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Article |

Jejunal Entrapment of a Gastric Balloon

Arlen Fleisher, MD; Peter S. Conti, MD, PhD; Richard S. McCray, MD; Howard R. Nay, MD
JAMA. 1987;257(7):930. doi:10.1001/jama.1987.03390070050019.
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To the Editor.—  Use of the intragastric balloon for treatment of morbid obesity is a relatively new concept in this country. The balloon is placed into the stomach either blindly or under endoscopic control and then inflated. The exact mechanism of weight loss is unknown, but is believed to be related to early satiation. Although complications exist,1-5 the need for surgical intervention is unusual and has prompted our following report.

Report of a Case.—  The patient was a 42-year-old, 1.6-m (5 ft 3 in) tall, 95-kg (211-lb) woman who had had a Garren-Edwards gastric balloon (American Edwards Company, Santa Ana, Calif) inserted at another institution for weight control. The balloon was placed under endoscopic control, then filled with approximately 200 mL of air. When fully inflated, the balloon is about the size and shape of a soft drink can. Two weeks following placement, the balloon was changed because it


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