Intra-gastric balloon associated with acute pancreatitis

Authors

DOI:

https://doi.org/10.47892/rgp.2022.423.1345

Keywords:

Acute pancreatitis, Gastric balloon, Endoscopy

Abstract

We present a clinical case of a young woman with the habit of sleeping in the prone position. She reports that after intragastric balloon placement, she begins with nocturnal episodes of epigastric abdominal pain. The most recent episode was characterized by sudden and intense abdominal pain, elevation of pancreatic enzymes, and imaging findings compatible with acute pancreatitis. After carrying out a systematic approach, other potential causes were ruled out. After removing the intragastric balloon, immediate cessation of the nocturnal episodes of pain was obtained. The etiology was attributed to the mechanical compression phenomena caused by the balloon on the pancreatic body during rest in the prone position. We note that the habit of resting in the prone position would constitute a potential risk factor for acute pancreatitis after intragastric balloon placement, so this factor should be considered when counselling candidates for this technique.

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Author Biography

Dacio Hector Cabrera-Hinojosa, Hospital Nacional Dos de Mayo. Lima, Perú

Residente de Gastroenterología

Hospital Nacional Dos de Mayo

References

Orlandini B, Gallo C, Boškoski I, Bove V, Costamagna G. Procedures and devices for bariatric and metabolic endoscopy. Therapeutic Advances in Gastrointestinal Endoscopy. January 2020. doi:10.1177/2631774520925647

Tate CM, Geliebter A. Intragastric Balloon Treatment for Obesity: Review of Recent Studies. Adv Ther. 2017;34(8):1859-1875. doi:10.1007/s12325-017-0562-3.

Halpern B, Sorbello MP, Libanori HT, Mancini MC. Extrinsic compression of pancreatic duct by intragastric balloon treatment and its potential to cause acute pancreatitis: Two case reports and clinical discussion. Obes Res Clin Pract. 2020;14(3):290-292. doi:10.1016/j.orcp.2020.03.005

Gore N, Ravindran P, Chan DL, Das K, Cosman PH. Pancreatitis from intra-gastric balloon insertion: Case report and literature review. Int J Surg Case Reports. 2018;45:79-82. doi:10.1016/j.ijscr.2018.03.016

Espinet Coll E, López-Nava Breviere G, Nebreda Durán J, et al. Spanish Consensus Document on Bariatric Endoscopy. Part 1. General considerations. Rev Esp Enferm Dig. 2018;110(6):386-399. doi:10.17235/reed.2018.4503/2016

Espinet Coll E, López-Nava Breviere G, Nebreda Durán J, et al. Spanish consensus document on bariatric endoscopy. Part 2: specific endoscopic treatments. Rev Esp Enferm Dig. 2019;111(2):140-154. doi:10.17235/reed.2019.4922/2017

Mechanick JI, Apovian C, Brethauer S, et al. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES - 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS - EXECUTIVE SUMMARY. Endocr Pract. 2019;25(12):1346-1359. doi:10.4158/GL-2019-0406

Král J, Machytka E, Horká V, et al. Endoscopic Treatment of Obesity and Nutritional Aspects of Bariatric Endoscopy. Nutrients. 2021;13(12):4268. doi:10.3390/nu13124268

Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62(1):102-111. doi:10.1136/gutjnl-2012-302779

Cho JH, Jeong YH, Kim KH, Kim TN. Risk factors of recurrent pancreatitis after first acute pancreatitis attack: a retrospective cohort study. Scand J Gastroenterol. 2020;55(1):90-94. doi:10.1080/00365521.2019.169959

Abdulghaffar S, Badrawi N, Gowda SK, AlBastaki U, AlNuaimi D. Acute pancreatitis as a late complication of intra-gastric balloon insertion. J Surg Case Reports. 2021;2021(4):rjab139. doi:10.1093/jscr/rjab139

Umans DS, Rangkuti CK, Sperna Weiland CJ, et al. Endoscopic ultrasonography can detect a cause in the majority of patients with idiopathic acute pancreatitis: a systematic review and meta-analysis. Endoscopy. 2020;52(11):955-964. doi:10.1055/a-1183-3370

Aljiffry M, Habib R, Kotbi E, Ageel A, Hassanain M, Dahlan Y. Acute Pancreatitis: A Complication of Intragastric Balloon. Surg Laparosc Endosc Percutan Tech. 2017;27(6):456-459. doi:10.1097/SLE.0000000000000477

Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13(4 Suppl 2):e1-e15. doi:10.1016/j.pan.2013.07.063

Ramai D, Singh J, Mohan BP, et al. Influence of the Elipse Intragastric Balloon on Obesity and Metabolic Profile: A Systematic Review and Meta-Analysis. J Clin Gastroenterol. 2021;55(10):836-841. doi:10.1097/MCG.0000000000001484

Published

01/20/2023

How to Cite

1.
Chirinos Vega JA, Cabrera-Hinojosa DH. Intra-gastric balloon associated with acute pancreatitis. Rev Gastroenterol Peru [nternet]. 2023 Jan. 20 [cited 2024 Jul. 22];42(3):183-7. vailable from: https://revistagastroperu.com/index.php/rgp/article/view/1345

Issue

Section

REPORTES DE CASOS