Abstract

During obesity treatment with intragastric balloon, complications may occur. One of the most feared is gastric ulcer and perforation, potentially life-threatening. Gastric ulcers may be due to stomach wall irritation, worsened by the presence of food residues between gastric wall and the balloon. This high pressure and ischemia zone may turn into a perforation, a rare event. The main presenting symptom is sudden abdominal pain. Endoscopic treatment can be carried out in mild cases, but usually surgical repair is needed. In this chapter, we present a case of a gastric perforation caused by an intragastric balloon, treated by laparoscopy.

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