Martins Maria Florencia, De la Hoz Gomez Alejandro, Manivannan Alan, Shapira-Daniels Ayelet, Campbell Reardon Christine Lee
Boston University Medical Center Boston Massachusetts USA.
Clin Case Rep. 2024 Feb 7;12(2):e8509. doi: 10.1002/ccr3.8509. eCollection 2024 Feb.
Gastric outlet obstruction can be a dangerous complication of intragastric balloons, as it can result in severe metabolic alkalosis. As weight loss procedures and medical tourism become more popular, physicians should have a high index of suspicion for complications of invasive procedures, particularly in returning travelers.
Intragastric balloons for weight loss have decreased in frequency in the United States. However, they are still frequent in low- and middle-income countries. Severe complications occur in less than 3% of patients who undergo this procedure. Herein, we present a case of gastric outlet obstruction, severe metabolic alkalosis, and refeeding syndrome in a patient returning from the Dominican Republic. She presented with 2 weeks of emesis and obstipation, followed by a pre-syncope and altered mental status. An intragastric mass was observed on computerized tomography, which was characterized as an intragastric balloon and retrieved endoscopically. All metabolic derangements were corrected, and the patient improved without sequelae. As weight loss procedures and medical tourism become more popular, physicians should have a high index of suspicion for complications of invasive procedures, particularly in returning travelers.
胃出口梗阻可能是胃内球囊的一种危险并发症，因为它可导致严重的代谢性碱中毒。随着减肥手术和医疗旅游越来越受欢迎，医生应对侵入性手术的并发症保持高度怀疑，尤其是对于回国的旅行者。
在美国，用于减肥的胃内球囊使用频率有所下降。然而，在低收入和中等收入国家仍很常见。接受该手术的患者中，严重并发症的发生率不到3%。在此，我们报告一例来自多米尼加共和国回国患者出现胃出口梗阻、严重代谢性碱中毒和再喂养综合征的病例。她出现了2周的呕吐和便秘，随后出现晕厥前症状和精神状态改变。计算机断层扫描显示胃内有肿块，经内镜检查确定为胃内球囊并取出。所有代谢紊乱均得到纠正，患者康复且无后遗症。随着减肥手术和医疗旅游越来越受欢迎，医生应对侵入性手术的并发症保持高度怀疑，尤其是对于回国的旅行者。
