Normal Anatomy and Complications of Bariatric Surgery:
An Interactive Teaching File with CT-Fluoroscopic Correlation

What is Intragastric Balloon Therapy?

• Endoscopic placement of saline filled balloons in the stomach
• Weight loss results due to restriction and early satiety.

Indications

• Morbid obesity with BMI >30 kg/m² , who do not meet criteria for other bariatric surgeries including:
  • Too risky for bariatric surgery
  • Don’t qualify for bariatric surgery but could benefit early weight loss

Contraindications

• Prior gastric surgery
• UGI ulcers
• Coagulopathy
• Severe liver disease
• Large hiatal hernia
• Pregnancy

What is Intragastric Balloon Therapy? Medical Illustration

• Endoscopic placement of saline filled balloons in the stomach
• Weight loss results due to restriction and early satiety.

Complications are rare CT Case Study 1 CT Case Study 2 Medical Illustration

• Gastric outlet obstruction
• Migration and small bowel obstruction
• Rupture