Laparoscopic adjustable gastric band erosion and migration into the proximal jejunum

Creedon, Lee; Leeder, Paul; Awan, Altaf

doi:10.1016/j.soard.2013.06.013

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…2 On the other hand, erosion and migration of gastric bands into the stomach and adjacent bowel are recognized complications of bariatric surgery. 3 This is, however, the first reported case of a gastric banding device migrating extraperitoneally into the urinary bladder. In our patient's case, the gastric clip fragment was the result of an incomplete removal of a gastric band.…”

Section: Discussionmentioning

confidence: 86%

Gastric banding clip in the urinary bladder

2019

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Background and aim: A wide variety of foreign bodies have been found in the urinary bladder, most often due to self-introduction and autoerotism, or iatrogenically introduced during surgery in the anatomic region. We report the first case of a gastric banding clip found in the urinary bladder. Case presentation: We describe the case of a 33-year-old Chinese female who had previously undergone gastric banding and subsequent removal of the band. She presented with lower urinary tract symptoms which followed a diurnal pattern, and investigations revealed a portion of a gastric banding clip in the urinary bladder. There was no sign of perforation or erosion of the bladder. The clip was surgically removed and the patient recovered without complications. Discussion and conclusion: This is the first reported case of an intraperitoneal gastric banding clip migrating extraperitoneally into the urinary bladder. The use of the urinary bladder to expel foreign bodies has been documented in other vertebrates, and the mechanism by which this occurs without perforation or erosion of the urinary bladder warrants further investigation.

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Section: Discussionmentioning

confidence: 86%

Gastric banding clip in the urinary bladder

2019

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“…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.…”

Section: Resultsmentioning

confidence: 99%

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

Vitiello,

Matarese,

Sansone

et al. 2024

JCM

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The utilization rates of laparoscopic gastric banding (LAGB) declined worldwide from 42.3% in 2008 to 1.8% in 2018. Rates of complications requiring removal may reach 40–50% in the medium to long term. Bowel obstruction is a rare but severe complication that occurs after LAGB. A comprehensive literature search in PubMed was carried out to identify all available case reports of intestinal obstruction after gastric banding. The search terms were as follows: “intestinal obstruction”, “small bowel obstruction”, “gastric band”, “gastric banding”, “gastric band complications”, and “laparoscopic gastric band obstruction”. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flowchart was used. Forty-three case reports were included in our review. Laparotomy was necessary in 18/43 (41%) of patients. Vomit was not always reported, while abdominal pain was constantly present. A CT scan was the preferred diagnostic tool. The main causes of occlusion were found to be the erosion of the gastrointestinal tract or internal hernia due to a loose tube loop. Forty-six percent of cases occurred within 5 years from insertion. Even if rare, small bowel obstruction after LAGB requires surgical intervention often with an open approach. The absence of vomit masks symptoms, but an obstruction must be always suspected in the case of severe colicky abdominal pain. A CT scan is recommended for making diagnoses.

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“…We present this case as an example of possible gastric band complications. Although potentially life-threatening, erosion and intragastric band migration are rare late complications and can present as gastrointestinal bleeding 1–3…”

Section: Descriptionmentioning

confidence: 99%

“…Physicians working in emergency departments should be aware of possible band-related complications in this group of patients 1…”

Section: Descriptionmentioning

confidence: 99%