Impact of Intragastric Balloon: A Rare Complication.

Non-surgical interventions for weight loss are being used more commonly and one of the emerging endoscopic bariatric therapies is the insertion of Intragastric Balloons (IGBs). A 58-year Pakistani female, presented with vomiting and abdominal bloating for 2 weeks. The balloon was impacted at the antrum and pylorus while the external pigtail catheter and blue clasp for retrieval were extending into D1/D2. This is a very rare complication of IGB. We report a rare case of antral impaction, followed by safe removal of the impacted Spatz IGB. Regular follow-ups are necessary to avoid serious complications of IGB insertion. Key Words: Intragastric balloon, Impaction, Obesity, Safe retrieval, Weight-loss.