Obesity Surgery

, Volume 28, Issue 6, pp 1781–1784 | Cite as

Percutaneous Needle Aspiration of a Partially Deflated Intragastric Balloon: a Forgotten Modality? Review of the Literature

  • Jeffrey Brooks
  • Uri Rimon
  • Paul BenSaid
  • Alon Lang
  • Moshe Nadler
  • Chaya Schwartz
  • Simon Bar Meir
Letter to the Editor

To the editors,

It is estimated that more than 300,000 intragastric balloons (IGBs) have been successfully used for weight loss for the last 30 years. Balloon deflation is among the complications reported in the literature and ranges from 3.2 to 3.4% [1, 2]. A fluid-filled IGB is customarily injected with 2–5 ml of a 1% solution of methylene blue such that deflation results in absorption of the methylene blue and its excretion in the urine. This causes a bluish discoloration of the urine and alerts the patient to the deflation. The deflated balloon can either stay in the stomach for a period of time from which it is removed by the endoscopist, or it can migrate into the intestines and pass into the stool with or without symptoms of nausea and pain along the way. In rare circumstances, the migrated IGB impacts the small bowel with a resultant small bowel obstruction (SBO). In her review of 17 IGB publications, Mathus-Vliegen reported a 3.2% (132/4037) incidence of BioEnterics...


Compliance with Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

Dr Jeffrey Brooks is a shareholder and a patent holder at Spatz FGIA Inc and has reported this in his COI form. Dr’s Rimon, BenSaid, Lang, Nadler, Schwartz, and BarMeir have no conflict of interest to report as documented in their individual COI forms.

Informed Consent

Informed consent was obtained from the patient in this report for all the performed procedures.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Optimal ClinicTel AvivIsrael
  2. 2.Sheba Hospital, Interventional Radiology Unit, Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
  3. 3.Sheba Hospital, Department of Gastroenterology, Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
  4. 4.Sheba Hospital, Department of Surgery, Sackler School of MedicineTel Aviv UniversityTel AvivIsrael

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