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Table 2 Case reports with spontaneous intragastric balloon hyperinflation

From: Contamination of single fluid-filled intragastric balloons with orogastric fluid is not associated with hyperinflation: an ex-vivo study and systematic review of literature

First author (year)

Age (years)

Sex

Initial BMI (kg/m2)

Type of IGB

Filling volume (ml)

MB use

Hyperinflation symptomsa

Timing of symptoms post-placement (months)

Management

Management outcome

IGB fluid culture

Madeira (2013) [28]

45

F

37.4

SB

650

Yes

N/V, AP/AD

4

ER

CR

Klebsiella Pnemoniae, Candida spp.

Patel (2014) [30]

61

F

NR

SB

500

NR

N/V, AP/AD

5

ER

CR

No growth

Marques (2015) [29]

37

F

35

Adj. SB

NR

Yes

N/V, EAP, PP fullness

2

Nystatin and MB refillb

CR

Candida spp.

Barola (2017) [26]

45

F

32

SB

650

Yes

N/V, GER

5

ER

NR

Not obtained

De Quadros (2018) [24]

46

F

31.6

SB

NR

NR

EAP/AD, N/V

3

ER

CR

Not obtained

Lopez-Nava (2019) [27]

42

F

31

SB

650

Yes

N/V, AP/AD

2

ER

CR

Candida parapsilosis

Quarta (2019) [25]

62

F

32

SB

NR

NR

EAP

5

ER

NR

Klebsiella spp., Streptococcus, Candida spp.

Barrichello (2020) [23]

53

F

30.2

SB

700

NR

AP

1.5

ER

CR

Not obtained

Basile (2020) [15]

42

F

37

SB

700

NR

AP/AD, N/V, GER

4

ER

NR

Not obtained

Usuy (2020) [31]

62

F

30

Adj.SB

500

Yes

EAP/AD, N/V

3.5

Amoxicillin and MB refillb

NR

Streptococcus viridans

 

38

F

28

Adj. SB

500

Yes

EAP/AD

2.5

ERc

NR

Candida spp.

  1. Adj. SB: Adjustable single balloon, AP/AD: Abdominal pain/abdominal distention, CR: Complete resolution, EAP: Epigastric abdominal pain, ER: Endoscopic removal, F: Female, GER: Gastroesophageal reflux, IGB: Intragastric balloon, MB: Methylene blue, N/V: Nausea/vomiting, NR: Not reported, PP: Post-prandial, Spp: Species
  2. aBalloon hyperinflation was confirmed on upper endoscopy in all cases
  3. bThese cases utilized adjustable IGBs which contents were emptied and refilled with Nystatin and MB and the other was refilled with Amoxicillin and MB
  4. cThis case utilized adjustable IGB, which was emptied and refilled with Ceftriaxone and MB without benefit requiring eventual removal after 8 months from placement