{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T03:43:43Z","timestamp":1766720623694,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"unspecified","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,9,12]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>The intragastric balloon (IGB) is recognised as a minimally invasive intervention for the treatment of obesity. Here, we detail a rare and life-threatening complication stemming from this procedure. A female patient in her 40s, who had an IGB in situ for 14 months, presented at the emergency department with septic shock characterised by abdominal guarding and emesis. These symptoms were a direct result of IGB-induced bowel obstruction. We emphasise that the patient missed the recommended 6-month removal window, which in our opinion is the decisive cause leading to deflated balloon migration and subsequent complications. In the course of managing multiple critical events, the patient required multiple operations related to the bowel obstruction, numerous nutritional and psychological challenges. Currently, the patient is living with short bowel syndrome, secondary to the chronic intestinal failure, necessitating the administration of parenteral nutrition 6\u2009days per week.<\/jats:p>","DOI":"10.1136\/bcr-2023-258434","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T13:50:33Z","timestamp":1727185833000},"page":"e258434","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Complications resulting from an intragastric balloon in a patient without follow-up and monitoring"],"prefix":"10.1136","volume":"17","author":[{"given":"Rodolfo","family":"Romero","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, Centre Hospitalier de Saint Denis, Saint Denis, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lore","family":"Biliauws","sequence":"additional","affiliation":[{"name":"Gastroenterology MICI Nutrition Assistance, APHP, Clichy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Roussel","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Centre Hospitalier de Saint Denis, Saint Denis, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Marc","family":"Catheline","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Centre Hospitalier de Saint Denis, Saint Denis, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"2025082711033231000_17.9.e258434.1","doi-asserted-by":"crossref","first-page":"2743","DOI":"10.1007\/s11695-020-04558-5","article-title":"Efficacy of Intragastric Balloons for Weight Loss in Overweight and Obese Adults: a Systematic Review and Meta-analysis of Randomized Controlled Trials","volume":"30","author":"Kotinda","year":"2020","journal-title":"Obes Surg"},{"key":"2025082711033231000_17.9.e258434.2","doi-asserted-by":"crossref","first-page":"2206","DOI":"10.1001\/jama.2020.14862","article-title":"Gastric Balloons for Weight Loss in 2020","volume":"324","author":"Telem","year":"2020","journal-title":"JAMA"},{"key":"2025082711033231000_17.9.e258434.3","unstructured":"Crossan K , Sheer AJ . Intragastric balloon. In: StatPearls. 2023. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK578184\/"},{"key":"2025082711033231000_17.9.e258434.4","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1016\/j.soard.2018.05.003","article-title":"Evaluating the safety of intragastric balloon: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program","volume":"14","author":"Dang","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"2025082711033231000_17.9.e258434.5","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s11695-017-2877-1","article-title":"Safety and Efficacy of a New Swallowable Intragastric Balloon Not Needing Endoscopy: Early Italian Experience","volume":"28","author":"Genco","year":"2018","journal-title":"Obes Surg"},{"key":"2025082711033231000_17.9.e258434.6","doi-asserted-by":"crossref","first-page":"e172","DOI":"10.1308\/rcsann.2019.0104","article-title":"Laparoscopic management of a migrated intragastric balloon causing mechanical small bowel obstruction: a case report and review of the literature","volume":"101","author":"Hay","year":"2019","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082711033231000_17.9.e258434.7","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.gie.2015.03.1964","article-title":"ASGE Bariatric Endoscopy Task Force systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting endoscopic bariatric therapies","volume":"82","author":"Abu Dayyeh","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"2025082711033231000_17.9.e258434.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-224394","article-title":"Gastric outlet obstruction: a rare complication in patients with intragastric balloon treatment for obesity","volume":"2018","author":"Kool","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082711033231000_17.9.e258434.9","doi-asserted-by":"crossref","first-page":"E122","DOI":"10.1055\/a-0809-4994","article-title":"Life-threatening visceral complications after intragastric balloon insertion: Is the device, the patient or the doctor to blame?","volume":"7","author":"Stavrou","year":"2019","journal-title":"Endosc Int Open"},{"key":"2025082711033231000_17.9.e258434.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-240669","article-title":"Dysphagia due to spontaneous hyperinflation of a swallowable intragastric balloon","volume":"14","author":"Gaunt","year":"2021","journal-title":"BMJ Case Rep"},{"key":"2025082711033231000_17.9.e258434.11","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2022.107607","article-title":"Small bowel obstruction secondary to gastric balloon migration: A case report","volume":"98","author":"Ntyl","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2025082711033231000_17.9.e258434.12","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1381\/096089204323013587","article-title":"Intragastric balloon for \u201cnon-morbid\u201d obesity: a retrospective evaluation of tolerance and efficacy","volume":"14","author":"Roman","year":"2004","journal-title":"Obes Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:03:37Z","timestamp":1756317817000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9,24]]},"published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1136\/bcr-2023-258434"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258434","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}