İntragastrik Obezite Balonu'nun Karanlık Yollarda Gizemli Kayboluşu: İki Olgu ve Literatürün Gözden Geçirilmesi

Yıl 2021, , 108 - 112, 08.02.2021

Sezgin Barutçu , Abdullah Emre Yıldırım , Buğra Tolga Konduk

https://doi.org/10.17517/ksutfd.741480

Öz

Obezite ile ilişkili morbidite ve mortalite Hipokrat döneminden beri bilinmektedir. Obezite dünya çapında salgın boyutuna ulaşmış ve son zamanlarda daha ciddi bir tıbbi, sosyal ve ekonomik sorun haline gelmiştir. Yaşam tarzı değişikliği ve farmakoterapinin sınırlı bir yararı vardır. Bariatrik cerrahi, uzun süreli kilo azaltmanın etkili bir yöntemi olup aşırı kilonun yaşamı tehdit eden komplikasyonlarını da azaltmaktadır. Daha az invaziv, daha güvenli ve daha ucuz endoskopik tedaviler cerrahiye alternatif olabilir. İntragastrik obezite balonu, bu amaçla dünya çapında uygulanan popüler bir yöntemdir. Patlamış balonun yer değiştirmesine bağlı bağırsak tıkanıklığı, bu prosedürün nadir fakat hayatı tehdit eden bir komplikasyonudur.

Anahtar Kelimeler

sönmüş balon, intragastrik balon komplikasyonu, luminal obezite tedavisi

Intragastric Obesity Balloon's Mysterious Vanishing In the Dark Alleys: Two Cases And Review Of the Literature

Öz

The morbidity and mortality associated with obesity have been known since the time of Hippocrates. Obesity has reached epidemic proportions worldwide and becomes a more serious medical, social, and economic problem recently. Lifestyle modification and pharmacotherapy have limited benefit. Bariatric surgery is an effective method of durable weight reduction with risks of life treating complications. Less invasive, safer and cheaper endoscopic therapies may be an alternative to surgery. The intragastric obesity balloon is a popular tool performed worldwide Intestinal obstruction due to migration of deflated balloon is a rare but life-threatening complication of this procedure.

Anahtar Kelimeler

deflated balloon, intragastric balloon complication, luminal obesity treatment

Kaynakça

• 1. Farina MG, Baratta R, Nigro A, et al. Intragastric balloon in association with lifestyle and/or pharmacotherapy in the long-term management of obesity. Obes Surg. 2012; 22: 565-71.
• 2. Hogan RB, Johnston JH, Long BW, et al. A double blind, randomised, sham controlled trial of the gastric bubble for obesity. Gastrointest Endosc. 1989; 35: 381-5.
• 3. De Castro ML, Morales MJ, Del Campo V, et al. Efficacy, safety, and tolerance of two types of intragastric balloons placed in obese subjects: a double-blind comparative study. Obes Surg. 2010; 20: 1642-6.
• 4. Genco A, Bruni T, Doldi SB, et al. Bioenterics intragastric balloon: the Italian experience with 2515 patients. Obes Surg. 2005; 15: 1161-4.
• 5. Dumonceau JM. Evidence-based review of the Bioenterics intragastric balloon for weight loss. Obes Surg. 2008; 18: 1611-7.
• 6. Dąbrowiecki S, Szczęsny W, Popławski C, Sosnowski D. Intragastric Balloon (BIB system) in the treatment of obesity and preparation of patients for surgery - own experience and literature review. Pol Przegl Chir. 2011; 83: 181-7.
• 7. Hegade VS, Sood R, Douds AC. Small bowel obstruction induced by spontaneous partial deflation of an intragastric balloon. Ann R Coll Surg Engl. 2012; 94: 171-3.
• 8. Miller-Catchpole A. Diagnostic and therapeutic technology assessment: the Garren gastric bubble. JAMA. 1986 19; 256: 3282-4.
• 9. Drozdowski R, Wyleżoł M, Frączek M, Hevelke P, Giaro M, Sobański P. Small bowel necrosis as a consequence of spontaneous deflation and migration of an air-filled intragastric balloon - a potentially life-threatening complication. Wideochir Inne Tech Malo Inwazyjne. 2014; 9: 292-6.
• 10. Forestieri P, De Palma GD, Formato A, et al. Heliosphere Bag in the treatment of severe obesity: preliminary experience. Obes Surg. 2006; 16: 635-7.