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首页> 外文期刊>Bariatric Surgical Patient Care >Proposed Treatment of Adjustable Intragastric Balloon Contaminated with Candida
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Proposed Treatment of Adjustable Intragastric Balloon Contaminated with Candida

机译：假丝酵母污染的可调式胃内球囊的建议治疗

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Introduction: The intragastric balloon (IB) can be indicated for patients with overweight and obesity refractory to behavioral and medical treatment. In unusual situations, fungal colonization of the IB is observed, sometimes on their content, asymptomatic in most cases. The rare incidence of colonization is presented as the result of a multifactorial involvement, which predisposes to opportunistic infections. Case Report: Thirty-seven year old obese female, 87.5kg, and body mass index 35kg/m(2). An adjustable intragastric balloon was indicated for treating obesity. At the end of the second month of treatment, she started presenting epigastric pain, postprandial fullness, and vomiting. The computed tomography showed abnormal balloon inflation, with air inside. The management adopted was to carry out total evacuation of the adjustable balloon, followed by new insufflation with nystatin solution added to methylene blue solution. Discussion: The contamination of the IB and its content raises the possibility of gas production inside the balloon by fungal fermentation, resulting in increased balloon volume leading to obstructive symptoms. In these situations, typically the balloon is removed and pharmacologic treatment is not necessary. In this case, it was shown well succeeded by no recurrence of hyperinflation with gas.
机译：简介：胃内球囊（IB）可以用于行为和医学治疗难以控制的超重和肥胖患者。在异常情况下，观察到IB的真菌定植，有时在其含量上无症状，在大多数情况下是无症状的。由于多因素参与，定居的罕见发生率高，这易导致机会性感染。病例报告：三十七岁​​的肥胖女性，体重87.5kg，体重指数35kg / m（2）。指示可调整的胃内球囊可用于治疗肥胖症。在治疗的第二个月末，她开始出现上腹痛，餐后饱胀和呕吐。计算机断层扫描显示气球异常充气，内部充满空气。采取的管理措施是对可调节的球囊进行完全排空，然后将制霉菌素溶液添加到亚甲蓝溶液中进行新的吹入。讨论：IB的污染及其含量增加了通过真菌发酵在气球内部产生气体的可能性，导致气球体积增加而导致阻塞性症状。在这些情况下，通常会移除球囊，而无需进行药物治疗。在这种情况下，由于没有出现气体过度充气的情况，因此显示成功。

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