Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY, 10037, USA.
Obes Surg. 2018 Jul;28(7):2126-2129. doi: 10.1007/s11695-018-3276-y.
Obesity is a growing global epidemic with tremendous financial burden and health care costs worldwide. Restrictive surgery has emerged as the definitive treatment option to combat morbid obesity and its associated comorbidities. The advent of endoscopy has new grounds in obesity with the introduction of inflatable balloon placed in the stomach that decreases satiety by volume restriction.
We report a first case of gastric perforation with peritonitis after ReShape intragastric balloon placement that needed emergent surgical intervention. Decision was made to proceed with exploratory laparotomy, device deflation, and removal with subsequent gastric defect repair.
Postoperative period was uneventful, drain was removed on postoperative day 2, and patient tolerated diet and was discharged home subsequently. Biopsy of the perforation site demonstrated mild non-specific chronic gastritis.
In the modern era of minimal invasiveness, any new approach would roar popularity among patients and hence is of utmost importance for clinicians to be constantly educated on scientific research and innovations in their field.
肥胖是一种在全球范围内不断蔓延的流行病，给全世界带来了巨大的经济负担和医疗成本。限制手术已经成为对抗病态肥胖及其相关合并症的明确治疗选择。内窥镜的出现为肥胖症提供了新的治疗方法，通过在胃中放置可充气的气球来减少饱腹感，从而限制胃容量。
我们报告了首例胃穿孔伴腹膜炎的病例，该病例在放置 ReShape 胃内球囊后发生，需要紧急手术干预。决定进行剖腹探查术，球囊放气和取出，随后进行胃缺损修复。
术后恢复顺利，术后第 2 天拔除引流管，患者随后耐受饮食并出院回家。穿孔部位的活检显示轻度非特异性慢性胃炎。
在微创时代，任何新的方法都会在患者中引起轰动，因此，临床医生必须不断接受有关其领域的科学研究和创新的教育，这一点至关重要。
