Intracolonic Penetration of the Laparoscopic Adjustable Gastric Banding Tube

Hartmann, Jens; Scharfenberg, Mark; Paul, Marco; Ablassmaier, B

doi:10.1381/096089206775565195

Cited by 37 publications

(37 citation statements)

References 14 publications

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“…Zappa described the same complication where the tubing was wrapped around a jejunal loop leading to intermittent obstruction [20]. There are two reports about an intracolonic migration of the tubing [21,22]. Migration was inflicted by previous treatment of a port infection, as was the case with our patient.…”

Section: Discussionsupporting

confidence: 63%

A Rare Complication After Laparoscopic Gastric Banding: Connecting-Tube Penetration into the Hilus of the Kidney

et al. 2008

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Laparoscopic adjustable gastric banding is a common operation for morbid obesity. Late complications mainly originate from either the injection port (dislocation, infection, leakage) or the gastric band (pouch dilatation, slippage, leakage, gastric erosion). Complications from the tube, connecting the port with the band, are rarely described. We report the penetration of a loose connecting tube into the kidney 8 months after removal of an infected injection port. Keywords Gastric banding . Complication . Tubing . Migration Case ReportA 46-year-old obese female patient presented herself with pain in the left side of her abdomen and back. Her medical history consisted of diabetes, hypercholesterolemia, appendectomy, and laparoscopic cholecystectomy. She had a laparoscopic adjustable gastric banding (LAGB) placement 1.5 years prior to presentation. This procedure was complicated after 10 months by dislocation of the reservoir, which was surgically refixed. Eight months before presentation, she developed an infection at the site of the reservoir necessitating removal of the reservoir and leaving the gastric band and tubing intraabdominal.At presentation, the patients' pain was not related to movement, respiration, or oral intake. Her weight loss was 18 kg in the last year despite removal of the reservoir. She also complained of pyrosis. Physical examination showed a cicatrical hernia in the left upper quadrant. There were no further abnormalities. Her BMI was 33.9. Laboratory test showed a BSE of 71 mm/h, white cell count of 7.0×10 9 /L, and CRP of 12 mg/L.

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Section: Discussionsupporting

confidence: 63%

A Rare Complication After Laparoscopic Gastric Banding: Connecting-Tube Penetration into the Hilus of the Kidney

et al. 2008

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“…Zengin et al [13] reported a case of disconnection of the tubing from the subcutaneous port with subsequent erosion into the jejunal wall in a 36-year-old man post LAGB. Hartmann et al [14] reported colonic perforation by the connecting tube. Zappa et al [7] documented recurrent jejunal obstruction and volvulus caused by the connecting tubing 3 years following LAGB.…”

Section: Discussionmentioning

confidence: 99%

Cecal Volvulus as a Complication of Gastric Banding

et al. 2008

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Surgery is an increasingly important management option for patients with obesity. Laparoscopic adjustable gastric banding is a procedure employed to treat morbid obesity refractory to medical therapy. It works by reducing the capacity of the stomach and promoting early satiety. We report the unusual case of a 33-year-old female who presented acutely 2 years following laparoscopic adjustable gastric banding with cecal volvulus and closed loop obstruction caused by displacement of the connecting tube.

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“…Some of these patients underwent investigation for pelvic inflammatory disease, gynecological problems, renal colic, or acute appendicitis. Small-bowel obstruction and migration into jejunal and colonic walls caused by the connecting tube were reported in patients with prolonged abdominal pain [8][9][10][11]. Ability for free food passage and weight gain are other clinical signs of tube disconnection.…”

Section: Discussionmentioning

confidence: 99%

“…Incidence of tube disconnection from access port was reported in 0.45-24% of patients [3][4][5][6][7]. Intractable abdominal pain, small-bowel obstruction, and migration of the tube into jejunal and colonic walls were described as complications of connecting tube disconnection [8][9][10][11]. Early diagnosis and treatment of port disconnection can prevent some of these complications.…”

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confidence: 99%