Endoscopic removal of intrajejunal migrated gastric band

A case report of an adjustable gastric band erosion and migration into the jejunum resulting in biliary obstruction

“…Endoscopic retrieval requires erosion of >50% of the band together with its lock [11]. However, successful removal of a migrated intrajejunal LAGB has been reported with the endoscopic, laparoscopic, and open approaches [6,7,9]. In our patient, we resorted to the open approach as band migration was not noted preoperatively and we could not locate the band laparoscopically.…”

“…BE can be partial or complete with intragastric migration of the band [4]. When completely internalized into the gastric lumen, the band has the potential to migrate into the small bowel [[5], [6], [7], [8], [9]]. Biliary obstruction is a very rare complication that may result from intrajejunal band migration.…”

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

“…Endoscopic management of band erosions together with extraction of the subcutaneous port through a separate small skin incision represents an elegant minimally invasive option. Multiple techniques for intragastric band sectioning and retrieval have been described [7,8]. Rarely, complete gastric band erosion can be associated with band disconnection and migration into the small bowel.…”