Abstract
Purpose:This study was carried out because intragastric balloon (IGB) is a widely used method to combat obesity, and acute pancreatitis complicating IGB is rare and yet to be understood.Method:This study was a retrospective analysis of all patients with a history of IGB insertion, who developed acute pancreatitis before balloon removal.Results:A total of 4 cases were found, with a mean age of 272.9 years. The mean duration of IGB insertion was 2.25 +/- 1.25 months, with an average body mass index of 37.7 +/- 3.4kg/m(2). Abdominal computed tomography visualized signs of pancreatitis with the balloon compressing the pancreatic body. Pancreatitis resolved after endoscopic balloon extraction, with an average aspiration of 607.5 +/- 64.5mL of the fluid used to fill the balloon.Conclusion:Our study demonstrates that acute pancreatitis can complicate IGB and recommends the need to measure amylase and lipase in patients who have a history of IGB insertion and present with a picture suggestive of pancreatitis.