Severe Gastric Ulcerations With Impending Necrosis in a Patient Who Had Gastric Balloon Insertion Following Previous Sleeve Gastrectomy

In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vo...

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Published inCurēus (Palo Alto, CA) Vol. 14; no. 3; p. e22983
Main Authors Al Harthy, Salim, Al Lawati, Abdullah, Al Lawati, Meetham
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 09.03.2022
Cureus
Subjects
Antibiotics
Case reports
Gastroenterology
Gastrointestinal surgery
Laparoscopy
Nausea
Necrosis
Obesity
Patients
Stomach
Urinary tract infections
Weight control
endoscopic intragastric balloon
stomach ulcer
endoscopic management of obesity
sleeve gastrectomy
tight peptic stricture
sloughing mucosa
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Abstract In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vomiting, dysuria, fever, and experienced severe dehydration, which could have resulted in the formation of ureteric and renal stones. Thus, she was rehydrated and was started on antibiotics. She also underwent successful removal of the intragastric balloon aimed at preserving and healing of the remaining gastric mucosa. Post-op findings were unremarkable; however, a tight peptic stricture at the proximal stomach was formed four weeks after her balloon removal.
AbstractList In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vomiting, dysuria, fever, and experienced severe dehydration, which could have resulted in the formation of ureteric and renal stones. Thus, she was rehydrated and was started on antibiotics. She also underwent successful removal of the intragastric balloon aimed at preserving and healing of the remaining gastric mucosa. Post-op findings were unremarkable; however, a tight peptic stricture at the proximal stomach was formed four weeks after her balloon removal.
In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vomiting, dysuria, fever, and experienced severe dehydration, which could have resulted in the formation of ureteric and renal stones. Thus, she was rehydrated and was started on antibiotics. She also underwent successful removal of the intragastric balloon aimed at preserving and healing of the remaining gastric mucosa. Post-op findings were unremarkable; however, a tight peptic stricture at the proximal stomach was formed four weeks after her balloon removal. 
Author Al Lawati, Abdullah
Al Lawati, Meetham
Al Harthy, Salim
AuthorAffiliation 2 College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN
1 Gastroenterology, Royal Hospital, Muscat, OMN
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  givenname: Salim
  surname: Al Harthy
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  givenname: Meetham
  surname: Al Lawati
  fullname: Al Lawati, Meetham
  organization: College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN
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Cites_doi 10.1007/s11695-012-0779-9
10.1136/tsaco-2018-000219
10.1007/s11695-020-04644-8
10.1007/s11695-013-1053-5
10.3748/wjg.v22.i24.5495
10.4240/wjgs.v9.i4.109
10.1381/0960892055002202
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Copyright Copyright © 2022, Al Harthy et al.
Copyright © 2022, Al Harthy et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright © 2022, Al Harthy et al. 2022 Al Harthy et al.
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Keywords endoscopic intragastric balloon
stomach ulcer
endoscopic management of obesity
sleeve gastrectomy
tight peptic stricture
sloughing mucosa
Language English
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SubjectTerms Antibiotics
Case reports
Gastroenterology
Gastrointestinal surgery
Laparoscopy
Nausea
Necrosis
Obesity
Patients
Stomach
Urinary tract infections
Weight control
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Title Severe Gastric Ulcerations With Impending Necrosis in a Patient Who Had Gastric Balloon Insertion Following Previous Sleeve Gastrectomy
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