Case Report: Endoscopic Removal of an Eroded Gastric Band Causing Small Bowel Obstruction upon Migration into the Proximal Jejunum

Abstract

Background Adjustable gastric banding (AGB) is on the decline due to its relatively modest amount of expected weight loss, coupled with high rates of revision and complications such as band erosion. Management of eroded gastric bands can be challenging especially when complete intra-gastric erosion is followed by distal migration causing small bowel obstruction. Methods We present an endoscopic option of using a pediatric colonoscope to remove an eroded AGB causing jejunal obstruction. Result Endoscopic removal of an eroded ABG causing bowel obstruction was successful. Conclusion Endoscopy remains a safe and relatively non-invasive approach to deal with such complications.

Reports of Gastric Banding and Bowel Obstruction: A Narrative Review of the Literature

“…Twelve papers did not meet the selection criteria. Forty-three [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] case reports were eventually included in our review ( Figure 1 ). The first report was published in 2000, while other articles were written last year.…”

Intra-jejunal migration with intestinal obstruction and perforation after gastric banding: A case report

“…However, endoscopic techniques have made it possible to cut the band in the gastric cavity, break it into several parts, and remove it via an endoscope to reduce surgical trauma. The migration of the retained bands without obstruction may require long-term dynamic endoscopic follow-up without immediate surgery until endoscopic removal is possible [ 20 ].…”

Delayed Gastric Twisting After Gastric Band Removal: a Case Report

“…LAGB-associated gastric obstruction caused by a tight band over the stomach is usually relieved by band deflation (4). The obstruction of the stomach and small intestine caused by the erosion of the gastric band into the gastric cavity and its migration to the distal parts was relieved by band removal (5,6). A closed-loop gastric obstruction caused by volvulus (7) can increase morbidity and mortality as a result of the associated gastric and esophageal necrosis and perforation (7,8).…”