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Kenneth Nugent 2 Articles
Gastric Ulceration and Bleeding with Hemodynamic Instability Caused by an Intragastric Balloon for Weight Loss
Larrite Reed, Hawa Edriss, Kenneth Nugent
Clin Endosc 2018;51(6):584-586.   Published online June 1, 2018
DOI: https://doi.org/10.5946/ce.2018.038
AbstractAbstract PDFPubReaderePub
Obesity in the United States is a medical crisis with many people attempting to lose weight with caloric restriction. Some patients choose minimally invasive weight loss solutions, such as intragastric balloon systems. These balloon systems were approved by the Federal Drug Administration (FDA) in 2015–2016 and have been considered safe, with minimal side effects. We report a patient with a two-day history of melena, abdominal pain, hypotension, and syncope which developed five months after placement of an intragastric balloon. Esophagogastroduodenoscopy with balloon removal revealed a small 8-mm gastric ulcer in the incisura. This gastric ulcer probably developed secondary to mechanical compression of the stomach mucosa by the gastric balloon which contained 900 mL of saline. The FDA is now investigating five deaths since 2016 associated with these second-generation balloons. Clinicians should be aware of these complications when evaluating patients with gastrointestinal complications, such as bleeding.

Citations

Citations to this article as recorded by  
  • Prediction Factors of Early Postoperative Bleeding after Bariatric Surgery
    Mahdieh Golzarand, Karamollah Toolabi, Reza Parsaei
    Obesity Surgery.2022; 32(7): 1.     CrossRef
  • Clinical follow-up on weight loss, glycemic control, and safety aspects of 24 months of duodenal-jejunal bypass liner implantation
    B. Betzel, M. I. Cooiman, E. O. Aarts, I. M. C. Janssen, P. J. Wahab, M. J. M. Groenen, J. P. H. Drenth, F. J. Berends
    Surgical Endoscopy.2020; 34(1): 209.     CrossRef
  • Hidden dangers and updated labels on gastric balloons
    Sindhura Kolli, Andrew Ofosu, Harini Gurram, Simcha Weissman, Paul Khoi Dang‐Ho, Tej I. Mehta, Hailie Gill, Krishna C. Gurram
    Clinical Case Reports.2020; 8(11): 2116.     CrossRef
  • 4,556 View
  • 99 Download
  • 3 Web of Science
  • 3 Crossref
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Esophgeal Perforation and Bilateral Empyema Following Endoscopic EsophyX Transoral Incisionless Fundoplication
Hawa Edriss, Amal El-Bakush, Kenneth Nugent
Clin Endosc 2014;47(6):560-563.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.560
AbstractAbstract PDFPubReaderePub

Transoral incisionless fundoplication (TIF) has been used for endoscopic treatment of gastroesophageal reflux disease (GERD). TIF using the EsophyX device system (EndoGastric Solutions) was designed to create a full-thickness valve at the gastroesophageal junction through the insertion of multiple fasteners; it improves GERD, reduces proton pump inhibitor use, and improves quality of life. Although TIF is effective in select patients, a significant subset of patients undergoing TIF develop persistent or recurrent GERD symptoms and may need antireflux surgery to control the GERD symptoms. We now report a 48-year-old man with chronic GERD unresponsive to medical management. He underwent TIF complicated by esophageal perforation and developed mediastinitis, left pneumothorax, bilateral pleural effusions, and acute respiratory failure. He required chest tube placement and bilateral decortication for treatment of nonresolving empyemas. Additional postmarketing studies are required to assess the safety, efficacy, and clinical outcomes of this novel procedure, and patients undergoing this procedure need close postprocedural follow-up.

Citations

Citations to this article as recorded by  
  • Efficacy and patient satisfaction of single-session transoral incisionless fundoplication and laparoscopic hernia repair
    Catherine Gisi, Kelly Wang, Farhaad Khan, Sonya Reicher, Linda Hou, Clark Fuller, James Sattler, Viktor Eysselein
    Surgical Endoscopy.2021; 35(2): 921.     CrossRef
  • Endoscopic Management of Gastroesophageal Reflux Disease
    Colin G. DeLong, Joshua S. Winder
    Digestive Disease Interventions.2021; 05(02): 199.     CrossRef
  • Long-term Outcomes of Patients Receiving a Magnetic Sphincter Augmentation Device for Gastroesophageal Reflux
    Robert A. Ganz, Steven A. Edmundowicz, Paul A. Taiganides, John C. Lipham, C. Daniel Smith, Kenneth R. DeVault, Santiago Horgan, Garth Jacobsen, James D. Luketich, Christopher C. Smith, Steven C. Schlack-Haerer, Shanu N. Kothari, Christy M. Dunst, Thomas
    Clinical Gastroenterology and Hepatology.2016; 14(5): 671.     CrossRef
  • 7,036 View
  • 58 Download
  • 3 Web of Science
  • 3 Crossref
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