Thinking outside the bubble: Endoscopic removal of an intra-gastric balloon without dedicated accessory equipment

Intragastric balloons (IGBs) are increasingly used in endoscopic bariatric therapies (EBT) for obesity management.Typically, the IGB remains in situ for 6 months before removal.Dedicated accessories are usually employed for IGB extraction from the stomach.However, when these accessories are unavailable or when a patient presents to a gastroenterology service that does not offer EBT, IGB extraction can be challenging and may require improvisation.We describe a novel technique for IGB extraction that does not rely on dedicated accessories.