Evidence map›Paper›PMID 42434064›Full record

ArticleJournal of surgical case reports2026

Laparoscopic removal of swallowable intragastric balloon and conversion to Roux-en-Y gastric bypass with concurrent hiatoplasty: a case report.

Tabata L Tinoco Ortiz, Maximo V Torres Guaicha, Paul M Tovar-Cobos

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tabata L Tinoco OrtizHospital Metropolitano de Quito, Department of Surgery, Av. Mariana de Jesús s/n & Av. Occidental (Calle B, N31-190), 170521, Quito, Ecuador.
Maximo V Torres GuaichaHospital Metropolitano de Quito, Department of Surgery, Av. Mariana de Jesús s/n & Av. Occidental (Calle B, N31-190), 170521, Quito, Ecuador.
Paul M Tovar-CobosUniversidad San Francisco de Quito, School of Medicine, Av. Diego de Robles & Av. Oswaldo Guayasamín, 170901, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Swallowable intragastric balloon is a minimally invasive bariatric option for obesity, but severe intolerance requiring intervention is uncommon. We report a 41-year-old man with grade I obesity, hypertension, dyslipidemia, and hyperthyroidism who developed severe retrosternal pain, reflux, persistent vomiting, and oral intolerance 5 days after balloon placement. Computed tomography showed appropriate balloon position without migration or perforation but suggested a small hiatal hernia. Due to refractory symptoms, laparoscopic balloon removal was performed. Intraoperative findings revealed a larger hiatal hernia with paraesophageal lipoma than previously identified, prompting simultaneous hiatoplasty and conversion to Roux-en-Y gastric bypass. The patient had progressive postoperative recovery with symptom resolution and improved oral tolerance. This case highlights that severe balloon intolerance may reveal occult hiatal pathology despite inconclusive preoperative studies and demonstrates that single-stage laparoscopic balloon removal, hiatal hernia repair, and definitive bariatric surgery can be a safe, effective strategy in appropriately selected patients.

Indexed as

bariatric surgeryhiatal herniaobesityRoux-en-Y gastric bypassswallowable intragastric balloon

Identifiers

PMID42434064
PMCPMC13349857

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.