{
  "abstract": "A 43-year-old female patient presented to the emergency department with sudden onset of recurrent vomiting and epigastric pain for 5 days. The patient was not able to keep any food or fluid down. Two months ago, an intragastric balloon (MedSil, Mytishchi, Moscow region, Russia) was inserted endoscopically as a treatment for obesity with an initially uneventful course. On physical examination, there was a palpable resistance in the right mid-abdomen with no pain on palpation. Blood testing did not reveal any signs of infection. A CT scan showed a massive dilatation of the stomach with a maximum diameter of 34 cm, caused by a trapped intragastric balloon in the gastric antrum with consecutive gastric outlet obstruction ( figure 1, arrow). After the insertion of a gastric tube, 2 L of fluid were drained and the vomiting resolved. On the following day, the intragastric balloon was removed via endoscopy, and the patient, who did not report any residual symptoms, was discharged on the same day.",
  "authors": [
    {
      "affiliations": [
        "Department of Internal Medicine, Zollikerberg Hospital, Zollikerberg, Switzerland"
      ],
      "name": "Nicoline Kool"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, Zollikerberg Hospital, Zollikerberg, Switzerland",
        "Faculty of Medicine, University of Zurich, Zurich, Switzerland"
      ],
      "name": "Simon Andreas Müggler"
    }
  ],
  "title": "Gastric outlet obstruction: a rare complication in patients with intragastric balloon treatment for obesity",
  "uid": "c17312df-f066-579a-90d3-1e022c52dcd2"
}