Complications of gastric banding presenting to the ED

Landen, S; Majerus, B; Delugeau, V.

doi:10.1016/j.ajem.2005.02.016

Cited by 20 publications

(13 citation statements)

References 5 publications

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“…Gastric necrosis as a complication of LAGB has been not so frequently reported so far, and it is usually related to band slippage with gastric prolapse [1,3,[6][7][8][9]. Obstructive upper gastrointestinal symptoms are common; however, seemingly unrelated symptoms, such as chest pain, may be the primary complaint.…”

Section: Discussionmentioning

confidence: 93%

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding

et al. 2008

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A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg/m2. Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left thoracotomy, a misdiagnosed type II paraesophageal strangulated hernia with gastric necrosis and large perforation of the fundus was evident. At laparotomy, the band was removed, the stomach was reduced into the abdomen, and a sleeve gastrectomy was performed. Her postoperative course was uneventful, and 6 months after surgery, her BMI is 31 kg/m2. Emergency sleeve gastrectomy could represent a good option to treat, at the same time and in a safe way, both gastric necrosis and paraesophageal hernia, improving the good results in terms of weight loss after gastric restriction from gastric banding.

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Section: Discussionmentioning

confidence: 93%

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding

et al. 2008

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“…Epigastric pain may suggest an ischemic process and impending gastric necrosis. 6 Initial management is the same as for any medical emergency. 3 In patients with pain, it is likely that prompt diagnosis and urgent surgery prevent catastrophic gastric necrosis and subsequent perforation.…”

Section: Discussionmentioning

confidence: 99%

“…6 The subcutaneous port is palpated with the left hand, and the right hand is used to guide a noncoring 20-gauge needle into the central membrane portion of the port. This may produce immediate improvement in symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…4 This procedure consists of the laparoscopic insertion of an inflatable band near the cardia to form a gastric pouch with a 15-ml capacity ( Figure 1). 6 Despite the great increase in gastric banding, the general medical community lacks an understanding of the operation and its potential complications. A small reservoir implanted subcutaneously, is attached by tubing to the gastric band and allows postoperative band inflation to limit food intake.…”

Section: Introductionmentioning

confidence: 99%

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Gastric Slippage as an Emergency: Diagnosis and Management

et al. 2007

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Laparoscopic adjustable gastric banding (LAGB) is an increasingly common procedure for morbid obesity. The most prevalent complication following LAGB is band slippage leading to gastric prolapse. These cases often present to the emergency department where surgeons need to appropriately diagnose and stabilize the patient, prior to any surgical intervention. It is imperative that surgeons at all levels of training implement an organized, effective acute management plan to reduce the morbidity and mortality associated with this life-threatening condition. This report highlights the case of a gastric banding patient who presented to an emergency department >1 year after a LAGB operation had been performed, with dysphagia. The diagnosis of gastric prolapse can be overlooked, with potentially serious consequences.

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“…The most common late complications are pouch enlargement and band slippage with an incidence between 1 and 21% (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Reduction of the Prolapsed Stomach in a Case of Anterior Band Slippage after Laparoscopic Adjustable Gastric Banding

Darius

Aelvoet

Tollens

et al. 2007

Acta Chirurgica Belgica

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Complications of gastric banding presenting to the ED

Cited by 20 publications

References 5 publications

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding

Gastric Slippage as an Emergency: Diagnosis and Management

Spontaneous Reduction of the Prolapsed Stomach in a Case of Anterior Band Slippage after Laparoscopic Adjustable Gastric Banding

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