Bariatric balloon causing gastric outlet obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Recent insertion of a gastric balloon. Now severe vomitting and epigastric fullness.

Patient Data

Age: 55
Gender: Male

Large fluid and gas-filled balloon in the pylroic antrum causing obstruction to the proximal stomach by way of distension as well as fluid and food in the proximal gastric body/fundus.

Case Discussion

Bariatric stomach balloons are a temporary means of reducing weight by way of gastric distension (giving a constant feeling of satiety) and partial delayed gastric emptying.  In this case the balloon seems to be impacted in the antrum causing more substantial (pathological) outlet obstruction leading to vomitting.

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Case information

rID: 54449
Case created: 10th Jul 2017
Last edited: 11th Jul 2017
Inclusion in quiz mode: Included

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