Intragastric Migration of Laparoscopic Adjustable Gastric Band (Lap-Band) for Morbid Obesity

Abstract

The appearance of fistulas and the posterior intragastric inclusion of the adjustable silicone Lap-Band prothesis have been described, representing a severe complication of the Lap-Band procedure. A 45-year-old patient with severe obesity, weighing 115 kg, and having BMI (body max index) of 45 kg/m2 was assigned to a protocol to place a Lab-Band in her. An infection in the reservoir after 9 months indicated the beginning of the appearance of fistulas. The entire adjustable silicone gastric band device eroded inside the stomach between months 9 and 14 after its placement, resulting in reoperation. The gastric inclusion of the Lap-Band device represents a severe complication that requires reoperation, and raises concerns about the safety of this new alternative weight reduction operation.

A 13-year journey of a gastric band – ultimate destination terminal jejunum: a case report

“…Band removal can be achieved by surgery (open or laparoscopic) or by endoscopy. In historical reports the removal of the intragastric migrated band was obtained by laparotomy followed by a gastrotomy [ 12 ]. However, laparoscopic approaches gained more and more attention because the minimally invasive technique leaves the abdominal cavity with fewer adhesions and in consideration of the fact that a future bariatric surgery may be needed [ 13 ].…”

Our experience with 250 laparoscopic adjustable silicone gastric bandings

“…There is a significant reoperation rate due to band slippage [14,18]. Band repositioning due to slippage is a difficult laparoscopic procedure, which involves removal of the band from one position and reinsertion into another [1,6,7]. The 14 cases reported here were all corrected successfully, but all necessitated major laparoscopic procedures.…”

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

“…The gastric band can be surgically or endoscopically removed, including laparotomy and laparoscopic surgery. In 1998, it was reported that the gastric band could be removed via laparotomy [ 18 ]. With the increasing maturity of laparoscopic techniques, laparoscopic gastric band removal reduces the incidence of postoperative abdominal adhesions, which provides the possibility for later revision surgery, and has gradually become the primary surgical method for gastric band removal [ 19 ].…”