XXXX in an @entity28 @entity1 with an intragastric balloon, following previous fundoplication.

@entity1 @entity101 @entity28 @entity1353 @entity391 @entity8442 @entity357 @entity490 @entity356
BACKGROUND: The Bioenterics Intragastric Balloon (BIB) has been a safe and effective method used in treatment of moderate @entity28 . @entity356 is a rare complication, and its possible sequelae are dangerous. METHODS: A 52-year-old @entity1 (BMI 37 kg/m(2)), with @entity357 , moderate @entity101 and @entity1353 , 1 year ago underwent laparoscopic fundoplication. She now underwent positioning of a BIB filled with 500 cc of saline. After 8 days, 6 kg weight loss occurred and her clinical condition was satisfactory. On day 11, severe @entity490 and @entity391 occurred, which spontaneously regressed in the following 6-8 hours. Ultrasound confirmed the correct position of the BIB, and showed widespread abdominal meteorism. On day 18, acute abdomen with @entity8442 occurred. On admission, CT scan documented hydropneumoperitonitis. At operation, a large perforation of the lesser curvature was found, with undigested food in the abdomen. She underwent peritoneal lavage, removal of the BIB, and suture of the gastric laceration. RESULTS: She was discharged in good condition after 11 days. CONCLUSION: According to our experience, fundoplication represents an absolute contraindication to positioning of a BIB.
