Yoo In Kyung, Chun Hoon Jai, Jeen Yoon Tae
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
Clin Endosc. 2017 Nov;50(6):602-604. doi: 10.5946/ce.2017.015. Epub 2017 May 18.
Intragastric balloon (IGB) insertion has been most frequently used in the West as an effective endoscopic treatment for morbid obesity, in practice. Recently, there is a growing number of cases requiring IGB deployment for obesity treatment in Korea. One of the reported complications of IGB use is gastric perforation. A 47-year-old woman was admitted to the hospital with mild symptoms, 7 weeks after having an IGB placed. Esophagogastroduodenoscopy was performed and gastric ulcer perforation was observed in the ulcer base, where food particles were impacted. Laparoscopic primary repair was done successfully. This was a case of gastric perforation, secondary to poor compliance with a proton-pump inhibitor (PPI). PPI and eradication are important for ulcer prevention following IGB deployment.
实际上，胃内球囊（IGB）置入术在西方已最常被用作治疗病态肥胖的一种有效的内镜治疗方法。近来，在韩国，需要通过置入IGB来治疗肥胖症的病例越来越多。据报道，使用IGB的并发症之一是胃穿孔。一名47岁女性在置入IGB 7周后因症状较轻入院。进行了食管胃十二指肠镜检查，在溃疡底部观察到胃溃疡穿孔，此处有食物颗粒嵌塞。成功实施了腹腔镜一期修补术。这是一例因质子泵抑制剂（PPI）依从性差继发的胃穿孔病例。PPI及根除治疗对于IGB置入术后预防溃疡很重要。
