMID:26975202
Abstract

Intragastric balloon (IGB) has been introduced in the 1980's for weight reduction. It can be classified into nonadjustable IGB, such as the BioEnterics Intragastric Balloon (BIB), or newer generation Spatz adjustable balloon system. Late IGB-induced gastric perforation is a rare major complication, presenting as acute abdominal pain weeks to months after its insertion. We herein present a 20-year-old patient, with gastric perforation occurring 10 months after Spatz IGB deployment. The patient underwent a successful endoscopic IGB retrieval and laparoscopic exploration with abdominal lavage. We also review the literature of late IGB-induced gastric perforation.

摘要

胃内球囊（IGB）于20世纪80年代被引入用于减重。它可分为不可调节的IGB，如BioEnterics胃内球囊（BIB），或新一代的Spatz可调节球囊系统。晚期IGB诱发的胃穿孔是一种罕见的严重并发症，表现为置入后数周数月出现的急性腹痛。我们在此报告一名20岁患者，在置入Spatz IGB 10个月后发生胃穿孔。该患者成功接受了内镜下IGB取出术及腹腔镜探查和腹腔灌洗。我们还回顾了晚期IGB诱发胃穿孔的文献。

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Late Intragastric Balloon Induced Gastric Perforation.晚期胃内球囊导致胃穿孔。
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2
Gastric Perforation following Intragastric Balloon Insertion: Combined Endoscopic and Laparoscopic Approach for Management: Case Series and Review of Literature.胃内球囊置入术后胃穿孔：内镜与腹腔镜联合治疗方法：病例系列及文献综述
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引用本文的文献

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Perforated gastric ulcer after unhealthy decisions in a patient with an intragastric balloon, a hangover you will regret.胃内有球囊的患者做出不良决定后发生的穿孔性胃溃疡，这将是你会后悔的宿醉后果。
Surg Case Rep. 2023 Mar 27;9(1):47. doi: 10.1186/s40792-023-01627-6.
2
Exclusively endoscopic approach to treating gastric perforation caused by an intragastric balloon: case series and literature review.内镜下治疗胃内球囊所致胃穿孔的独家方法：病例系列与文献综述
Endosc Int Open. 2018 Nov;6(11):E1322-E1329. doi: 10.1055/a-0743-5520. Epub 2018 Nov 7.
3
Endoscopic Treatments for Obesity.

本文引用的文献

1
Is conservative management for gastric perforation secondary to intragastric balloon possible? Case report and review of literature.胃内球囊继发胃穿孔可行保守治疗吗？病例报告及文献综述。
Obes Surg. 2014 Jun;24(6):968-70. doi: 10.1007/s11695-014-1244-8.
2
One-year adjustable intragastric balloons: results in 73 consecutive patients in the U.K.一年期可调节胃内球囊：英国 73 例连续患者的结果
Obes Surg. 2014 May;24(5):813-9. doi: 10.1007/s11695-014-1176-3.
3
Late gastric perforation after insertion of intragastric balloon for weight loss--video case report and literature review.
肥胖症的内镜治疗
Curr Treat Options Gastroenterol. 2017 Dec;15(4):660-675. doi: 10.1007/s11938-017-0158-7.
Surg Obes Relat Dis. 2012 Jan-Feb;8(1):121-3. doi: 10.1016/j.soard.2011.09.023. Epub 2011 Oct 8.
4
Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis.胃内球囊治疗肥胖症的安全性和有效性：一项荟萃分析。
Obes Surg. 2008 Jul;18(7):841-6. doi: 10.1007/s11695-007-9331-8. Epub 2008 May 6.
5
BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients.BioEnterics胃内球囊：意大利2515例患者的经验
Obes Surg. 2005 Sep;15(8):1161-4. doi: 10.1381/0960892055002202.
6
Unusual cause of a perforated stomach.胃穿孔的罕见病因。
Ann R Coll Surg Engl. 2003 Nov;85(6):396-7. doi: 10.1308/003588403322520762.
7
Covered gastric perforation by the BioEnterics Intragastric Balloon.BioEnterics胃内球囊覆盖性胃穿孔。
J Clin Gastroenterol. 2001 Oct;33(4):344-5. doi: 10.1097/00004836-200110000-00022.