Aljiffry Murad, Habib Razan, Kotbi Eman, Ageel Amro, Hassanain Mazen, Dahlan Yaser
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Surgery, National Guard Hospital.
Surg Laparosc Endosc Percutan Tech. 2017 Dec;27(6):456-459. doi: 10.1097/SLE.0000000000000477.
This study was carried out because intragastric balloon (IGB) is a widely used method to combat obesity, and acute pancreatitis complicating IGB is rare and yet to be understood.
This study was a retrospective analysis of all patients with a history of IGB insertion, who developed acute pancreatitis before balloon removal.
A total of 4 cases were found, with a mean age of 27±2.9 years. The mean duration of IGB insertion was 2.25±1.25 months, with an average body mass index of 37.7±3.4 kg/m. Abdominal computed tomography visualized signs of pancreatitis with the balloon compressing the pancreatic body. Pancreatitis resolved after endoscopic balloon extraction, with an average aspiration of 607.5±64.5 mL of the fluid used to fill the balloon.
Our study demonstrates that acute pancreatitis can complicate IGB and recommends the need to measure amylase and lipase in patients who have a history of IGB insertion and present with a picture suggestive of pancreatitis.
本研究开展的原因是胃内球囊（IGB）是一种广泛用于对抗肥胖的方法，而IGB并发急性胰腺炎较为罕见且尚未被了解。
本研究是对所有有IGB置入史且在球囊取出前发生急性胰腺炎的患者进行的回顾性分析。
共发现4例，平均年龄为27±2.9岁。IGB置入的平均持续时间为2.25±1.25个月，平均体重指数为37.7±3.4kg/m²。腹部计算机断层扫描显示胰腺炎迹象，球囊压迫胰体。内镜下取出球囊后胰腺炎缓解，平均抽出用于填充球囊的液体607.5±64.5mL。
我们的研究表明急性胰腺炎可能并发IGB，并建议对有IGB置入史且出现提示胰腺炎症状的患者进行淀粉酶和脂肪酶检测。
