Migration Of Intragastric Balloon

To avoids the balloon migration the removal should be before of 7 months of been implanted. This type of balloon is well safe but since we had commented previously does not have to remain in place by more than 7 months, because that globe begin to be deflated and the resistance of the walls will be debilitated by the gastric acid and initiates the risk of migration and it can cause intestinal obstruction. This is the case of a of 23 year-old lady, who had been implanted an intragastric balloon for weight lost, she did not show up for the appointment of the date of balloon removal, to the 10 months to be implanted, patient who complained of of severe abdominal colic pain and vomiting that are symptom typically of balloon migration to the bowels; the patient was hospitalized, the plain abdominal film showed that the balloon was deflated outside of the stomach, powerful laxatives the same that we used for the preparation of the colon for the colonoscopy (was given (Oral sodium phosphate solution), after 72 hours the balloon had not been expelled that give us the possibility that this balloon had been stopped in the ileocecal valve where these can cause intestinal obstruction by that we decided to make a special grasping uniting two with weld since these are not made for colonoscope. A colonoscopy was performed the balloon was found at the sigmoids where was easy to manipulate and extract it with a rat-tooth grasping (foreign body forceps) We have had 4 cases of intragastric balloon migrations, the first case was after 11 months to have been placed the patient begun with symptoms, while in the hospital were carefully monitoring with abdominal ultrasound and abdominal radiography, oral sodium phosphate solution was administered, 48 hours after initiated with the symptoms the intragastric balloon was expelled by rectum. The second case was this presenting here, the third case almost to the year to have been placed, she had not luck to expelled by rectum because the balloon was retained in a loop of the Ileum due to the patient has multiple bowel postsurgical adhesions formation this patient underwent an open laparotomy. The four case after the symptoms stated, the balloon was expelled spontaneously in the next day.